帕金森病和特发性震颤的遗传学。
Genetics of Parkinson disease and essential tremor.
机构信息
Division of Neurology, Department of Clinical Neuroscience, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
出版信息
Curr Opin Neurol. 2010 Aug;23(4):388-93. doi: 10.1097/WCO.0b013e32833b1f4c.
PURPOSE OF REVIEW
Elucidating the genetic background of Parkinson disease and essential tremor is crucial to understand the pathogenesis and improve diagnostic and therapeutic strategies.
RECENT FINDINGS
A number of approaches have been applied including familial and association studies, and studies of gene expression profiles to identify genes involved in susceptibility to Parkinson disease. These studies have nominated a number of candidate Parkinson disease genes and novel loci including Omi/HtrA2, GIGYF2, FGF20, PDXK, EIF4G1 and PARK16. A recent notable finding has been the confirmation for the role of heterozygous mutations in glucocerebrosidase (GBA) as risk factors for Parkinson disease. Finally, association studies have nominated genetic variation in the leucine-rich repeat and Ig containing 1 gene (LINGO1) as a risk for both Parkinson disease and essential tremor, providing the first genetic evidence of a link between the two conditions.
SUMMARY
Although undoubtedly genes remain to be identified, considerable progress has been achieved in the understanding of the genetic basis of Parkinson disease. This same effort is now required for essential tremor. The use of next-generation high-throughput sequencing and genotyping technologies will help pave the way for future insight leading to advances in diagnosis, prevention and cure.
目的综述:阐明帕金森病和特发性震颤的遗传背景对于理解其发病机制以及改进诊断和治疗策略至关重要。
最近发现:已经应用了许多方法,包括家族性和相关性研究,以及基因表达谱研究,以鉴定与帕金森病易感性相关的基因。这些研究已经确定了一些候选的帕金森病基因和新的基因座,包括 Omi/HtrA2、GIGYF2、FGF20、PDXK、EIF4G1 和 PARK16。最近一个值得注意的发现是,葡萄糖脑苷脂酶 (GBA) 的杂合突变作为帕金森病的风险因素的作用得到了证实。最后,相关性研究确定富含亮氨酸重复和 Ig 结构域 1 基因 (LINGO1) 的遗传变异是帕金森病和特发性震颤的风险因素,为这两种疾病之间的联系提供了第一个遗传证据。
总结:尽管无疑还有更多的基因有待发现,但在理解帕金森病的遗传基础方面已经取得了相当大的进展。特发性震颤也需要同样的努力。下一代高通量测序和基因分型技术的应用将有助于为未来的深入研究铺平道路,从而推动诊断、预防和治疗方面的进展。