Jorgensen T H, Børglum A D, Mors O, Wang A G, Pinaud M, Flint T J, Dahl H A, Vang M, Kruse T A, Ewald H
Institute for Basic Psychiatric Research, Department of Psychiatric Demography, Psychiatric Hospital in Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Am J Med Genet. 2002 Mar 8;114(2):245-52. doi: 10.1002/ajmg.10191.
Chromosome 22q may harbor risk genes for schizophrenia and bipolar affective disorder. This is evidenced through genetic mapping studies, investigations of cytogenetic abnormalities, and direct examination of candidate genes. Patients with schizophrenia and bipolar affective disorder from the Faroe Islands were typed for 35 evenly distributed polymorphic markers on 22q in a search for shared risk genes in the two disorders. No single marker was strongly associated with either disease, but five two-marker segments that cluster within two regions on the chromosome have haplotypes occurring with different frequencies in patients compared to controls. Two segments were of most interest when the results of the association tests were combined with the probabilities of identity by descent of single haplotypes. For bipolar patients, the strongest evidence for a candidate region harboring a risk gene was found at a segment of at least 1.1 cM including markers D22S1161 and D22S922 (P=0.0081 in the test for association). Our results also support the a priori evidence of a susceptibility gene to schizophrenia at a segment of at least 0.45 cM including markers D22S279 and D22S276 (P=0.0075). Patients were tested for the presence of a missense mutation in the WKL1 gene encoding a putative cation channel close to segment D22S1161--D22S922, which has been associated with schizophrenia. We did not find this mutation in schizophrenic or bipolar patients or the controls from the Faroe Islands.
22号染色体长臂可能携带着精神分裂症和双相情感障碍的风险基因。这一点已通过基因定位研究、细胞遗传学异常调查以及对候选基因的直接检测得到证实。来自法罗群岛的精神分裂症和双相情感障碍患者,针对22号染色体长臂上35个均匀分布的多态性标记进行分型,以寻找这两种疾病中共同的风险基因。没有单个标记与任何一种疾病有强烈关联,但染色体上两个区域内聚集的五个双标记片段,其单倍型在患者中的出现频率与对照组不同。当将关联测试结果与单倍型的同源性概率相结合时,有两个片段最受关注。对于双相情感障碍患者,在至少1.1厘摩的片段上发现了携带风险基因的候选区域的最有力证据,该片段包括标记D22S1161和D22S922(关联测试中P = 0.0081)。我们的结果还支持了在至少0.45厘摩的片段上存在精神分裂症易感基因的先验证据,该片段包括标记D22S279和D22S276(P = 0.0075)。对患者进行了编码假定阳离子通道的WKL1基因错义突变检测,该基因靠近与精神分裂症相关的片段D22S1161 - D22S922。我们在法罗群岛的精神分裂症患者、双相情感障碍患者或对照组中均未发现这种突变。