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脑源性神经营养因子基因C-270T和Val66Met功能多态性与精神分裂症风险:一项基于中等规模人群的研究和荟萃分析。

Brain-derived neurotrophic factor gene C-270T and Val66Met functional polymorphisms and risk of schizophrenia: a moderate-scale population-based study and meta-analysis.

作者信息

Xu Ming-Qing, St Clair David, Ott Jurg, Feng Guo-Yin, He Lin

机构信息

Bio-X Centre, Shanghai Jiao Tong University, Shanghai 200030, PR China.

出版信息

Schizophr Res. 2007 Mar;91(1-3):6-13. doi: 10.1016/j.schres.2006.12.008. Epub 2007 Feb 7.

Abstract

BACKGROUND

Lines of evidence have suggested that the brain-derived neurotrophic factor (BDNF) gene may be involved in the pathogenesis of schizophrenia. Two common functional polymorphisms C-270T and Val66Met within the BDNF gene were first reported by Kunugi et al. [Kunugi, H., Nanko, S., Hirasawa, H., Kato, N., Nabika, T., Kobayashi, S., 2003. Brain-derived neurotrophic factor gene and schizophrenia: polymorphism screening and association analysis. Schizophr. Res. 62, 281-283.] and pls expand this too: Hong et al. (2003) to be significantly associated with schizophrenia. However, subsequently several studies obtained conflicting results.

METHODS

We compared the allele/genotype frequencies of the C-270T and Val66Met polymorphisms and the haplotype frequencies at the two polymorphisms in a moderate independent patient-control sample from the Han Chinese population. Two systematic meta-analyses were performed to assess the collective evidence for association across studies for each of the two polymorphisms.

RESULTS

No statistically significant differences were found in allele or genotype or haplotype frequencies between patient and normal control subjects for either of the two polymorphisms. On the other hand, the meta-analysis of all published population-based association studies showed statistically significant evidence for heterogeneity among each of the two polymorphisms. Stratification of the studies by ethnicity of the samples yielded no significant evidence for an association with the polymorphisms in the Caucasian population (for C-270T polymorphism: pooled OR(Caucasian)=0.736, 95% CI=0.476-1.139, p=0.169; for Val66Met polymorphism: pooled OR(Caucasian)=1.027, 95% CI=0.796-1.325, p=0.835), nor in the Asian population (for C-270T polymorphism: pooled OR(Asian)=0.445, 95% CI=0.144-1.373, p=0.159; for Val66Met polymorphism: pooled OR(Asian)=0.962, 95% CI=0.820-1.128, p=0.635).

CONCLUSIONS

Our population-based study and meta-analysis demonstrate that the BDNF C-270T and Val66Met polymorphisms do not play major roles in the susceptibility to schizophrenia in either Caucasian or Asian populations. But we can not rule out the possibility that other polymorphisms with the BDNF gene are involved in the pathophysiology of schizophrenia.

摘要

背景

有证据表明脑源性神经营养因子(BDNF)基因可能参与精神分裂症的发病机制。BDNF基因内的两种常见功能多态性C-270T和Val66Met最早由Kunugi等人报道[Kunugi, H., Nanko, S., Hirasawa, H., Kato, N., Nabika, T., Kobayashi, S., 2003. 脑源性神经营养因子基因与精神分裂症:多态性筛查及关联分析。《精神分裂症研究》62, 281 - 283.],还有Hong等人(2003年)也报道其与精神分裂症显著相关。然而,随后的几项研究得出了相互矛盾的结果。

方法

我们在一个来自中国汉族人群的适度独立的病例对照样本中,比较了C-270T和Val66Met多态性的等位基因/基因型频率以及这两种多态性的单倍型频率。进行了两项系统的荟萃分析,以评估每项多态性跨研究关联的总体证据。

结果

在两种多态性中,患者和正常对照受试者之间的等位基因、基因型或单倍型频率均未发现统计学上的显著差异。另一方面,对所有已发表的基于人群的关联研究进行的荟萃分析表明,两种多态性各自之间存在统计学上显著的异质性证据。按样本种族对研究进行分层,未发现与白种人群中多态性相关的显著证据(对于C-270T多态性:合并比值比(白种人)=0.736,95%置信区间=0.476 - 1.139,p = 0.169;对于Val66Met多态性:合并比值比(白种人)=1.027,95%置信区间=0.796 - 1.325,p = 0.835),在亚洲人群中也未发现(对于C-270T多态性:合并比值比(亚洲人)=0.445,95%置信区间=0.144 - 1.373,p = 0.159;对于Val66Met多态性:合并比值比(亚洲人)=0.962,95%置信区间=0.820 - 1.128,p = 0.635)。

结论

我们基于人群的研究和荟萃分析表明BDNF基因的C-270T和Val66Met多态性在白种人和亚洲人群对精神分裂症的易感性中均不发挥主要作用。但我们不能排除BDNF基因的其他多态性参与精神分裂症病理生理学的可能性。

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