Department of Psychiatry, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri, USA,
Yerkes National Primate Research Center, Division of Behavioral Neuroscience and Psychiatric Disorders, Emory University, Atlanta, Georgia, USA.
Public Health Genomics. 2020;23(5-6):171-183. doi: 10.1159/000510832. Epub 2020 Nov 4.
Psychiatric genetics has had limited success in translational efforts. A thorough understanding of the present state of translation in this field will be useful in the facilitation and assessment of future translational progress.
A narrative literature review was conducted. Combinations of 3 groups of terms were searched in EBSCOhost, Google Scholar, and PubMed. The review occurred in multiple steps, including abstract collection, inclusion/exclusion criteria review, coding, and analysis of included papers.
One hundred and fourteen articles were analyzed for the narrative review. Across those, 4 bottlenecks were noted that, if addressed, may provide insights and help improve and increase translation in the field of psychiatric genetics. These 4 bottlenecks are emphasizing linear translational frameworks, relying on molecular genomic findings, prioritizing certain psychiatric disorders, and publishing more reviews than experiments.
These entwined bottlenecks are examined with one another. Awareness of these bottlenecks can inform stakeholders who work to translate and/or utilize psychiatric genetic information. Potential solutions include utilizing nonlinear translational frameworks as well as a wider array of psychiatric genetic information (e.g., family history and gene-environment interplay) in this area of research, expanding which psychiatric disorders are considered for translation, and when possible, conducting original research. Researchers are urged to consider how their research is translational in the context of the frameworks, genetic information, and psychiatric disorders discussed in this review. At a broader level, these efforts should be supported with translational efforts in funding and policy shifts.
精神遗传学在转化研究方面的进展有限。深入了解该领域目前的转化状态,将有助于促进和评估未来的转化进展。
进行了叙述性文献综述。在 EBSCOhost、Google Scholar 和 PubMed 中搜索了 3 组术语的组合。该综述分多个步骤进行,包括摘要收集、纳入/排除标准审查、编码和纳入论文分析。
对 114 篇论文进行了叙述性综述分析。在这些论文中,注意到了 4 个瓶颈,如果加以解决,可能会为精神遗传学领域的转化提供见解并帮助改进和增加转化。这 4 个瓶颈是强调线性转化框架、依赖分子基因组发现、优先考虑某些精神障碍以及发表更多综述而不是实验。
这些相互交织的瓶颈相互检查。了解这些瓶颈可以为致力于转化和/或利用精神遗传学信息的利益相关者提供信息。潜在的解决方案包括在该研究领域中利用非线性转化框架以及更广泛的精神遗传学信息(例如家族史和基因-环境相互作用),扩大考虑进行转化的精神障碍范围,并在可能的情况下进行原创研究。研究人员应考虑他们的研究在本文讨论的框架、遗传信息和精神障碍方面的转化情况。在更广泛的层面上,应该通过转化研究的资金和政策转变来支持这些努力。