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葡萄糖二酸 1 酶(GLO1)变体与自闭症谱系障碍的弱关联。

Weak association of glyoxalase 1 (GLO1) variants with autism spectrum disorder.

机构信息

Department of Endocrinology, Diabetes and Metabolic Diseases, UMC Ljubljana, University Children's Hospital, Bohoričeva ulica 20, 1000, Ljubljana, Slovenia.

出版信息

Eur Child Adolesc Psychiatry. 2015 Jan;24(1):75-82. doi: 10.1007/s00787-014-0537-8. Epub 2014 Mar 27.

Abstract

The prevalence of the autism spectrum disorder (ASD) was recently estimated to 1 in 88 children by the CDC MMWR. In up to 25 % of the cases, the genetic cause can be identified. Past studies identified increased level of advanced glycation end products (AGE) in the brain samples of ASD patients. The methylglyoxal (MG) is one of the main precursors for AGE formation. Humans developed effective mechanism of the MG metabolism involving two enzymes glyoxalase 1 (GLO1) and hydroxyacylglutathione hydrolase (HAGH). Our aim was to analyse genetic variants of GLO1 and HAGH in population of 143 paediatric participants with ASD. We detected 7 genetic variants in GLO1 and 16 variants in HAGH using high-resolution melting (HRM) analysis. A novel association between variant rs1049346 and ASD [OR (allele C)] = 1.5; 95 % CI = 1.1-2.2 and p < 0.05) was identified, and weak association between ASD and variant rs2736654 [OR (allele A)] = 2.2; 95 % CI = 0.99-4.9; p = 0.045) was confirmed. Additionally, a novel genetic variant (GLO1 c.484G > A, p.Ala161Thr) with predicted potentially damaging effect on the activity of the glyoxalase 1 that may contribute to the aetiology of ASD was identified in one participant with ASD. No association between genetic variants of the HAGH gene and ASD was found. Increased level of MG and, consequently, AGEs can induce oxidative stress, mitochondrial dysfunction and inflammation all of which have been implicated to act in the aetiology of the ASD. Our results indicate potential importance of MG metabolism in ASD. However, these results must be interpreted with caution until a causative relation is demonstrated.

摘要

疾病预防控制中心的发病率监测周报最近估计,自闭症谱系障碍(ASD)的患病率为每 88 名儿童中有 1 名。在多达 25%的病例中,可以确定其遗传原因。过去的研究已经确定,自闭症患者的大脑样本中存在高水平的晚期糖基化终产物(AGE)。甲基乙二醛(MG)是 AGE 形成的主要前体之一。人类已经开发出了一种有效的 MG 代谢机制,涉及两种酶:甘油醛-3-磷酸脱氢酶 1(GLO1)和羟基酰基谷胱甘肽水解酶(HAGH)。我们的目的是分析 143 名 ASD 患儿人群中 GLO1 和 HAGH 的遗传变异。我们使用高分辨率熔解(HRM)分析检测到 GLO1 中的 7 种遗传变异和 HAGH 中的 16 种遗传变异。我们发现了 rs1049346 变异与 ASD 之间存在新的关联[OR(等位基因 C)] = 1.5;95%CI = 1.1-2.2;p < 0.05],并且还确认了 ASD 与 rs2736654 变异之间的弱关联[OR(等位基因 A)] = 2.2;95%CI = 0.99-4.9;p = 0.045]。此外,在一名 ASD 患者中发现了一种新的遗传变异(GLO1 c.484G > A,p.Ala161Thr),该变异可能对 GLO1 的活性具有潜在的破坏性影响,这可能有助于 ASD 的发病机制。我们没有发现 HAGH 基因的遗传变异与 ASD 之间存在关联。MG 水平的升高,进而 AGE 的升高,会引起氧化应激、线粒体功能障碍和炎症,所有这些都与 ASD 的发病机制有关。我们的结果表明 MG 代谢在 ASD 中可能具有重要意义。但是,在证明因果关系之前,必须谨慎解释这些结果。

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