Van Den Bogaert Ann, Schumacher Johannes, Schulze Thomas G, Otte Andreas C, Ohlraun Stephanie, Kovalenko Svetlana, Becker Tim, Freudenberg Jan, Jönsson Erik G, Mattila-Evenden Marja, Sedvall Göran C, Czerski Piotr M, Kapelski Pawel, Hauser Joanna, Maier Wolfgang, Rietschel Marcella, Propping Peter, Nöthen Markus M, Cichon Sven
Department of Medical Genetics, University of Antwerp, Antwerp, Belgium.
Am J Hum Genet. 2003 Dec;73(6):1438-43. doi: 10.1086/379928. Epub 2003 Nov 14.
We have investigated the gene for dystrobrevin-binding protein 1 (DTNBP1), or dysbindin, which has been strongly suggested as a positional candidate gene for schizophrenia, in three samples of subjects with schizophrenia and unaffected control subjects of German (418 cases, 285 controls), Polish (294 cases, 113 controls), and Swedish (142 cases, 272 controls) descent. We analyzed five single-nucleotide polymorphisms (P1635, P1325, P1320, P1757, and P1578) and identified significant evidence of association in the Swedish sample but not in those from Germany or Poland. The results in the Swedish sample became even more significant after a separate analysis of those cases with a positive family history of schizophrenia, in whom the five-marker haplotype A-C-A-T-T showed a P value of.00009 (3.1% in controls, 17.8% in cases; OR 6.75; P=.00153 after Bonferroni correction). Our results suggest that genetic variation in the dysbindin gene is particularly involved in the development of schizophrenia in cases with a familial loading of the disease. This would also explain the difficulty of replicating this association in consecutively ascertained case-control samples, which usually comprise only a small proportion of subjects with a family history of disease.
我们对与肌萎缩蛋白结合蛋白1(DTNBP1),即肌萎缩相关蛋白(dysbindin)的基因进行了研究。该基因已被强烈认为是精神分裂症的一个定位候选基因。我们研究了来自德国(418例患者,285名对照)、波兰(294例患者,113名对照)和瑞典(142例患者,272名对照)的三个样本,样本中的受试者患有精神分裂症,对照为未患病个体。我们分析了五个单核苷酸多态性(P1635、P1325、P1320、P1757和P1578),发现瑞典样本中有显著的关联证据,而德国和波兰样本中则没有。在对有精神分裂症家族史的病例进行单独分析后,瑞典样本中的结果变得更加显著,其中五标记单倍型A-C-A-T-T的P值为0.00009(对照中为3.1%,病例中为17.8%;优势比6.75;经Bonferroni校正后P = 0.00153)。我们的结果表明,肌萎缩相关蛋白基因的遗传变异在有家族病史的精神分裂症病例的发病过程中尤其起作用。这也可以解释在连续确定的病例对照样本中复制这种关联的困难,因为这些样本通常只包含一小部分有家族病史的受试者。