Schiffer H H, Heinemann S F
Molecular Neurobiology Laboratory, Salk Institute for Biological Studies, La Jolla, California, USA.
Am J Med Genet B Neuropsychiatr Genet. 2007 Jan 5;144B(1):20-6. doi: 10.1002/ajmg.b.30374.
The etiology of mood disorders remains elusive, despite our increasing understanding of the neurotransmitter systems and brain regions that are involved. We performed a large family-based association study to test if the human kainate receptor GluR7 gene (GRIK3) is associated with bipolar disorder (BP) or recurrent major depressive disorder (R-MDD). One hundred fifty-three multiplex BP families from the National Institute of Mental Health (NIMH) Genetics Initiative on Bipolar Disorder were analyzed with the transmission disequilibrium test (TDT). We detected a significant linkage disequilibrium (LD) indicated by preferential maternal transmission of the GluR7 S310 allele to R-MDD patients (P = 0.012), but not to bipolar I disorder (BPI) patients (P = 1.00). We performed a second independent study by applying the TDT in 81 parent-offspring triads from families that inherit recurrent early-onset major depressive disorder (RE-MDD). The results from this second study showed only a suggestive maternal association (P = 0.068). Our findings imply that the GluR7 gene is a susceptibility factor in R-MDD and that the glutamatergic receptor system plays a critical role in the disease etiology.
尽管我们对涉及的神经递质系统和脑区的理解不断加深,但情绪障碍的病因仍然难以捉摸。我们进行了一项基于家系的大型关联研究,以检验人类红藻氨酸受体GluR7基因(GRIK3)是否与双相情感障碍(BP)或复发性重度抑郁症(R-MDD)相关。对来自美国国立精神卫生研究所(NIMH)双相情感障碍遗传学倡议的153个多重BP家系进行了传递不平衡检验(TDT)分析。我们检测到显著的连锁不平衡(LD),表现为GluR7 S310等位基因优先由母亲传递给R-MDD患者(P = 0.012),但不传递给双相I型障碍(BPI)患者(P = 1.00)。我们通过对81个来自遗传性复发性早发性重度抑郁症(RE-MDD)家系的亲代-子代三联体应用TDT进行了第二项独立研究。第二项研究的结果仅显示出一种提示性的母亲关联(P = 0.068)。我们的研究结果表明,GluR7基因是R-MDD的一个易感因素,并且谷氨酸能受体系统在该疾病的病因中起关键作用。