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神经精神疾病中的罕见拷贝数变异:是否具有特定表型?

Rare copy number variants in neuropsychiatric disorders: Specific phenotype or not?

机构信息

Applied Molecular Genomics Group, Department of Molecular Genetics, VIB, Antwerp, Belgium.

出版信息

Am J Med Genet B Neuropsychiatr Genet. 2012 Oct;159B(7):812-22. doi: 10.1002/ajmg.b.32088. Epub 2012 Aug 22.

Abstract

From a number of genome-wide association studies it was shown that de novo and/or rare copy number variants (CNVs) are found at an increased frequency in neuropsychiatric diseases. In this study we examined the prevalence of CNVs in six genomic regions (1q21.1, 2p16.3, 3q29, 15q11.2, 15q13.3, and 16p11.2) previously implicated in neuropsychiatric diseases. Hereto, a cohort of four neuropsychiatric disorders (schizophrenia, bipolar disorder, major depressive disorder, and intellectual disability) and control individuals from three different populations was used in combination with Multilpex Amplicon Quantifiaction (MAQ) assays, capable of high resolution (kb range) and custom-tailored CNV detection. Our results confirm the etiological candidacy of the six selected CNV regions for neuropsychiatric diseases. It is possible that CNVs in these regions can result in disturbed brain development and in this way lead to an increased susceptibility for different neuropsychiatric disorders, dependent on additional genetic and environmental factors. Our results also suggest that the neurodevelopmental component is larger in the etiology of schizophrenia and intellectual disability than in mood disorders. Finally, our data suggest that deletions are in general more pathogenic than duplications. Given the high frequency of the examined CNVs (1-2%) in patients of different neuropsychiatric disorders, screening of large cohorts with an affordable and feasible method like the MAQ assays used in this study is likely to result in important progress in unraveling the genetic factors leading to an increased susceptibility for several psychiatric disorders.

摘要

从许多全基因组关联研究中可以看出,神经精神疾病中存在新生的和/或罕见的拷贝数变异(CNVs)。在这项研究中,我们检查了六个基因组区域(1q21.1、2p16.3、3q29、15q11.2、15q13.3 和 16p11.2)中 CNVs 的患病率,这些区域先前与神经精神疾病有关。为此,我们使用了来自三个不同人群的四个神经精神疾病(精神分裂症、双相情感障碍、重度抑郁症和智力障碍)和对照个体的队列,结合 Multilpex 扩增定量(MAQ)检测,该检测能够进行高分辨率(kb 范围)和定制的 CNV 检测。我们的结果证实了六个选定的 CNV 区域对神经精神疾病的病因候选性。这些区域中的 CNVs 可能导致大脑发育紊乱,从而导致对不同神经精神疾病的易感性增加,这取决于其他遗传和环境因素。我们的结果还表明,在精神分裂症和智力障碍的病因中,神经发育成分比情绪障碍更大。最后,我们的数据表明,缺失通常比重复更具致病性。鉴于所检查的 CNVs 在不同神经精神疾病患者中的频率较高(1-2%),使用 MAQ 等在本研究中使用的经济且可行的方法对大队列进行筛查,可能会在揭示导致多种精神疾病易感性增加的遗传因素方面取得重要进展。

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