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主要精神病的神经生物学:脑结构和功能的转化视角——FOR2107 联盟。

Neurobiology of the major psychoses: a translational perspective on brain structure and function-the FOR2107 consortium.

机构信息

Department of Psychiatry and Psychotherapy, University of Marburg, Rudolf-Bultmann-Str. 8, 35039, Marburg, Germany.

Centre for Mind, Brain and Behaviour, University of Marburg, Marburg, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2019 Dec;269(8):949-962. doi: 10.1007/s00406-018-0943-x. Epub 2018 Sep 28.

Abstract

Genetic (G) and environmental (E) factors are involved in the etiology and course of the major psychoses (MP), i.e. major depressive disorder (MDD), bipolar disorder (BD), schizoaffective disorder (SZA) and schizophrenia (SZ). The neurobiological correlates by which these predispositions exert their influence on brain structure, function and course of illness are poorly understood. In the FOR2107 consortium, animal models and humans are investigated. A human cohort of MP patients, healthy subjects at genetic and/or environmental risk, and control subjects (N = 2500) has been established. Participants are followed up after 2 years and twice underwent extensive deep phenotyping (MR imaging, clinical course, neuropsychology, personality, risk/protective factors, biomaterials: blood, stool, urine, hair, saliva). Methods for data reduction, quality assurance for longitudinal MRI data, and (deep) machine learning techniques are employed. In the parallelised animal cluster, genetic risk was introduced by a rodent model (Cacna1c deficiency) and its interactions with environmental risk and protective factors are studied. The animals are deeply phenotyped regarding cognition, emotion, and social function, paralleling the variables assessed in humans. A set of innovative experimental projects connect and integrate data from the human and animal parts, investigating the role of microRNA, neuroplasticity, immune signatures, (epi-)genetics and gene expression. Biomaterial from humans and animals are analyzed in parallel. The FOR2107 consortium will delineate pathophysiological entities with common neurobiological underpinnings ("biotypes") and pave the way for an etiologic understanding of the MP, potentially leading to their prevention, the prediction of individual disease courses, and novel therapies in the future.

摘要

遗传(G)和环境(E)因素参与了主要精神病(MP)的病因和病程,即重度抑郁症(MDD)、双相情感障碍(BD)、分裂情感性障碍(SZA)和精神分裂症(SZ)。这些易感性如何通过神经生物学相关性对大脑结构、功能和疾病进程产生影响,目前还知之甚少。在 FOR2107 联合体内,研究了动物模型和人类。已经建立了一个包含 MP 患者、具有遗传和/或环境风险的健康受试者以及对照受试者的人类队列(N=2500)。参与者在 2 年后进行了随访,并进行了两次广泛的深度表型研究(MR 成像、临床病程、神经心理学、人格、风险/保护因素、生物材料:血液、粪便、尿液、头发、唾液)。使用了数据简化方法、纵向 MRI 数据的质量保证以及(深度)机器学习技术。在并行的动物集群中,通过啮齿动物模型(Cacna1c 缺乏)引入了遗传风险,并研究了其与环境风险和保护因素的相互作用。这些动物在认知、情绪和社会功能方面进行了深度表型研究,与人类评估的变量相平行。一组创新的实验项目连接和整合了人类和动物部分的数据,研究了 microRNA、神经可塑性、免疫特征、(表观)遗传学和基因表达的作用。来自人类和动物的生物材料并行分析。FOR2107 联合体会描绘出具有共同神经生物学基础的病理生理实体(“生物型”),为理解 MP 的病因铺平道路,有可能实现其预防、个体疾病进程的预测以及未来的新疗法。

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