Varga Gabor, Szekely Anna, Sasvari-Szekely Maria
Institute of Psychology, Eötvös Loránd University, Budapest, Hungary.
Neuropsychopharmacol Hung. 2011 Jun;13(2):93-101.
The most researched candidate genes of psychiatric genetic association studies are the components of the monoamine neurotransmitter systems, out of which serotonin and dopamine transmitter systems gained particular attention due to their major role in regulating emotional functions and cognitive processes. The paper reviews association studies focusing on the polymorphisms of receptors, transporters and enzymes that belong to these two transmitter systems. Numerous studies demonstrated significant associations between serotonergic and dopaminergic polymorphisms and diagnostic categories, personality traits and cognitive functions, however, results of monoamine gene variants and psychological properties are often contradictory. The contradictions can partially be explained with relatively small sample sizes of earlier studies, heterogeneity of methods across the studies and our expanding knowledge of the function of polymorphisms. On the whole, however, it can be declared that psychogenetic research plays an important role in the development of personalized pharmacotherapy.
精神疾病遗传关联研究中研究最多的候选基因是单胺神经递质系统的组成部分,其中血清素和多巴胺递质系统因其在调节情绪功能和认知过程中的主要作用而受到特别关注。本文综述了聚焦于这两个递质系统中受体、转运体和酶的多态性的关联研究。众多研究表明,血清素能和多巴胺能多态性与诊断类别、人格特质和认知功能之间存在显著关联,然而,单胺基因变异与心理特性之间的研究结果往往相互矛盾。这些矛盾部分可以用早期研究相对较小的样本量、研究方法的异质性以及我们对多态性功能不断扩展的认识来解释。不过总体而言,可以宣称心理遗传学研究在个性化药物治疗的发展中发挥着重要作用。