Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, United States; Department of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA 02138, United States.
Curr Opin Genet Dev. 2021 Jun;68:99-105. doi: 10.1016/j.gde.2021.03.004. Epub 2021 May 3.
Human genetics is providing much needed clues to mechanisms underlying neuropsychiatric disorders. Highly penetrant copy number variants (CNVs) were among the first genetic variants confidently associated with schizophrenia and autism spectrum disorders (ASDs). Despite their structural complexity, the high penetrance of CNVs associated with neuropsychiatric disorders suggested utility for construction of cellular and animal models. Human cellular models that carry disease associated alleles have the advantage of human genetic backgrounds against which to study the effects of CNVs. However, investigation of the effects of disease-associated alleles on the structure and function of living brains requires genome engineering of model organisms or introduction of genetic material into their brains by viral vectors. Here I focus on the translational utility of transgenic mice that carry models of human neuropsychiatric CNVs, while recognizing their limitations as veridical models of complex human brain disorders. In order to improve translational utility and avoid the intellectual cul-de-sacs that often bedevil interpretation of neuropsychiatric disease models, I conclude with a 'draft' proposal to replace current concepts of construct and face validity with more nuanced and contextually relevant judgments.
人类遗传学为神经精神疾病的发病机制提供了重要线索。高外显率拷贝数变异(CNVs)是最早与精神分裂症和自闭症谱系障碍(ASD)明确相关的遗传变异之一。尽管结构复杂,但与神经精神疾病相关的 CNVs 的高外显率表明其可用于构建细胞和动物模型。携带疾病相关等位基因的人类细胞模型具有人类遗传背景的优势,可用于研究 CNVs 的影响。然而,研究疾病相关等位基因对活体大脑结构和功能的影响需要对模式生物进行基因组工程改造,或者通过病毒载体将遗传物质引入其大脑。在这里,我主要关注携带人类神经精神疾病 CNVs 模型的转基因小鼠的转化应用,同时也认识到它们作为复杂人类大脑疾病真实模型的局限性。为了提高转化应用的效果,并避免在解释神经精神疾病模型时经常陷入的思维僵局,我最后提出一个“草案”建议,用更细致入微和更具上下文相关性的判断来取代当前对构建和表面效度的概念。