Arcos-Burgos Mauricio, Muenke Maximilian
National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Atten Defic Hyperact Disord. 2010 Nov;2(3):139-47. doi: 10.1007/s12402-010-0030-2. Epub 2010 Oct 16.
During the past 15 years, an impressive amount of genetic information has become available in the research field of psychiatry, particularly as it relates to attention-deficit/hyperactivity disorder (ADHD). However, the classical clinical approach to ADHD has minimally affected and not significantly been improved by this genetic revolution. It is difficult to predict how long it will take for genetic findings to alter the way clinicians treat patients with ADHD. New medications or treatment protocols may take years to become routine clinical practice. However, when taken together, recent successes in genomics, pharmacogenomics, and genetic epidemiology have the potential (1) to prevent comorbid consequences of ADHD, (2) to individualize therapies for patients with ADHD, and (3) to define new epidemiological policies to aid with the impact of ADHD on society. Here, we present an overview of how genetic research may affect and improve the quality of life of patients with ADHD: as an example, we use the discovery of LPHN3, a new gene in which variants have recently been shown to be associated with ADHD.
在过去15年里,精神病学研究领域已经获得了大量令人瞩目的遗传信息,尤其是与注意力缺陷多动障碍(ADHD)相关的信息。然而,ADHD的经典临床治疗方法受这一遗传学变革的影响微乎其微,也没有得到显著改善。很难预测遗传研究结果需要多长时间才能改变临床医生治疗ADHD患者的方式。新药物或治疗方案可能需要数年时间才能成为常规临床实践。然而,综合来看,基因组学、药物基因组学和遗传流行病学最近取得的成功有潜力:(1)预防ADHD的共病后果;(2)为ADHD患者实现个体化治疗;(3)制定新的流行病学政策,以应对ADHD对社会的影响。在此,我们概述遗传研究可能如何影响并改善ADHD患者的生活质量:作为一个例子,我们以LPHN3基因的发现为例,该基因的变异最近被证明与ADHD有关。