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英国生物库中抑郁症的遗传分层。

Genetic stratification of depression in UK Biobank.

机构信息

Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Division of Psychiatry, University of Edinburgh, Royal Edinburgh Hospital, Edinburgh, UK.

出版信息

Transl Psychiatry. 2020 May 24;10(1):163. doi: 10.1038/s41398-020-0848-0.

Abstract

Depression is a common and clinically heterogeneous mental health disorder that is frequently comorbid with other diseases and conditions. Stratification of depression may align sub-diagnoses more closely with their underling aetiology and provide more tractable targets for research and effective treatment. In the current study, we investigated whether genetic data could be used to identify subgroups within people with depression using the UK Biobank. Examination of cross-locus correlations were used to test for evidence of subgroups using genetic data from seven other complex traits and disorders that were genetically correlated with depression and had sufficient power (>0.6) for detection. We found no evidence for subgroups within depression for schizophrenia, bipolar disorder, attention deficit/hyperactivity disorder, autism spectrum disorder, anorexia nervosa, inflammatory bowel disease or obesity. This suggests that for these traits, genetic correlations with depression were driven by pleiotropic genetic variants carried by everyone rather than by a specific subgroup.

摘要

抑郁症是一种常见且具有临床异质性的精神健康障碍,常与其他疾病并存。对抑郁症进行分层可以使亚诊断更紧密地与潜在病因相一致,并为研究和有效治疗提供更可行的目标。在本研究中,我们使用英国生物库(UK Biobank)调查了是否可以使用遗传数据来识别抑郁症患者中的亚组。通过检查跨基因座相关性,使用与抑郁症具有遗传相关性的另外七种复杂疾病和病症的遗传数据,对遗传数据进行了检测,这些疾病和病症与抑郁症具有遗传相关性,且具有足够的检测效力(>0.6)。我们未在精神分裂症、双相情感障碍、注意缺陷多动障碍、自闭症谱系障碍、神经性厌食症、炎症性肠病或肥胖症中发现抑郁症的亚组。这表明,对于这些特征,与抑郁症的遗传相关性是由每个人携带的多效遗传变异驱动的,而不是由特定的亚组驱动的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a9a/7246256/4576b6a3e1f6/41398_2020_848_Fig1_HTML.jpg

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