Huang Xing, Liu Jie, Cong Jinzhi, Zhang Xinhua
Department of Psychology and Psychiatry, Medical College, Qingdao University, Qingdao, People's Republic of China.
Department of Psychiatry, Qingdao Mental Health Center, Qingdao, People's Republic of China.
Neuropsychiatr Dis Treat. 2021 Feb 5;17:347-354. doi: 10.2147/NDT.S281623. eCollection 2021.
Obsessive-compulsive disorder (OCD) is a common, serious and genetically related mental illness; the etiology of OCD has not yet reached a definitive conclusion. Multiple evidence suggests that the glutamatergic system plays a major role in the pathophysiology of OCD. However, subsequent studies on the glutamate transporter gene are not consistent. OCD is a heterogeneous disease. To resolve the complex genetic basis of OCD, division the disorder into different subphenotypes is an effective method for studying the pathogenesis of OCD.
We recruited 438 OCD patients and 465 age- and sex-matched controls from a Chinese Han population. SNPs were genotyped by real-time TaqMan polymerase chain reaction, and the chi-squared test was used to compare allele and genotype frequencies of variants between the two groups.
The genotype of was statistically significant in total patients with OCD and the controls. After grouping by age and gender, the genotype of was statistically significant in early-onset OCD, late-onset OCD as well as male OCD, the allele and genotype of was associated with late-onset OCD. Haplotype analysis showed that four loci haplotypes (G-A-A-G and G-G-A-G) were associated with total OCD, (G-G-A-G) was associated with female OCD, (G-A-G-G) was associated with male OCD, (G-A-A-G and G-G-A-G) were associated with late-onset OCD.
This study provides suggestive evidence that SLC1A1 may be involved in the development of OCD in the Han population. However, these findings require further replication.
强迫症(OCD)是一种常见、严重且与遗传相关的精神疾病;强迫症的病因尚未得出明确结论。多项证据表明,谷氨酸能系统在强迫症的病理生理学中起主要作用。然而,随后关于谷氨酸转运体基因的研究结果并不一致。强迫症是一种异质性疾病。为了解决强迫症复杂的遗传基础,将该疾病分为不同的亚表型是研究强迫症发病机制的有效方法。
我们从中国汉族人群中招募了438名强迫症患者和465名年龄及性别匹配的对照。通过实时TaqMan聚合酶链反应对单核苷酸多态性(SNP)进行基因分型,并使用卡方检验比较两组之间变异的等位基因和基因型频率。
在强迫症患者和对照组中,[此处原文可能缺失具体基因名称]的基因型具有统计学意义。按年龄和性别分组后,[此处原文可能缺失具体基因名称]的基因型在早发型强迫症、晚发型强迫症以及男性强迫症中具有统计学意义,[此处原文可能缺失具体基因名称]的等位基因和基因型与晚发型强迫症相关。单倍型分析表明,四个位点的单倍型(G-A-A-G和G-G-A-G)与总体强迫症相关,(G-G-A-G)与女性强迫症相关,(G-A-G-G)与男性强迫症相关,(G-A-A-G和G-G-A-G)与晚发型强迫症相关。
本研究提供了提示性证据,表明溶质载体家族1成员1(SLC1A1)可能参与汉族人群强迫症的发生发展。然而,这些发现需要进一步验证。