Sykes Nuala H, Lamb Janine A
Wellcome Trust Centre for Human Genetics, University of Oxford, UK.
Expert Rev Mol Med. 2007 Sep 3;9(24):1-15. doi: 10.1017/S1462399407000452.
Autism, at its most extreme, is a severe neurodevelopmental disorder, and recent studies have indicated that autism spectrum disorders are considerably more common than previously supposed. However, although one of the most heritable neuropsychiatric syndromes, autism has so far eluded attempts to discover its genetic origins in the majority of cases. Several whole-genome scans for autism-susceptibility loci have identified specific chromosomal regions, but the results have been inconclusive and fine mapping and association studies have failed to identify the underlying genes. Recent advances in knowledge from the Human Genome and HapMap Projects, and progress in technology and bioinformatic resources, have aided study design and made data generation more efficient and cost-effective. Broadening horizons about the landscape of structural genetic variation and the field of epigenetics are indicating new possible mechanisms underlying autism aetiology, while endophenotypes are being used in an attempt to break down the complexity of the syndrome and refine genetic data. Although the genetic variants underlying idiopathic autism have proven elusive so far, the future for this field looks promising.
自闭症在最严重的情况下是一种严重的神经发育障碍,最近的研究表明,自闭症谱系障碍比以前认为的要普遍得多。然而,尽管自闭症是最具遗传性的神经精神综合征之一,但到目前为止,在大多数病例中,人们仍未成功发现其遗传根源。几项针对自闭症易感基因座的全基因组扫描已经确定了特定的染色体区域,但结果尚无定论,精细定位和关联研究也未能确定潜在的基因。人类基因组计划和国际人类基因组单体型图计划带来的知识进步,以及技术和生物信息资源的进展,有助于研究设计,并使数据生成更高效且更具成本效益。对结构遗传变异格局和表观遗传学领域的认识不断拓宽,揭示了自闭症病因背后新的可能机制,同时内表型正被用于尝试剖析该综合征的复杂性并完善遗传数据。尽管迄今为止,特发性自闭症的潜在遗传变异仍难以捉摸,但该领域的未来看起来很有希望。