Department of Psychiatry, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
J Biomed Sci. 2010 Jan 11;17(1):2. doi: 10.1186/1423-0127-17-2.
Schizophrenia is a complex disorder with involvement of multiple genes.
In this study, genome-wide screening for DNA copy-number variations (CNVs) was conducted for ten pairs, a total of 20 cases, of affected siblings using oligonucleotide array-based CGH.
We found negative symptoms were significantly more severe (p < 0.05) in the subgroup that harbored more genetic imbalance (n >== 13, n = number of CNV-disrupted genes) as compared with the subgroup with fewer CNVs (n <== 6), indicating that the degree of genetic imbalance may influence the severity of the negative symptoms of schizophrenia. Four central nervous system (CNS) related genes including CCAAT/enhancer binding protein, delta (CEBPD, 8q11.21), retinoid x receptor, alpha (RXRA, 9q34.2), LIM homeobox protein 5 (LHX5, 12q24.13) and serine/threonine kinase 11 (STK11, 19p13.3) are recurrently (incidence >== 16.7%) disrupted by CNVs. Two genes, PVR (poliovirus receptor) and BU678720, are concordantly deleted in one and two, respectively, pairs of co-affected siblings. However, we did not find a significant association of this BU678720 deletion and schizophrenia in a large case-control sample.
We conclude that the high genetic loading of CNVs may be the underlying cause of negative symptoms of schizophrenia, and the CNS-related genes revealed by this study warrant further investigation.
精神分裂症是一种涉及多个基因的复杂疾病。
本研究采用寡核苷酸微阵列比较基因组杂交技术,对 10 对共 20 例受影响的兄弟姐妹进行了全基因组 DNA 拷贝数变异(CNV)的基因组筛选。
我们发现,携带更多遗传失衡(n > = 13,n 为 CNV 破坏基因的数量)的亚组与携带较少 CNV(n < = 6)的亚组相比,阴性症状显著更严重(p < 0.05),表明遗传失衡的程度可能影响精神分裂症阴性症状的严重程度。四个中枢神经系统(CNS)相关基因,包括CCAAT/增强子结合蛋白,δ(CEBPD,8q11.21)、视黄醇 X 受体,α(RXRA,9q34.2)、LIM 同源框蛋白 5(LHX5,12q24.13)和丝氨酸/苏氨酸激酶 11(STK11,19p13.3),被 CNV 反复(发生率 > = 16.7%)破坏。两个基因,PVR(脊髓灰质炎病毒受体)和 BU678720,分别在一对和两对共患兄弟姐妹中被一致缺失。然而,我们在一个大的病例对照样本中没有发现这个 BU678720 缺失与精神分裂症的显著关联。
我们得出结论,CNV 的高遗传负荷可能是精神分裂症阴性症状的潜在原因,本研究揭示的中枢神经系统相关基因值得进一步研究。