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精神分裂症风险基因变异与脑结构异常之间的相关性

[Correlations between risk gene variants for schizophrenia and brain structure anomalies].

作者信息

Nickl-Jockschat T, Rietschel M, Kircher T

机构信息

Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.

出版信息

Nervenarzt. 2009 Jan;80(1):40-2, 44-6, 48 passim. doi: 10.1007/s00115-008-2576-1.

Abstract

The specific etiologies of schizophrenia are largely unknown. Genetic predisposition constitutes an important, however, not exclusive risk factor for the development of schizophrenia. In recent years, a number of candidate genes were identified and have been consistently replicated. Magnetic resonance imaging studies have characterized structural changes in brain morphology, such as ventricular enlargement or volume reduction of the medial temporal structures and the superior temporal gyrus. Several studies have found correlations between gene variants and changes of brain morphology in schizophrenia patients and healthy controls. In this review, publications examining correlations of schizophrenia susceptibility gene polymorphisms and structural brain anomalies in patients and healthy controls are described. An overview and a critical reflection of the current research are outlined. The results of genome-wide studies will soon provide a multitude of additional schizophrenia susceptibility genes. If and to what extent these genes exert an influence on the brain structure in the healthy and the diseased, can be clarified by gene structure correlations. Given the many possible gene-gene and gene-environment interactions, most variants will probably not show simple interactions with sizable effects.

摘要

精神分裂症的具体病因很大程度上尚不明确。遗传易感性是精神分裂症发病的一个重要但并非唯一的风险因素。近年来,一些候选基因已被识别并得到反复验证。磁共振成像研究已描绘出大脑形态的结构变化,如脑室扩大或内侧颞叶结构及颞上回体积减小。多项研究发现精神分裂症患者和健康对照者的基因变异与大脑形态变化之间存在关联。在本综述中,描述了检验精神分裂症易感基因多态性与患者及健康对照者脑结构异常之间相关性的出版物。概述了当前研究并进行了批判性反思。全基因组研究结果将很快提供大量额外的精神分裂症易感基因。这些基因是否以及在多大程度上对健康人和患病者的大脑结构产生影响,可通过基因结构相关性来阐明。鉴于存在许多可能的基因 - 基因和基因 - 环境相互作用,大多数变异可能不会表现出具有显著效应的简单相互作用。

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