Porcelli Stefano, Balzarro Beatrice, Lee Soo-Jung, Han Changsu, Patkar Ashwin A, Pae Chi-Un, Serretti Alessandro
Institute of Psychiatry, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Neuropsychobiology. 2016;73(3):160-8. doi: 10.1159/000445295. Epub 2016 Apr 20.
We investigated phosphodiesterase 7B (PDE7B), neuromedin B receptor (NMBR) and epilepsy progressive myoclonus type 2A (EPM2A) genes in schizophrenia (SCZ). To the best of our knowledge, these genes have been poorly investigated in studies of SCZ.
Five hundred and seventy-three SCZ inpatients of Korean ethnicity and 560 healthy controls were genotyped for 2 PDE7B, 3 NMBR and 3 EPM2A polymorphisms. Differences in the allelic and genetic frequencies among healthy subjects and patients were calculated using the x03C7;2 statistics. Repeated-measure ANOVA was used to test possible influences of single-nucleotide polymorphisms on treatment efficacy. In case of positive findings, clinical and demographic variables were added as covariates, in order to investigate possible stratixFB01;cation bias.
The rs2717 and rs6926279 within the NMBR gene and rs702304 and rs2235481 within the EPM2A gene were associated with SCZ liability. rs1415744 was also associated with Positive and Negative Symptom Scale negative clinical improvement. The results remained the same after inclusion of the covariates and were partially confirmed in the allelic and haplotype analyses.
Our preliminary findings suggest a possible role of NMBR and EPM2A genes in SCZ susceptibility and, for the second one, also in antipsychotic pharmacogenetics. Nonetheless, further research is needed to conxFB01;rm our findings.
我们对精神分裂症(SCZ)患者的磷酸二酯酶7B(PDE7B)、神经介素B受体(NMBR)和癫痫2A型进行性肌阵挛(EPM2A)基因展开了研究。据我们所知,在精神分裂症研究中,这些基因尚未得到充分研究。
对573名韩国裔SCZ住院患者和560名健康对照者进行基因分型,检测2个PDE7B、3个NMBR和3个EPM2A基因多态性。使用χ²统计量计算健康受试者与患者之间等位基因频率和基因型频率的差异。采用重复测量方差分析来检验单核苷酸多态性对治疗效果的可能影响。若有阳性结果,则将临床和人口统计学变量作为协变量纳入,以调查可能的分层偏倚。
NMBR基因内的rs2717和rs6926279以及EPM2A基因内的rs702304和rs2235481与SCZ易感性相关。rs1415744也与阳性和阴性症状量表的阴性临床改善相关。纳入协变量后结果依然相同,且在等位基因和单倍型分析中得到部分证实。
我们的初步研究结果表明,NMBR和EPM2A基因可能在SCZ易感性中发挥作用,对于后者而言还可能在抗精神病药物遗传学中发挥作用。尽管如此,仍需进一步研究来证实我们的发现。