Department of Forensic Psychiatry, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu, 610041, Sichuan, China.
Department of Pathology, Sichuan Cancer Hospital, Chengdu, Sichuan, China.
BMC Psychiatry. 2021 Oct 4;21(1):483. doi: 10.1186/s12888-021-03496-5.
Schizophrenia is a polygenic disease; however, the specific risk genetic variants of schizophrenia are still largely unknown. Single nucleotide polymorphism (SNP) is important genetic factor for the susceptibility of schizophrenia. Investigating individual candidate gene contributing to disease risk remains important.
In a case-control study, five SNPs located in 6p21.3-p23.1 including rs2021722 in human leukocyte antigen (HLA) locus and rs107822, rs383711, rs439205 and rs421446 within the upstream of microRNA-219a-1 were genotyped in 454 schizophrenia patients and 445 healthy controls to investigate the possible association between the loci and schizophrenia in a Han Chinese population.
Our results showed significant associations between the rs2021722 and schizophrenia in allele (A vs. G: adjusted OR = 1.661, 95%CI = 1.196-2.308), co-dominant (AG vs. GG: OR = 1.760, 95%CI = 1.234-2.510) and dominant genetic model (AG + AA vs. GG: OR = 1.756, 95%CI = 1.237-2.492), respectively. Haplotype analysis showed that TGGT and CAAC were protective factor for schizophrenia compared with TAAC haplotype (OR = 0.324, 95% CI = 0.157-0.672; OR = 0.423, 95% CI = 0.199-0.900).
These findings indicate that rs2021722 in HLA locus might be involved in pathogenesis of schizophrenia and that genotypes AG and allele A of the locus are risk factors for schizophrenia in the Han Chinese population, confirming the association between immune system and schizophrenia.
精神分裂症是一种多基因疾病;然而,特定的精神分裂症风险遗传变异仍然很大程度上未知。单核苷酸多态性(SNP)是精神分裂症易感性的重要遗传因素。研究个体候选基因对疾病风险的贡献仍然很重要。
在一项病例对照研究中,对位于人类白细胞抗原(HLA)基因座上的 rs2021722 以及 microRNA-219a-1 上游的 rs107822、rs383711、rs439205 和 rs421446 在内的 6p21.3-p23.1 中的 5 个 SNP 进行基因分型,以探讨汉族人群中这些基因座与精神分裂症之间的可能关联。
我们的结果显示,rs2021722 与精神分裂症在等位基因(A 对 G:调整后的 OR=1.661,95%CI=1.196-2.308)、共显性(AG 对 GG:OR=1.760,95%CI=1.234-2.510)和显性遗传模型(AG+AA 对 GG:OR=1.756,95%CI=1.237-2.492)之间存在显著关联。单体型分析显示,与 TAAC 单体型相比,TGGT 和 CAAC 是精神分裂症的保护因子(OR=0.324,95%CI=0.157-0.672;OR=0.423,95%CI=0.199-0.900)。
这些发现表明,HLA 基因座上的 rs2021722 可能参与精神分裂症的发病机制,并且该基因座上的 AG 和 A 等位基因是汉族人群精神分裂症的危险因素,证实了免疫系统与精神分裂症之间的关联。