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通过分析与自闭症相关的已报道细胞遗传学异常来鉴定新的自闭症候选区域。

Identification of novel autism candidate regions through analysis of reported cytogenetic abnormalities associated with autism.

作者信息

Vorstman J A S, Staal W G, van Daalen E, van Engeland H, Hochstenbach P F R, Franke L

机构信息

Department of Child & Adolescent Psychiatry, University Medical Centre Utrecht, Afd. K&J Psychiatrie, Heidelberglaan 100, Huispost A01.468, 3584 CX Utrecht, The Netherlands.

出版信息

Mol Psychiatry. 2006 Jan;11(1):1, 18-28. doi: 10.1038/sj.mp.4001781.

Abstract

The identification of the candidate genes for autism through linkage and association studies has proven to be a difficult enterprise. An alternative approach is the analysis of cytogenetic abnormalities associated with autism. We present a review of all studies to date that relate patients with cytogenetic abnormalities to the autism phenotype. A literature survey of the Medline and Pubmed databases was performed, using multiple keyword searches. Additional searches through cited references and abstracts from the major genetic conferences from 2000 onwards completed the search. The quality of the phenotype (i.e. of the autism spectrum diagnosis) was rated for each included case. Available specific probe and marker information was used to define optimally the boundaries of the cytogenetic abnormalities. In case of recurrent deletions or duplications on chromosome 15 and 22, the positions of the low copy repeats that are thought to mediate these rearrangements were used to define the most likely boundaries of the implicated 'Cytogenetic Regions Of Interest' (CROIs). If no molecular data were available, the sequence position of the relevant chromosome bands was used to obtain the approximate molecular boundaries of the CROI. The findings of the current review indicate: (1) several regions of overlap between CROIs and known loci of significant linkage and/or association findings, and (2) additional regions of overlap among multiple CROIs at the same locus. Whereas the first finding confirms previous linkage/association findings, the latter may represent novel, not previously identified regions containing genes that contribute to autism. This analysis not only has confirmed the presence of several known autism risk regions but has also revealed additional previously unidentified loci, including 2q37, 5p15, 11q25, 16q22.3, 17p11.2, 18q21.1, 18q23, 22q11.2, 22q13.3 and Xp22.2-p22.3.

摘要

通过连锁和关联研究来鉴定自闭症的候选基因已被证明是一项艰巨的任务。另一种方法是分析与自闭症相关的细胞遗传学异常。我们对迄今为止所有将患有细胞遗传学异常的患者与自闭症表型相关联的研究进行了综述。使用多个关键词搜索对Medline和Pubmed数据库进行了文献调查。通过引用的参考文献以及2000年以来主要遗传学会议的摘要进行的额外搜索完成了此次检索。对每个纳入病例的表型质量(即自闭症谱系诊断的质量)进行了评分。利用可用的特异性探针和标记信息来最佳地界定细胞遗传学异常的边界。对于15号和22号染色体上反复出现的缺失或重复情况,被认为介导这些重排的低拷贝重复序列的位置被用于界定相关“细胞遗传学感兴趣区域”(CROIs)最可能的边界。如果没有分子数据可用,则使用相关染色体带的序列位置来获得CROI的大致分子边界。当前综述的结果表明:(1)CROIs与显著连锁和/或关联研究发现的已知位点之间存在几个重叠区域,以及(2)同一基因座上多个CROIs之间存在额外的重叠区域。虽然第一个发现证实了先前的连锁/关联研究结果,但后者可能代表了新的、以前未被识别的包含对自闭症有影响的基因的区域。该分析不仅证实了几个已知的自闭症风险区域的存在,还揭示了其他以前未被识别的基因座,包括2q37、5p15、11q25、16q22.3、17p11.2、18q21.1、18q23、22q11.2、22q13.3和Xp22.2 - p22.3。

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