Division of Clinical Neuroscience, Max Planck Institute of Experimental Medicine, Göttingen, Germany.
BMC Psychiatry. 2010 Nov 10;10:91. doi: 10.1186/1471-244X-10-91.
Schizophrenia is the collective term for an exclusively clinically diagnosed, heterogeneous group of mental disorders with still obscure biological roots. Based on the assumption that valuable information about relevant genetic and environmental disease mechanisms can be obtained by association studies on patient cohorts of ≥ 1000 patients, if performed on detailed clinical datasets and quantifiable biological readouts, we generated a new schizophrenia data base, the GRAS (Göttingen Research Association for Schizophrenia) data collection. GRAS is the necessary ground to study genetic causes of the schizophrenic phenotype in a 'phenotype-based genetic association study' (PGAS). This approach is different from and complementary to the genome-wide association studies (GWAS) on schizophrenia.
For this purpose, 1085 patients were recruited between 2005 and 2010 by an invariable team of traveling investigators in a cross-sectional field study that comprised 23 German psychiatric hospitals. Additionally, chart records and discharge letters of all patients were collected.
The corresponding dataset extracted and presented in form of an overview here, comprises biographic information, disease history, medication including side effects, and results of comprehensive cross-sectional psychopathological, neuropsychological, and neurological examinations. With >3000 data points per schizophrenic subject, this data base of living patients, who are also accessible for follow-up studies, provides a wide-ranging and standardized phenotype characterization of as yet unprecedented detail.
The GRAS data base will serve as prerequisite for PGAS, a novel approach to better understanding 'the schizophrenias' through exploring the contribution of genetic variation to the schizophrenic phenotypes.
精神分裂症是一组独特的临床诊断、异质的精神障碍的统称,其生物学根源仍不清楚。基于这样的假设,即通过对≥1000 名患者的患者队列进行关联研究,如果在详细的临床数据集和可量化的生物学读数上进行,可以获得关于相关遗传和环境疾病机制的有价值的信息,我们生成了一个新的精神分裂症数据库,即哥廷根研究协会精神分裂症(GRAS)数据集。GRAS 是在“基于表型的遗传关联研究(PGAS)”中研究精神分裂症表型遗传原因的必要基础。这种方法与精神分裂症的全基因组关联研究(GWAS)不同,也互为补充。
为此,在 2005 年至 2010 年间,由一个由流动调查员组成的不变团队在一项横断面现场研究中招募了 1085 名患者,该研究包括 23 家德国精神病院。此外,还收集了所有患者的病历记录和出院记录。
此处提取并以概述形式呈现的相应数据集包括传记信息、病史、包括副作用在内的药物治疗以及全面的横断面心理病理、神经心理学和神经学检查的结果。每个精神分裂症患者有超过 3000 个数据点,这个活患者数据库也可用于后续研究,提供了前所未有的详细程度的广泛而标准化的表型特征描述。
GRAS 数据库将作为 PGAS 的前提,PGAS 是一种通过探索遗传变异对精神分裂症表型的贡献来更好地理解“精神分裂症”的新方法。