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脑源性神经营养因子变体 Val66Met 对晚童年和青春期皮质结构的影响。

Effects of the brain-derived neurotropic factor variant Val66Met on cortical structure in late childhood and early adolescence.

机构信息

National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil.

National Institute of Developmental Psychiatry for Children and Adolescents (INCT-CNPq), São Paulo, Brazil; Department of Psychiatry, Universidade Federal de São Paulo, Brazil.

出版信息

J Psychiatr Res. 2018 Mar;98:51-58. doi: 10.1016/j.jpsychires.2017.12.008. Epub 2017 Dec 20.

Abstract

BACKGROUND

The brain-derived neurotrophic factor (BDNF) Val66Met polymorphism (rs6265) has been associated with several neuropsychiatric disorders and regional structural brain changes in adults, but little is known about Val66Met's effect on brain morphology during typical or atypical neurodevelopment. Windows of vulnerability to psychopathology may be associated with the different alleles of the Val66Met polymorphism during childhood and adolescence.

METHODOLOGY

We investigated the effect of Val66Met on cortical thickness in MRI scans of 718 children and adolescents (6-12 years old) with typical development, and in those meeting DSM criteria for a psychiatric disorder.

RESULTS

Val66Met had a significant effect on cortical thickness. Considering the typically developing group, Met-carriers presented thicker parietal and occipital lobes and prefrontal cortices compared to Val homozygotes. Met-carriers with psychiatric disorders presented thicker medial and lateral temporal cortices than Val homozygotes. Furthermore, a significant genotype × psychiatric diagnosis interaction was found: Met-carriers with a psychiatric diagnosis presented thinner bilateral prefrontal cortices than Val homozygotes.

CONCLUSION

This study provides evidence that Val66Met is associated with cortical maturation in children and adolescents with and without psychiatric disorders.

摘要

背景

脑源性神经营养因子(BDNF)Val66Met 多态性(rs6265)与多种神经精神疾病和成年人的区域性结构脑变化有关,但关于 Val66Met 对典型或非典型神经发育过程中脑形态的影响知之甚少。精神病理学的易损窗口可能与儿童期和青春期 Val66Met 多态性的不同等位基因有关。

方法

我们研究了 Val66Met 对 718 名儿童和青少年(6-12 岁)的 MRI 扫描皮质厚度的影响,这些儿童和青少年具有典型的发育过程,并且符合 DSM 精神障碍标准。

结果

Val66Met 对皮质厚度有显著影响。考虑到典型发育组,Met 携带者的顶叶和枕叶以及前额叶皮质比 Val 纯合子厚。与 Val 纯合子相比,患有精神障碍的 Met 携带者的内侧和外侧颞叶皮质较厚。此外,还发现了基因型与精神诊断的显著相互作用:与 Val 纯合子相比,患有精神障碍的 Met 携带者的双侧前额叶皮质较薄。

结论

本研究提供的证据表明,Val66Met 与伴有和不伴有精神障碍的儿童和青少年的皮质成熟有关。

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