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脑源性神经营养因子(BDNF)Val66Met 多态性及其对酒精依赖患者成年后代执行功能的影响。

Brain-derived neurotrophic factor (BDNF) Val66Met polymorphism and its implication in executive functions in adult offspring of alcohol-dependent probands.

机构信息

Department of Psychiatry, Hôpital Robert Debré, 51100 Reims, France.

出版信息

Alcohol. 2013 Jun;47(4):271-4. doi: 10.1016/j.alcohol.2013.03.001. Epub 2013 Apr 10.

Abstract

Impairment of executive functions (EFs) mediated by the prefrontal lobe is regarded as a cognitive endophenotype of alcohol dependence, being observed both in probands and in healthy offspring. Given its impact on the anatomy of the prefrontal cortex, the brain-derived neurotrophic factor (BDNF) Val66Met polymorphism may well be involved in this specific endophenotype. Forty-six healthy adult children of alcoholics (HACA) and 82 healthy controls (HC) took part in the study. All the participants were assessed with the Diagnostic Interview for Genetic Studies, and their family histories of alcohol and substance use were assessed with the Family Informant Schedule and Criteria. The Trail Making Test, Arithmetic Switching Task, Stroop Color-Word Test and Wisconsin Card Sorting Test were administered to assess EFs. An overall executive factor score was calculated using factorial analyses. Genotyping of the BDNF Val66Met polymorphism was performed using the TaqMan® allelic discrimination assay. HACA had significantly lower EFs performance than HC. Genetic analysis showed that BDNF genotype distributions were in Hardy-Weinberg equilibrium in the HACA and HC. Genotype and allele distributions did not differ significantly between the two groups. Participants with the Met allele performed significantly more poorly than participants with the Val allele, and a group by allele interaction was observed, the BDNF Met allele being associated with a poorer executive factor score in the HACA group. These results suggest that the BDNF Val66Met polymorphism may contribute to alcohol dependence vulnerability via lower EFs performance.

摘要

前额叶介导的执行功能障碍(EFs)被认为是酒精依赖的认知内表型,在患者和健康的后代中都有观察到。鉴于其对前额叶皮层解剖结构的影响,脑源性神经营养因子(BDNF)Val66Met 多态性可能与这种特定的内表型有关。46 名酗酒者的健康成年子女(HACA)和 82 名健康对照(HC)参加了这项研究。所有参与者都接受了遗传研究诊断访谈,他们的酒精和物质使用家族史都通过家庭信息时间表和标准进行了评估。进行了连线测试、算术转换任务、Stroop 颜色-单词测试和威斯康星卡片分类测试,以评估执行功能。使用因子分析计算了总的执行因子得分。使用 TaqMan®等位基因鉴别分析对 BDNF Val66Met 多态性进行了基因分型。HACA 的 EFs 表现明显低于 HC。遗传分析显示,HACA 和 HC 中的 BDNF 基因型分布均处于哈迪-温伯格平衡。两组之间的基因型和等位基因分布没有显著差异。携带 Met 等位基因的参与者表现明显不如携带 Val 等位基因的参与者,并且观察到了组与等位基因的相互作用,BDNF Met 等位基因与 HACA 组较低的执行因子评分相关。这些结果表明,BDNF Val66Met 多态性可能通过较低的 EFs 表现导致酒精依赖易感性。

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