Department of Medical Genetics, School of Pharmacy with the Division of Laboratory Medicine, Medical University of Silesia, Jednosci 8, 41-200 Sosnowiec, Poland.
Department of Psychiatry and Psychotherapy, School of Medicine, Medical University of Silesia, Katowice, Ziolowa 45, 40-635, Katowice, Poland.
Arch Med Res. 2018 Jul;49(5):342-349. doi: 10.1016/j.arcmed.2018.10.002. Epub 2018 Oct 17.
Schizophrenia is a severe psychiatric disorder with a strong genetic component. The HSP70 chaperones are particularly interesting in terms of schizophrenia, especially with regard to neurodevelopmental hypothesis, because they are critical regulators in normal neural physiological function as well as in cell stress responses.
The present study aimed to determine whether genetic variants in the HSPA1A (rs1008438, rs562047) and HSPA1L (rs2075800) genes are associated with the risk of paranoid schizophrenia and the clinical presentation of the disease.
A total of 1080 unrelated Polish subjects of Caucasian origin (401 schizophrenia cases and 679 healthy controls) were recruited. Three single nucleotide polymorphisms (SNP) were genotyped using PCR-RFLP (rs562047) or TaqMan (rs1008438, rs2075800) assays. All analyses were conducted for the full sample and within subgroups stratified by gender.
There were no statistically significant differences in genotype or allele distributions of all polymorphisms tested between the schizophrenia and control groups. We also failed to find any schizophrenia predisposing haplotype in the whole group. A sex-stratified analysis revealed haplotypic association with paranoid schizophrenia in men, albeit the risk effect was contributed only by a rare haplotypes. More importantly, rs562047 variant was significantly associated with PANSS total and PANSS negative scores in schizophrenia.
Our results support previously reported associations between HSPA1A and HSPA1B SNPs and schizophrenia symptomatology. Further population-based prospective studies with larger sample sizes from different ethnic groups should be performed to clarify the role of different HSP70 genes in the pathogenesis of schizophrenia.
精神分裂症是一种严重的精神疾病,具有很强的遗传成分。热休克蛋白 70 伴侣在精神分裂症方面尤其有趣,特别是在神经发育假说方面,因为它们是正常神经生理功能以及细胞应激反应的关键调节因子。
本研究旨在确定 HSPA1A(rs1008438、rs562047)和 HSPA1L(rs2075800)基因中的遗传变异是否与偏执型精神分裂症的风险和疾病的临床表现有关。
共招募了 1080 名无关的波兰白种人受试者(401 例精神分裂症病例和 679 名健康对照)。使用 PCR-RFLP(rs562047)或 TaqMan(rs1008438、rs2075800)检测方法对 3 个单核苷酸多态性(SNP)进行基因分型。所有分析均针对全样本以及按性别分层的亚组进行。
在精神分裂症组和对照组之间,所有测试的多态性的基因型或等位基因分布均无统计学差异。我们也未能在整个组中发现任何易患精神分裂症的单倍型。性别分层分析显示,在男性中存在与偏执型精神分裂症相关的单倍型,但风险效应仅由罕见的单倍型贡献。更重要的是,rs562047 变体与精神分裂症的 PANSS 总分和 PANSS 阴性评分显著相关。
我们的结果支持先前报道的 HSPA1A 和 HSPA1B SNPs 与精神分裂症症状之间的关联。应该进行更多基于人群的前瞻性研究,使用来自不同种族的更大样本量,以阐明不同 HSP70 基因在精神分裂症发病机制中的作用。