MRC Centre for Neuropsychiatric Genetics and Genomics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK.
Schizophr Res. 2012 Mar;135(1-3):1-7. doi: 10.1016/j.schres.2011.11.004. Epub 2011 Nov 29.
Several large, rare chromosomal copy number variants (CNVs) have recently been shown to increase risk for schizophrenia and other neuropsychiatric disorders including autism, ADHD, learning difficulties and epilepsy.
We wanted to examine the frequencies of these schizophrenia-associated variants in a large sample of individuals with non-psychiatric illnesses to better understand the robustness and specificity of the association with schizophrenia.
We used Affymetrix 500K microarray data from 10,259 individuals from the UK Wellcome Trust Case Control Consortium (WTCCC) who are affected with six non-psychiatric disorders (coronary artery disease, Crohn's disease, hypertension, rheumatoid arthritis, types 1 and 2 diabetes) to establish the frequencies of nine CNV loci strongly implicated in schizophrenia, and compared them with the previous findings.
Deletions at 1q21.1, 3q29, 15q11.2, 15q13.1 and 22q11.2 (VCFS region), and duplications at 16p11.2 were found significantly more often in schizophrenia cases, compared with the WTCCC reference set. Deletions at 17p12 and 17q12, were also more common in schizophrenia cases but not significantly so, while duplications at 16p13.1 were found at nearly the same rate as in previous schizophrenia samples. The frequencies of CNVs in the WTCCC non-psychiatric controls at three of the loci (15q11.2, 16p13.1 and 17p12) were significantly higher than those reported in previous control populations.
The evidence for association with schizophrenia is compelling for six rare CNV loci, while the remaining three require further replication in large studies. Risk at these loci extends to other neurodevelopmental disorders but their involvement in common non-psychiatric disorders should also be investigated.
最近发现几种大型罕见的染色体拷贝数变异(CNV)会增加精神分裂症和其他神经精神疾病的风险,包括自闭症、ADHD、学习困难和癫痫。
我们想在大量非精神病患者中检查这些与精神分裂症相关的变异的频率,以更好地了解其与精神分裂症关联的稳健性和特异性。
我们使用来自英国惠康信托基金会病例对照联盟(WTCCC)的 10259 名受六种非精神疾病(冠状动脉疾病、克罗恩病、高血压、类风湿关节炎、1 型和 2 型糖尿病)影响的个体的 Affymetrix 500K 微阵列数据,确定了 9 个与精神分裂症密切相关的 CNV 位点的频率,并将其与之前的发现进行了比较。
与 WTCCC 参考集相比,在精神分裂症病例中发现 1q21.1、3q29、15q11.2、15q13.1 和 22q11.2(VCFS 区域)缺失,16p11.2 重复明显更频繁。17p12 和 17q12 的缺失在精神分裂症病例中也更为常见,但不显著,而 16p13.1 的重复则与之前的精神分裂症样本相似。在 WTCCC 非精神病对照组的三个位点(15q11.2、16p13.1 和 17p12)中,CNV 的频率明显高于以前的对照组。
六个罕见的 CNV 位点与精神分裂症的关联证据令人信服,而其余三个需要在大型研究中进一步复制。这些位点的风险延伸到其他神经发育障碍,但也应研究它们在常见非精神疾病中的参与。