Mpoulimari Ioanna, Zintzaras Elias
Department of Biomathematics, Faculty of Medicine, University of Thessaly, Larissa, Greece.
Department of Medicine, The Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts, USA.
Psychiatr Genet. 2022 Jun 1;32(3):91-104. doi: 10.1097/YPG.0000000000000316. Epub 2022 Mar 31.
Autism spectrum disorder (ASD) is a clinically and genetically heterogeneous group of neurodevelopmental disorders. Despite the extensive efforts of scientists, the etiology of ASD is far from completely elucidated. In an effort to enlighten the genetic architecture of ASDs, a meta-analysis of all available genetic association studies (GAS) was conducted.
We searched in the Human Genome Epidemiology Navigator (HuGE Navigator) and PubMed for available case-control GAS of ASDs. The threshold for meta-analysis was two studies per genetic variant. The association between genotype distribution and ASDs was examined using the generalized linear odds ratio (ORG). For variants with available allele frequencies, the examined model was the allele contrast.
Overall, 57 candidate genes and 128 polymorphisms were investigated in 159 articles. In total 28 genetic polymorphisms have been shown to be associated with ASDs, that are harbored in 19 genes. Statistically significant results were revealed for the variants of the following genes adenosine deaminase (ADA), bone marrow stromal cell antigen-1 (CD157/BST1), Dopamine receptor D1 (DRD1), engrailed homolog 2 (EN2), met proto-oncogene (MET), methylenetetrahydrofolate reductase (MTHFR), solute carrier family 6 member 4 (SLC6A4), Synaptosomal-associated protein, 25kDa (SNAP-25) and vitamin D receptor (VDR). In the allele contrast model of cases versus healthy controls, significant associations were observed for Adrenoceptor Alpha 1B (ADRA1B), acetyl serotonin O - methyltransferase (ASMT), complement component 4B (C4B), dopamine receptor D3 (DRD3), met proto-oncogene (MET), neuroligin 4, X-linked (NLGN4), neurexin 1 (NRXN1), oxytocin receptor (OXTR), Serine/Threonine-Protein Kinase PFTAIRE-1 (PFTK1), Reelin (RELN) and Ras-like without CAAX 2 (RIT2).
These significant findings provide further evidence for genetic factors' implication in ASDs offering new perspectives in means of prevention and prognosis.
自闭症谱系障碍(ASD)是一组临床和遗传异质性的神经发育障碍。尽管科学家们付出了巨大努力,但ASD的病因仍远未完全阐明。为了揭示ASD的遗传结构,我们对所有可用的基因关联研究(GAS)进行了荟萃分析。
我们在人类基因组流行病学导航器(HuGE Navigator)和PubMed中搜索ASD的可用病例对照GAS。荟萃分析的阈值是每个基因变异两项研究。使用广义线性比值比(ORG)检查基因型分布与ASD之间的关联。对于具有可用等位基因频率的变异,所检查的模型是等位基因对比。
总体而言,159篇文章中研究了57个候选基因和128个多态性。总共28个基因多态性已被证明与ASD相关,这些多态性存在于19个基因中。以下基因的变异显示出统计学上的显著结果:腺苷脱氨酶(ADA)、骨髓基质细胞抗原-1(CD157/BST1)、多巴胺受体D1(DRD1)、同源盒蛋白EN2(EN2)、原癌基因met(MET)、亚甲基四氢叶酸还原酶(MTHFR)、溶质载体家族6成员4(SLC6A4)、突触体相关蛋白25kDa(SNAP-25)和维生素D受体(VDR)。在病例与健康对照的等位基因对比模型中,观察到以下基因存在显著关联:肾上腺素能受体α1B(ADRA1B)、乙酰5-羟色胺O-甲基转移酶(ASMT)、补体成分4B(C4B)、多巴胺受体D3(DRD3)、原癌基因met(MET)、神经连接蛋白4(X连锁,NLGN4)、神经纤连蛋白1(NRXN1)、催产素受体(OXTR)、丝氨酸/苏氨酸蛋白激酶PFTAIRE-1(PFTK1)、Reelin(RELN)和无CAAX结构的类Ras蛋白2(RIT2)。
这些重要发现为遗传因素在ASD中的作用提供了进一步证据,为预防和预后提供了新的视角。