Schork Nicholas J, Murray Sarah S, Frazer Kelly A, Topol Eric J
Scripps Genomic Medicine, and Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA 92037, United States.
Curr Opin Genet Dev. 2009 Jun;19(3):212-9. doi: 10.1016/j.gde.2009.04.010. Epub 2009 May 28.
There has been growing debate over the nature of the genetic contribution to individual susceptibility to common complex diseases such as diabetes, osteoporosis, and cancer. The 'Common Disease, Common Variant (CDCV)' hypothesis argues that genetic variations with appreciable frequency in the population at large, but relatively low 'penetrance' (or the probability that a carrier of the relevant variants will express the disease), are the major contributors to genetic susceptibility to common diseases. The 'Common Disease, Rare Variant (CDRV)' hypothesis, on the contrary, argues that multiple rare DNA sequence variations, each with relatively high penetrance, are the major contributors to genetic susceptibility to common diseases. Both hypotheses have their place in current research efforts.
对于基因因素在个体对常见复杂疾病(如糖尿病、骨质疏松症和癌症)易感性中的作用本质,一直存在着越来越多的争论。“常见疾病,常见变异(CDCV)”假说认为,在普通人群中具有相当频率但“外显率”相对较低(即相关变异携带者表现出疾病的概率)的基因变异,是导致常见疾病遗传易感性的主要因素。相反,“常见疾病,罕见变异(CDRV)”假说认为,多个罕见的DNA序列变异,每个变异的外显率相对较高,是导致常见疾病遗传易感性的主要因素。这两种假说在当前的研究工作中都有其地位。