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儿童注意缺陷多动障碍与成人精神分裂症之间存在共享的多基因贡献。

Shared polygenic contribution between childhood attention-deficit hyperactivity disorder and adult schizophrenia.

机构信息

Institute of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University School of Medicine, Cardiff, UK.

出版信息

Br J Psychiatry. 2013 Aug;203(2):107-11. doi: 10.1192/bjp.bp.112.117432. Epub 2013 May 23.

Abstract

BACKGROUND

There is recent evidence of some degree of shared genetic susceptibility between adult schizophrenia and childhood attention-deficit hyperactivity disorder (ADHD) for rare chromosomal variants.

AIMS

To determine whether there is overlap between common alleles conferring risk of schizophrenia in adults with those that do so for ADHD in children.

METHOD

We used recently published Psychiatric Genome-wide Association Study (GWAS) Consortium (PGC) adult schizophrenia data to define alleles over-represented in people with schizophrenia and tested whether those alleles were more common in 727 children with ADHD than in 2067 controls.

RESULTS

Schizophrenia risk alleles discriminated ADHD cases from controls (P = 1.04 × 10(-4), R(2) = 0.45%); stronger discrimination was given by alleles that were risk alleles for both adult schizophrenia and adult bipolar disorder (also derived from a PGC data-set) (P = 9.98 × 10(-6), R(2) = 0.59%).

CONCLUSIONS

This increasing evidence for a small, but significant, shared genetic susceptibility between adult schizophrenia and childhood ADHD highlights the importance of research work across traditional diagnostic boundaries.

摘要

背景

最近有证据表明,在罕见的染色体变异中,成年精神分裂症和儿童注意缺陷多动障碍(ADHD)之间存在一定程度的遗传易感性共享。

目的

确定成人精神分裂症中常见的风险等位基因是否与儿童 ADHD 中的风险等位基因重叠。

方法

我们使用最近发表的精神科全基因组关联研究(PGC)成人精神分裂症数据来定义在精神分裂症患者中过度表达的等位基因,并测试这些等位基因在 727 名 ADHD 儿童中是否比在 2067 名对照中更为常见。

结果

精神分裂症风险等位基因可将 ADHD 病例与对照组区分开来(P = 1.04×10(-4),R(2) = 0.45%);来自 PGC 数据集的同时也是成人精神分裂症和成人双相情感障碍风险等位基因的区分度更强(P = 9.98×10(-6),R(2) = 0.59%)。

结论

越来越多的证据表明,成年精神分裂症和儿童 ADHD 之间存在较小但显著的遗传易感性共享,这突出了跨传统诊断界限进行研究工作的重要性。

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