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情感健康方面的TWIN-E项目:研究方案及四项磁共振成像和弥散张量成像测量的初步遗传力结果

The TWIN-E project in emotional wellbeing: study protocol and preliminary heritability results across four MRI and DTI measures.

作者信息

Gatt Justine M, Korgaonkar Mayuresh S, Schofield Peter R, Harris Anthony, Clark C Richard, Oakley Karen L, Ram Kaushik, Michaelson Hope, Yap Sarsha, Stanners Melinda, Wise Vikki, Williams Leanne M

机构信息

University of Sydney Medical School, Westmead, Australia.

出版信息

Twin Res Hum Genet. 2012 Jun;15(3):419-41. doi: 10.1017/thg.2012.12.

Abstract

Despite the significant advancements being made in the neurogenetics for mental health, the identification and validation of potential endophenotype markers of risk and resilience remain to be confirmed. The TWIN-E study (The Twin study in Wellbeing using Integrative Neuroscience of Emotion) aims to validate endophenotype markers of mental health across cognitive, brain, and autonomic measures by testing the heritability, clinical plausibility, and reliability of each of these measures in a large adult twin cohort. The specific gene and environmental mechanisms that moderate prospective links between endophenotype-phenotype markers and the final outcome of wellbeing will also be identified. TWIN-E is a national prospective study with three phases: I) baseline testing on a battery of online questionnaires and cognitive tasks, and EEG, MRI, and autonomic testing; II) 12-month follow-up testing on the online assessments; and III) randomized controlled trial of brain training. Minimum target numbers include 1,500 male/female twins (18-65 years) for the online assessments (Phase I and II), 300 twins for the EEG testing component, and 244 twins for the MRI testing component. For Phase III, each twin out of the pair will be randomized to either the treatment or waitlist control group to test the effects of brain training on mental health over a 30-day period, and to confirm the gene-environment and endophenotype contributions to treatment response. Preliminary heritability results are provided for the first 50% of the MRI subgroup (n = 142) for the grey matter volume, thickness, and surface area measures, and white matter diffuse tensor imaging fractional anisotropy.

摘要

尽管神经遗传学在心理健康领域取得了重大进展,但潜在的风险和恢复力内表型标志物的识别与验证仍有待确认。TWIN-E研究(利用情绪综合神经科学进行的幸福感双胞胎研究)旨在通过在一个大型成年双胞胎队列中测试认知、大脑和自主神经测量指标的遗传力、临床合理性和可靠性,来验证心理健康的内表型标志物。还将确定调节内表型-表型标志物与幸福感最终结果之间前瞻性联系的具体基因和环境机制。TWIN-E是一项全国性前瞻性研究,分为三个阶段:I)对一系列在线问卷、认知任务以及脑电图、磁共振成像和自主神经测试进行基线测试;II)对在线评估进行12个月的随访测试;III)大脑训练的随机对照试验。最低目标人数包括用于在线评估(第一阶段和第二阶段)的1500名男性/女性双胞胎(18 - 65岁)、用于脑电图测试部分的300对双胞胎以及用于磁共振成像测试部分的244对双胞胎。对于第三阶段,每对双胞胎中的一方将被随机分配到治疗组或等待名单对照组,以测试30天内大脑训练对心理健康的影响,并确认基因-环境和内表型对治疗反应的贡献。提供了磁共振成像亚组前50%(n = 142)在灰质体积、厚度、表面积测量以及白质弥散张量成像分数各向异性方面的初步遗传力结果。

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