Lin Chieh-Hsin, Lin Eugene, Lane Hsien-Yuan
Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan.
Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Front Psychiatry. 2017 Nov 21;8:247. doi: 10.3389/fpsyt.2017.00247. eCollection 2017.
With ever-increasing elder populations, age-related cognitive decline, which is characterized as a gradual decline in cognitive capacity in the aging process, has turned out to be a mammoth public health concern. Since genetic information has become increasingly important to explore the biological mechanisms of cognitive decline, the search for genetic biomarkers of cognitive aging has received much attention. There is growing evidence that single-nucleotide polymorphisms (SNPs) within the , circadian clock, and Alzheimer's diseases-associated genes may contribute to susceptibility to cognitive aging. In this review, we first illustrated evidence of the genetic contribution to disease susceptibility to age-related cognitive decline in recent studies ranging from approaches of candidate genes to genome-wide association studies. We then surveyed a variety of association studies regarding age-related cognitive decline with consideration of gene-gene and gene-environment interactions. Finally, we highlighted their limitations and future directions. In light of advances in precision medicine and multi-omics technologies, future research in genomic medicine promises to lead to innovative ideas that are relevant to disease prevention and novel drugs for cognitive aging.
随着老年人口的不断增加,与年龄相关的认知衰退已成为一个巨大的公共卫生问题,其特征是在衰老过程中认知能力逐渐下降。由于遗传信息对于探索认知衰退的生物学机制变得越来越重要,寻找认知衰老的遗传生物标志物受到了广泛关注。越来越多的证据表明,生物钟和阿尔茨海默病相关基因内的单核苷酸多态性(SNP)可能导致认知衰老的易感性。在这篇综述中,我们首先阐述了近期研究中从候选基因方法到全基因组关联研究等对与年龄相关的认知衰退疾病易感性的遗传贡献证据。然后,我们考虑基因 - 基因和基因 - 环境相互作用,调查了各种关于与年龄相关的认知衰退的关联研究。最后,我们强调了它们的局限性和未来方向。鉴于精准医学和多组学技术的进展,基因组医学的未来研究有望带来与疾病预防和认知衰老新药相关的创新理念。