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抑郁症的遗传决定因素:最新发现与未来方向。

Genetic determinants of depression: recent findings and future directions.

作者信息

Dunn Erin C, Brown Ruth C, Dai Yael, Rosand Jonathan, Nugent Nicole R, Amstadter Ananda B, Smoller Jordan W

机构信息

From the Department of Psychiatry, Harvard Medical School (Drs. Dunn and Smoller); Center for Human Genetic Research, Massachusetts General Hospital, Boston, MA (Drs. Dunn, Rosand, and Smoller, and Ms. Dai); Stanley Center for Psychiatric Research (Drs. Dunn and Smoller) and Program in Medical and Population Genetics (Dr. Rosand), Broad Institute of Harvard and MIT, Cambridge, MA; Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University (Drs. Brown and Amstadter); Department of Neurology, Massachusetts General Hospital, Boston, MA (Dr. Rosand); Department of Psychiatry and Human Behavior, Alpert Brown Medical School (Dr. Nugent); Center on the Developing Child, Harvard University (Dr. Smoller).

出版信息

Harv Rev Psychiatry. 2015 Jan-Feb;23(1):1-18. doi: 10.1097/HRP.0000000000000054.

Abstract

After participating in this activity, learners should be better able to: 1. Evaluate current evidence regarding the genetic determinants of depression 2. Assess findings from studies of gene-environment interaction 3. Identify challenges to gene discovery in depression Depression is one of the most prevalent, disabling, and costly mental health conditions in the United States and also worldwide. One promising avenue for preventing depression and informing its clinical treatment lies in uncovering the genetic and environmental determinants of the disorder as well as their interaction (G × E). The overarching goal of this review article is to translate recent findings from studies of genetic association and G × E related to depression, particularly for readers without in-depth knowledge of genetics or genetic methods. The review is organized into three major sections. In the first, we summarize what is currently known about the genetic determinants of depression, focusing on findings from genome-wide association studies (GWAS). In the second section, we review findings from studies of G × E, which seek to simultaneously examine the role of genes and exposure to specific environments or experiences in the etiology of depression. In the third section, we describe the challenges to genetic discovery in depression and promising strategies for future progress.

摘要

参与本活动后,学习者应更有能力:1. 评估关于抑郁症遗传决定因素的现有证据;2. 评估基因-环境相互作用研究的结果;3. 识别抑郁症基因发现面临的挑战。抑郁症是美国乃至全球最普遍、最致残且成本最高的心理健康问题之一。预防抑郁症并为其临床治疗提供依据的一个有前景的途径在于揭示该疾病的遗传和环境决定因素及其相互作用(基因×环境,G×E)。这篇综述文章的总体目标是转化近期与抑郁症相关的基因关联和基因×环境研究的结果,特别是为那些对遗传学或遗传方法缺乏深入了解的读者。该综述分为三个主要部分。第一部分,我们总结目前已知的抑郁症遗传决定因素,重点关注全基因组关联研究(GWAS)的结果。在第二部分,我们回顾基因×环境研究的结果,这些研究旨在同时考察基因以及暴露于特定环境或经历在抑郁症病因学中的作用。在第三部分,我们描述抑郁症基因发现面临的挑战以及未来取得进展的有前景的策略。

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