Baker Jessica H, Schaumberg Katherine, Munn-Chernoff Melissa A
Department of Psychiatry, University of North Carolina at Chapel Hill, CB #7160, 101 Manning Drive, Chapel Hill, NC, 27599-7160, USA.
Curr Psychiatry Rep. 2017 Sep 22;19(11):84. doi: 10.1007/s11920-017-0842-2.
Genetic factors contribute to the etiology of anorexia nervosa (AN). This review synthesizes the current state of knowledge about the genetic etiology of AN, provides directions for future research, and discusses clinical implications for this research.
Candidate gene meta-analyses indicate serotonin genes may be involved in the genetic etiology of AN. Three genome-wide association studies have been conducted and one genome-wide significant locus was identified. Cross-disorder analyses suggest shared genetic risk between AN and several psychiatric, educational, and medical phenotypes. Much has been learned about the genetic etiology of AN over the past 3 decades. However, to fully understand the genetic architecture, we must consider all aspects including common variation, cross-disorder analysis, rare variation, copy number variation, and gene-environment interplay. Findings have important implications for the development of treatment and prevention approaches and for how AN, and psychiatric and medical diseases in general, are conceptualized.
遗传因素在神经性厌食症(AN)的病因学中起作用。本综述综合了关于AN遗传病因学的当前知识状态,为未来研究提供方向,并讨论该研究的临床意义。
候选基因荟萃分析表明,血清素基因可能参与AN的遗传病因。已进行了三项全基因组关联研究,并确定了一个全基因组显著位点。跨疾病分析表明,AN与几种精神、教育和医学表型之间存在共同的遗传风险。在过去30年里,我们对AN的遗传病因学有了很多了解。然而,要全面了解遗传结构,我们必须考虑所有方面,包括常见变异、跨疾病分析、罕见变异、拷贝数变异以及基因-环境相互作用。这些发现对治疗和预防方法的开发以及对AN以及一般精神和医学疾病的概念化方式具有重要意义。