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中国精神分裂症患者 ZNF804A 基因多态性 rs1344706 与脑白质密度变化的关联。

Association of the ZNF804A gene polymorphism rs1344706 with white matter density changes in Chinese schizophrenia.

机构信息

Mental Health Institute, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, PR China.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2012 Jan 10;36(1):122-7. doi: 10.1016/j.pnpbp.2011.08.021. Epub 2011 Sep 3.

DOI:10.1016/j.pnpbp.2011.08.021
PMID:21911029
Abstract

BACKGROUND

ZNF804A gene polymorphism rs1344706, the first genetic risk variant to achieve genome wide significance for schizophrenia, has been linked to neural functional connectivity. Dysconnectivity of WM may be the primary pathological mechanism of schizophrenia. Association of this variant with regional WM density has not been investigated in schizophrenic patients.

METHODS

69 healthy controls and 80 patients with schizophrenia underwent genotyping of rs1344706 SNPs, and were examined for WM density (T1-weighted MRI). The association of rs1344706 with WM changes in schizophrenia patients and healthy controls was analyzed using a full-factorial 2×2 analysis of variance.

RESULTS

  1. There was an interaction on WM density in the left prefrontal lobe between the rs1344706 genotype and schizophrenic diagnosis, where the risk T allele carriers presented higher WM density in the schizophrenia patients and lower WM density in healthy controls in comparison with the non-risk allele carriers. 2. The risk allele was associated with an increased WM density of the bilateral hippocampus in both the patients and the healthy group.

LIMITATION

The influence of antipsychotics to the white matter in schizophrenic patients was not fully eliminated.

CONCLUSIONS

The ZNF804A variant may confer risk for schizophrenia by exerting its effects on the WM in the left prefrontal lobe together with other risk factors for schizophrenia.

摘要

背景

ZNF804A 基因多态性 rs1344706 是首个达到全基因组水平的精神分裂症遗传风险变异,与神经功能连接有关。WM 连接中断可能是精神分裂症的主要病理机制。该变体与 WM 密度的关联尚未在精神分裂症患者中进行研究。

方法

69 名健康对照者和 80 名精神分裂症患者进行 rs1344706SNP 基因分型,并进行 WM 密度(T1 加权 MRI)检查。采用完全因子 2×2 方差分析,分析 rs1344706 与精神分裂症患者和健康对照组 WM 变化的相关性。

结果

  1. 在左侧前额叶 WM 密度上,rs1344706 基因型与精神分裂症诊断之间存在交互作用,风险 T 等位基因携带者在精神分裂症患者中的 WM 密度较高,在健康对照组中的 WM 密度较低,而非风险等位基因携带者则相反。2. 风险等位基因与双侧海马 WM 密度增加有关,在患者和健康组中均如此。

局限性

抗精神病药物对精神分裂症患者 WM 的影响尚未完全消除。

结论

ZNF804A 变体可能通过其对左侧前额叶 WM 的影响以及其他精神分裂症风险因素,导致精神分裂症的风险增加。

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