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来自两个不同的法国和阿尔及利亚人群家庭中DISC1基因与精神分裂症的关联。

Association of DISC1 gene with schizophrenia in families from two distinct French and Algerian populations.

作者信息

Lepagnol-Bestel Aude-Marie, Dubertret Caroline, Benmessaoud Dalila, Simonneau Michel, Adès Jean, Kacha Farid, Hamdani Nora, Gorwood Philip, Ramoz Nicolas

机构信息

INSERM, Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Paris, France.

出版信息

Psychiatr Genet. 2010 Dec;20(6):298-303. doi: 10.1097/YPG.0b013e32833aa5c4.

Abstract

OBJECTIVE

The Disrupted-in-Schizophrenia-1 (DISC1) gene is a promising genetic risk factor for major mental illnesses, especially schizophrenia. Several variants encompassing the DISC1 gene have been associated with schizophrenia and specific clinical features. Negative results were nevertheless observed, stratification biases, heterogeneity of the analyzed samples and low statistical power being potentially involved.

METHODS

We analyzed four single nucleotide polymorphisms (SNPs), including three non-synonymous SNPs, of DISC1 in two independent samples of trios, from France and Algeria, using family-based association tests to elude statistical limits.

RESULTS

In 114 French schizophrenia trios, the C allele of non-synonymous rs6675281/Leu607Phe/C1872T was significantly over-transmitted [odds ratio (OR)=2.3, 95% confidence interval (CI)=1.1-4.4]. This same SNP was also more frequently transmitted in the 100 Algerian schizophrenia trios (OR=2.6, 95% CI=0.9-7.3). In the combined 214 trios, a significant over-transmission of the C allele of rs6675281 to the affected probands was observed (P=0.002), even after correction for multiple testing (P corrected=0.01 OR=2.4 and 95% CI=1.3-4.2). Assessing if a dimension of schizophrenia could be more specifically involved, we found that patients with the C allele had a significantly higher Scale for the Assessment of Negative Symptoms total score (P=0.0002).

CONCLUSION

The analysis adds convergent evidence in favor of a significant role of the DISC1 gene as a risk factor for schizophrenia, as present in two different samples, in family trios rather than with a case--control approach, and even when multiple tests are controlled for. We could further potentially attribute this effect to the negative dimension of schizophrenia.

摘要

目的

精神分裂症相关基因1(DISC1)是主要精神疾病尤其是精神分裂症颇具前景的遗传风险因素。包含DISC1基因的多个变体已与精神分裂症及特定临床特征相关联。然而,研究结果却出现阴性,可能涉及分层偏倚、分析样本的异质性以及统计效能较低等问题。

方法

我们使用基于家系的关联检验,以规避统计限制,对来自法国和阿尔及利亚的两个独立三人组样本中的DISC1基因的四个单核苷酸多态性(SNP)进行分析,其中包括三个非同义SNP。

结果

在114个法国精神分裂症三人组中,非同义rs6675281/Leu607Phe/C1872T的C等位基因显著过度传递[优势比(OR)=2.3,95%置信区间(CI)=1.1 - 4.4]。在100个阿尔及利亚精神分裂症三人组中,同一个SNP也更频繁地传递(OR = 2.6,95% CI = 0.9 - 7.3)。在总共214个三人组中,即便经过多重检验校正(校正P值 = 0.01,OR = 2.4,95% CI = 1.3 - 4.2),仍观察到rs6675281的C等位基因向受影响的先证者显著过度传递(P = 0.002)。在评估精神分裂症的某个维度是否可能更具体地涉及其中时,我们发现携带C等位基因的患者阴性症状评估量表总分显著更高(P = 0.0002)。

结论

该分析提供了趋同证据,支持DISC1基因作为精神分裂症风险因素的重要作用,这在两个不同样本的家系三人组中得到体现,而非采用病例对照方法,并且即便对多重检验进行了控制。我们可能进一步将这种效应归因于精神分裂症的阴性维度。

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