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阿尔茨海默病遗传学的现状

State of Play in Alzheimer's Disease Genetics.

作者信息

Zhu Jin-Bao, Tan Chen-Chen, Tan Lan, Yu Jin-Tai

出版信息

J Alzheimers Dis. 2017;58(3):631-659. doi: 10.3233/JAD-170062.

DOI:10.3233/JAD-170062
PMID:28505974
Abstract

Alzheimer's disease (AD), the main form of dementia in the elderly, is the most common progressive neurodegenerative disease characterized by rapidly progressive cognitive dysfunction and behavior impairment. AD exhibits a considerable heritability and great advances have been made in approaches to searching the genetic etiology of AD. In AD genetic studies, methods have developed from classic linkage-based and candidate-gene-based association studies to genome-wide association studies (GWAS) and next generation sequencing (NGS). The identification of new susceptibility genes has provided deeper insights to understand the mechanisms underlying AD. In addition to searching novel genes associated with AD in large samples, the NGS technologies can also be used to shed light on the 'black matter' discovery even in smaller samples. The shift in AD genetics between traditional studies and individual sequencing will allow biomaterials of each patient as the central unit of genetic studies. This review will cover genetic findings in AD and consequences of AD genetic findings. Firstly, we will discuss the discovery of mutations in APP, PSEN1, PSEN2, APOE, and ADAM10. Then we will summarize and evaluate the information obtained from GWAS of AD. Finally, we will outline the efforts to identify rare variants associated with AD using NGS.

摘要

阿尔茨海默病(AD)是老年人痴呆的主要形式,是最常见的进行性神经退行性疾病,其特征为快速进展的认知功能障碍和行为损害。AD具有相当高的遗传度,在寻找AD遗传病因的方法上已经取得了很大进展。在AD遗传学研究中,方法已从基于经典连锁和候选基因的关联研究发展到全基因组关联研究(GWAS)和下一代测序(NGS)。新的易感基因的鉴定为理解AD的潜在机制提供了更深入的见解。除了在大样本中寻找与AD相关的新基因外,NGS技术甚至还可用于在较小样本中揭示“未知领域”的发现。AD遗传学从传统研究到个体测序的转变将使每个患者的生物材料成为遗传学研究的核心单元。本综述将涵盖AD的遗传学发现以及AD遗传学发现的影响。首先,我们将讨论APP、PSEN1、PSEN2、APOE和ADAM10中突变的发现。然后我们将总结和评估从AD的GWAS中获得的信息。最后,我们将概述使用NGS鉴定与AD相关的罕见变异的工作。

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