Bulik Cynthia M, Kleiman Susan C, Yilmaz Zeynep
aUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA bKarolinska Institutet, Stockholm, Sweden cUniversity College Cork, Cork, Ireland.
Curr Opin Psychiatry. 2016 Nov;29(6):383-8. doi: 10.1097/YCO.0000000000000275.
We capture recent findings in the field of genetic epidemiology of eating disorders. As analytic techniques evolve for twin, population, and molecular genetic studies, new findings emerge at an accelerated pace. We present the current status of knowledge regarding the role of genetic and environmental factors that influence risk for eating disorders.
We focus on novel findings from twin studies, population studies using genetically informative designs, and molecular genetic studies. Over the past 2 years, research in this area has yielded insights into: comorbidity with other psychiatric and medical disorders and with metabolic traits; developmental factors associated with the emergence of eating disorders; and the molecular genetics of anorexia nervosa.
Insights from genetic epidemiology provide an important explanatory model for patients with eating disorders, family members, and clinicians. Understanding core biological determinants that explain the severity and persistence of the illnesses, their frequent co-occurrence with other conditions, and their familial patterns raises awareness and increases compassion for individuals living with these disorders. Large-scale genomic studies are currently underway. Ultimately, this domain of research may pave the way to greater understanding of the underlying neurobiology and inform the development of novel and effective interventions.
我们总结饮食失调症遗传流行病学领域的最新研究成果。随着双生子研究、群体研究及分子遗传学研究分析技术的不断发展,新发现正加速涌现。我们将阐述关于影响饮食失调症风险的遗传和环境因素作用的现有知识状况。
我们重点关注双生子研究、采用遗传信息设计的群体研究以及分子遗传学研究中的新发现。在过去两年中,该领域的研究对以下方面有了新认识:与其他精神和医学疾病以及代谢特征的共病情况;与饮食失调症发生相关的发育因素;以及神经性厌食症的分子遗传学。
遗传流行病学的研究成果为饮食失调症患者、其家庭成员及临床医生提供了重要的解释模型。了解那些能够解释疾病严重程度和持续性、与其他病症的频繁共病情况以及家族模式的核心生物学决定因素,有助于提高人们对这些疾病患者的认识,并增强同情心。目前正在进行大规模基因组研究。最终,这一研究领域可能为更深入理解潜在神经生物学机制铺平道路,并为开发新的有效干预措施提供依据。