Department of Human Genetics, Emory University School of Medicine, 615 Michael Street, Suite 301, Atlanta, GA 30322, USA.
Curr Psychiatry Rep. 2011 Apr;13(2):129-37. doi: 10.1007/s11920-011-0183-5.
Molecular genetic research, building on genetic epidemiology, has provided the field of psychiatry with a host of exciting advances. It is now clear beyond any reasonable doubt that genetic inheritance influences liability to develop almost every major psychiatric disorder. Rapid progress in identifying genes contributing to psychiatric liability, recently accelerated by the advent of approaches such as genome-wide association studies and chromosomal microarray analysis, raises a critical question for psychiatric practice and training: how will molecular genetics alter the practice of psychiatry for front-line clinicians? The premise of the present review is that our growing knowledge regarding the roles of copy number variants in behavioral disorders will soon require revision of standards of evaluation and care for psychiatric patients.
分子遗传学研究以遗传流行病学为基础,为精神病学领域提供了许多令人兴奋的进展。现在已经毫无疑问地表明,遗传因素会影响几乎每一种主要精神疾病的发病倾向。近年来,通过全基因组关联研究和染色体微阵列分析等方法的出现,识别导致精神疾病易感性的基因方面取得了快速进展,这给精神科临床实践和培训提出了一个关键问题:分子遗传学将如何改变一线临床医生的精神科实践?本综述的前提是,我们对行为障碍中拷贝数变异作用的认识不断增加,这将很快需要修订精神科患者的评估和护理标准。