Bayés M, Ramos J A, Cormand B, Hervas-Zúñiga A, del Campo M, Duran-Tauleria E, Ribasés M, Vilella-Cuadrada E, de Diego-Otero Y, Casas-Brugué M, Estivill X
Centre de Regulacio Genomica (CRG), Barcelona, Espana.
Rev Neurol. 2005 Jan 15;40 Suppl 1:S187-90.
Autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) are two neuropsychiatric disorders beginning in childhood that present a high degree of familial aggregation. ASD is characterised by social interaction and communication disorders, whereas patients with ADHD display persistent inattention and/or hyperactive-impulsive behaviour. With the exception of a few cases of autism in which cytogenetic anomalies or mutations have been reported in specific genes, the aetiology of these diseases remains unknown. This is a group of multifactorial diseases with several genes having a lesser effect and there is also an environmental component. Genetic linkage studies have pointed to about 20 chromosomal regions that could well contain genes that grant susceptibility to autism, to ADHD or to both disorders. The challenge to researchers lies in the clinical characterisation, recruitment of patients with ASD and ADHD, gene dosage quantification studies, comparative genomic methylation and hybridisation in order to identify chromosomal rearrangements in patients with autism and severe mental retardation.
Genotyping large SNP-type collections that are potentially functional in genes that are candidates for these disorders, based on pharmacological, biochemical and neuropathological data together with that coming from animal models and linkage studies in a wide collection of samples from patients and controls, will enable us to identify the genetic components of these pathologies and to define their biological foundations.
自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)是始于儿童期的两种神经精神疾病,具有高度的家族聚集性。ASD的特征是社交互动和沟通障碍,而ADHD患者表现出持续的注意力不集中和/或多动冲动行为。除了少数已报道特定基因存在细胞遗传学异常或突变的自闭症病例外,这些疾病的病因仍然未知。这是一组多因素疾病,多个基因的影响较小,并且还存在环境因素。遗传连锁研究已指出约20个染色体区域,这些区域很可能包含赋予自闭症、ADHD或两种疾病易感性的基因。研究人员面临的挑战在于临床特征描述、招募ASD和ADHD患者、基因剂量定量研究、比较基因组甲基化和杂交,以识别自闭症和严重智力障碍患者的染色体重排。
基于药理学、生物化学和神经病理学数据,以及来自动物模型和广泛的患者及对照样本连锁研究的数据,对这些疾病候选基因中具有潜在功能的大型SNP类型集合进行基因分型,将使我们能够识别这些疾病的遗传成分并确定其生物学基础。