Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou 325000, China; Department of Psychiatry, Institute of Mental Health, Psychiatric Genetics Laboratory (PSYG-Lab), Jining Medical University, Jining 272191, China; Department of Psychiatry, College of Basic Medical Research, Tianjin Medical University, Tianjin 300000, China; Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China, MDT Center for Cognitive Impairment and Sleep Disorders, First Hospital of Shanxi Medical University, Taiyuan, China, National Key Disciplines, Key Laboratory for Cellular Physiology, Ministry of Education, Department of Neurobiology, Shanxi Medical University, Taiyuan 030001, China; Department of Psychiatric-Neuroimaging-Genetics and Morbidity Laboratory (PNGC-Lab), Nankai University Affiliated Anding Hospital, Tianjin Mental Health Center, Mental Health Teaching Hospital, Tianjin Medical University, Tianjin 300222, China; Department of China-Canada Biological Psychiatry Lab, Xiamen Xianyue Hospital, Xiamen 361000, China.
Department of Biochemistry and Molecular Biology, Zhengzhou University, Zhengzhou, Henan 450001, China.
Prog Neuropsychopharmacol Biol Psychiatry. 2019 Jul 13;93:71-76. doi: 10.1016/j.pnpbp.2019.03.009. Epub 2019 Mar 20.
Due to recent advances in human genomic technologies, there have been explosive interests and extensive research on the genomics of schizophrenia, a severe psychiatric disorder characterized by social cognitive deficits, hallucinations, and delusions. These new technologies, including next-generation sequencing (NGS), genome-wide association studies (GWAS), and the Clustered Regularly Interspaced Short Palindromic Repeats-associated nuclease 9 (CRISPR/Cas9) genome editing platform are capable of interrogating and editing the genome directly. In the past few years, these efforts have led to the identification of important loci and genes susceptible to schizophrenia. The findings have increased our understanding of the underlying genetic causes of schizophrenia and aided in the development of new approaches for more effectively diagnosing and treating schizophrenia. Despite the substantial progress, there are several unanswered questions about the genomics of schizophrenia, and there are a number of potential shortcomings in the current literature considering the complexity of the disease and limits of the current technologies. In the present review, we assessed the existing literature on the genomics of schizophrenia, identifying the strengths and study design shortcomings from the following aspects: elucidation of the pathogenesis, early risk prediction and diagnosis, and the treatment of schizophrenia. Moreover, we have proposed solutions to overcome the shortcomings of past studies. Lastly, we have discussed the importance of developing multidisciplinary teams and global research groups in order to improve the lives of schizophrenic patients globally.
由于人类基因组技术的最新进展,人们对精神分裂症的基因组学产生了巨大的兴趣并进行了广泛的研究。精神分裂症是一种严重的精神疾病,其特征是社会认知缺陷、幻觉和妄想。这些新技术,包括下一代测序(NGS)、全基因组关联研究(GWAS)和规律成簇间隔短回文重复相关 9 号核酸酶(CRISPR/Cas9)基因组编辑平台,能够直接检测和编辑基因组。在过去的几年中,这些努力已经确定了易患精神分裂症的重要基因座和基因。这些发现增加了我们对精神分裂症潜在遗传原因的理解,并有助于开发更有效地诊断和治疗精神分裂症的新方法。尽管取得了实质性的进展,但精神分裂症的基因组学仍存在几个未解决的问题,并且考虑到疾病的复杂性和当前技术的局限性,当前文献存在许多潜在的缺点。在本综述中,我们评估了精神分裂症基因组学的现有文献,从阐明发病机制、早期风险预测和诊断以及治疗精神分裂症等方面确定了其优势和研究设计的不足。此外,我们还提出了克服过去研究缺点的解决方案。最后,我们讨论了发展多学科团队和全球研究小组的重要性,以改善全球精神分裂症患者的生活。