编码奥杜威结构域的神经发育基因将肌痛性脑脊髓炎与神经精神疾病联系起来。

Neurodevelopment Genes Encoding Olduvai Domains Link Myalgic Encephalomyelitis to Neuropsychiatric Disorders.

作者信息

Arcos-Burgos Mauricio, Arcos-Holzinger Mauricio, Mastronardi Claudio, Isaza-Ruget Mario A, Vélez Jorge I, Lewis Donald P, Patel Hardip, Lidbury Brett A

机构信息

Research Group on Psychiatric Disorders (GIPSI), Department of Psychiatry, Institute of Medical Research, School of Medicine, University of Antioquia, Medellín 050010, Colombia.

INPAC Research Group, Fundación Universitaria Sanitas, Bogotá 110131, Colombia.

出版信息

Diagnostics (Basel). 2025 Jun 17;15(12):1542. doi: 10.3390/diagnostics15121542.

Abstract

The aetiology of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), a chronic and severe debilitating disease with a complex phenotype, remains elusive. Associations with infectious diseases and autoimmune and neuropsychiatric disorders have been observed, without the identification of mechanisms. Previous studies suggest that genetic predisposition plays a role, but results are difficult to replicate, with Genome-Wide Association Studies of ME/CFS being challenging due to the relative rareness and heterogeneity of the disorder. We studied a well-defined Australian patient cohort diagnosed via the International Consensus Criteria, recruited by a specialist ME/CFS clinic. The whole-exome sequences of 77 patients were contrasted against genome variation in the 1000 Genome Project's genome-matched population. Significant associations with ME/CFS were harboured in genes that belong to the Neuroblastoma Breakpoint Family encoding Olduvai (DUF1220) domains, namely (rs3897177, -value = 3.15 × 10) (rs1553120233, -value = 9.262 × 10), and (rs200632836, -value = 1.04 × 10). Other significantly associated variants were detected in the , , , and genes, among others. Replication of these results was attempted via a GWAS on raw data from a US cohort, which confirmed shared significant associations with variation identified in the , , , , , , , and genes. These genes are involved in cortical neurogenesis, brain evolution, and neuroblastoma, and have been implicated by several studies in schizophrenia and autism. The sharing of these associations by the two cohorts supports their validity and grants the necessity of future studies to evaluate the implications for ME/CFS aetiology.

摘要

肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)是一种具有复杂表型的慢性、严重致残性疾病,其病因仍然不明。虽然已观察到与传染病、自身免疫性疾病和神经精神疾病有关联,但尚未确定其机制。先前的研究表明遗传易感性起一定作用,但结果难以重复,由于该疾病相对罕见且具有异质性,ME/CFS的全基因组关联研究颇具挑战性。我们研究了一个通过国际共识标准诊断的明确的澳大利亚患者队列,该队列由一家ME/CFS专科诊所招募。将77名患者的全外显子序列与千人基因组计划中基因组匹配人群的基因组变异进行对比。与ME/CFS有显著关联的基因属于编码奥杜威(DUF1220)结构域的成神经细胞瘤断点家族,即(rs3897177,P值 = 3.15 × 10)(rs1553120233,P值 = 9.262 × 10),以及(rs200632836,P值 = 1.04 × 10)。在其他基因中也检测到了其他显著相关的变异。通过对来自美国队列的原始数据进行全基因组关联研究来尝试重复这些结果,这证实了与在这些基因中发现的变异存在共同的显著关联。这些基因参与皮质神经发生、大脑进化和成神经细胞瘤,并且多项研究表明它们与精神分裂症和自闭症有关。两个队列共享这些关联支持了它们的有效性,并表明未来有必要开展研究来评估其对ME/CFS病因的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e38/12191824/186ea0875abc/diagnostics-15-01542-g001.jpg

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