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神经发育性精神病理学中的影像遗传学

Imaging genetics in neurodevelopmental psychopathology.

作者信息

Klein Marieke, van Donkelaar Marjolein, Verhoef Ellen, Franke Barbara

机构信息

Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Human Genetics, Nijmegen, The Netherlands.

Max Planck Institute for Psycholinguistics, Department of Language and Genetics, Nijmegen, The Netherlands.

出版信息

Am J Med Genet B Neuropsychiatr Genet. 2017 Jul;174(5):485-537. doi: 10.1002/ajmg.b.32542.

Abstract

Neurodevelopmental disorders are defined by highly heritable problems during development and brain growth. Attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorders (ASDs), and intellectual disability (ID) are frequent neurodevelopmental disorders, with common comorbidity among them. Imaging genetics studies on the role of disease-linked genetic variants on brain structure and function have been performed to unravel the etiology of these disorders. Here, we reviewed imaging genetics literature on these disorders attempting to understand the mechanisms of individual disorders and their clinical overlap. For ADHD and ASD, we selected replicated candidate genes implicated through common genetic variants. For ID, which is mainly caused by rare variants, we included genes for relatively frequent forms of ID occurring comorbid with ADHD or ASD. We reviewed case-control studies and studies of risk variants in healthy individuals. Imaging genetics studies for ADHD were retrieved for SLC6A3/DAT1, DRD2, DRD4, NOS1, and SLC6A4/5HTT. For ASD, studies on CNTNAP2, MET, OXTR, and SLC6A4/5HTT were found. For ID, we reviewed the genes FMR1, TSC1 and TSC2, NF1, and MECP2. Alterations in brain volume, activity, and connectivity were observed. Several findings were consistent across studies, implicating, for example, SLC6A4/5HTT in brain activation and functional connectivity related to emotion regulation. However, many studies had small sample sizes, and hypothesis-based, brain region-specific studies were common. Results from available studies confirm that imaging genetics can provide insight into the link between genes, disease-related behavior, and the brain. However, the field is still in its early stages, and conclusions about shared mechanisms cannot yet be drawn.

摘要

神经发育障碍是由发育和大脑生长过程中高度可遗传的问题所定义的。注意力缺陷多动障碍(ADHD)、自闭症谱系障碍(ASD)和智力残疾(ID)是常见的神经发育障碍,它们之间存在共同的共病情况。已经开展了成像遗传学研究,以探究疾病相关基因变异对大脑结构和功能的作用,从而揭示这些障碍的病因。在此,我们回顾了关于这些障碍的成像遗传学文献,试图了解个体障碍的机制及其临床重叠情况。对于ADHD和ASD,我们选择了通过常见基因变异所涉及的已复制候选基因。对于主要由罕见变异引起的ID,我们纳入了与ADHD或ASD共病的相对常见形式的ID相关基因。我们回顾了病例对照研究以及健康个体中风险变异的研究。检索到了针对ADHD的成像遗传学研究涉及SLC6A3/DAT1、DRD2、DRD4、NOS1和SLC6A4/5HTT。对于ASD,发现了关于CNTNAP2、MET、OXTR和SLC6A4/5HTT的研究。对于ID,我们回顾了FMR1、TSC1和TSC2、NF1以及MECP2基因。观察到了脑容量、活动和连通性的改变。多项研究结果具有一致性,例如,涉及SLC6A4/5HTT在与情绪调节相关的大脑激活和功能连通性方面的作用。然而,许多研究样本量较小,基于假设的、特定脑区的研究很常见。现有研究结果证实,成像遗传学能够为基因、疾病相关行为和大脑之间的联系提供见解。然而,该领域仍处于早期阶段,关于共同机制尚未能得出结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e118/7170264/6e4dd9ef48b4/nihms-860716-f0001.jpg

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