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快感缺失的遗传关联:对精神障碍和躯体障碍重叠的见解。

Genetic Associations of Anhedonia: Insights into Overlap of Mental and Somatic Disorders.

作者信息

Kasyanov Evgeny, Pinakhina Darya, Rakitko Aleksandr, Vergasova Ekaterina, Yermakovich Danat, Rukavishnikov Grigoriy, Malyshko Larisa, Popov Yaroslav, Kovalenko Elena, Ilinskaya Anna, Kim Anna, Plotnikov Nikolay, Neznanov Nikolay, Ilinsky Valeriy, Kibitov Aleksandr, Mazo Galina

出版信息

Consort Psychiatr. 2024 Jul 6;5(2):5-15. doi: 10.17816/CP15494. eCollection 2024.

Abstract

BACKGROUND

Anhedonia is characterized by a reduced ability to anticipate, experience, and/or learn about pleasure. This phenomenon has a transdiagnostic nature and is one of the key symptoms of mood disorders, schizophrenia, addictions, and somatic conditions.

AIM

To evaluate the genetic architecture of anhedonia and its overlap with other mental disorders and somatic conditions.

METHODS

We performed a genome-wide association study of anhedonia on a sample of 4,520 individuals from a Russian non-clinical population. Using the available summary statistics, we calculated polygenic risk scores (PRS) to investigate the genetic relationship between anhedonia and other psychiatric or somatic phenotypes.

RESULTS

No variants with a genome-wide significant association were identified. PRS for major depression, bipolar disorder, and schizophrenia were significantly associated with anhedonia. Conversely, no significant associations were found between PRS for anxiety and anhedonia, which aligns well with existing clinical evidence. None of the PRS for somatic phenotypes attained a significance level after correction for multiple comparisons. A nominal significance for the anhedonia association was determined for omega-3 fatty acids, type 2 diabetes mellitus, and Crohn's disease.

CONCLUSION

Anhedonia has a complex polygenic architecture, and its presence in somatic diseases or normal conditions may be due to a genetic predisposition to mood disorders or schizophrenia.

摘要

背景

快感缺失的特征是预测、体验和/或学习快乐的能力下降。这种现象具有跨诊断性质,是情绪障碍、精神分裂症、成瘾和躯体疾病的关键症状之一。

目的

评估快感缺失的遗传结构及其与其他精神障碍和躯体疾病的重叠情况。

方法

我们对来自俄罗斯非临床人群的4520名个体样本进行了快感缺失的全基因组关联研究。利用现有的汇总统计数据,我们计算了多基因风险评分(PRS),以研究快感缺失与其他精神或躯体表型之间的遗传关系。

结果

未发现具有全基因组显著关联的变异。重度抑郁症、双相情感障碍和精神分裂症的PRS与快感缺失显著相关。相反,焦虑症的PRS与快感缺失之间未发现显著关联,这与现有临床证据相符。在对多重比较进行校正后,躯体表型的PRS均未达到显著水平。对于ω-3脂肪酸、2型糖尿病和克罗恩病,确定了与快感缺失关联的名义显著性。

结论

快感缺失具有复杂的多基因结构,其在躯体疾病或正常情况下的存在可能是由于对情绪障碍或精神分裂症的遗传易感性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00b3/11272301/62b73c08a55e/2712-7672_2024_5_2_5_Fig.1.jpg

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