Kraft Shelly Jo, Yairi Ehud
Wayne State University, Detroit, MI, USA.
Folia Phoniatr Logop. 2012;64(1):34-47. doi: 10.1159/000331073.
The literature on the genetics of stuttering is reviewed with special reference to the historical development from psychosocial explanations leading up to current biological research of gene identification.
A gradual progression has been made from the early crude methods of counting percentages of stuttering probands who have relatives who stutter to recent studies using entire genomes of DNA collected from each participant. Despite the shortcomings of some early studies, investigators have accumulated a substantial body of data showing a large presence of familial stuttering. This encouraged more refined research in the form of twin studies. Concordance rates among twins were sufficiently high to lend additional support to the genetic perspective of stuttering. More sophisticated aggregation studies and segregation analyses followed, producing data that matched recognized genetic models, providing the final ‘go ahead’ to proceed from the behavior/statistical genetics into the sphere of biological genetics. Recent linkage and association studies have begun to reveal contributing genes to the disorder.
No definitive findings have been made regarding which transmission model, chromosomes, genes, or sex factors are involved in the expression of stuttering in the population at large. Future research and clinical implications are discussed.
回顾口吃遗传学方面的文献,特别关注从心理社会解释到当前基因识别生物学研究的历史发展。
从早期粗略计算口吃先证者中有口吃亲属的百分比的方法,到最近使用从每个参与者收集的DNA全基因组的研究,已经取得了逐步进展。尽管一些早期研究存在缺陷,但研究人员已经积累了大量数据,表明家族性口吃非常普遍。这鼓励了以双胞胎研究形式进行的更精细研究。双胞胎之间的一致性比率足够高,为口吃的遗传学观点提供了额外支持。随后进行了更复杂的聚集研究和分离分析,产生的数据与公认的遗传模型相匹配,为从行为/统计遗传学进入生物遗传学领域提供了最终的“许可”。最近的连锁和关联研究已经开始揭示导致该疾病的基因。
关于在整个人口中口吃表达涉及哪种遗传模式、染色体、基因或性别因素,尚未得出明确结论。讨论了未来的研究和临床意义。