Di Bella D, Catalano M, Balling U, Smeraldi E, Lesch K P
Instituto di Ricovero e Cura a Carattere Scientifico Ospedale Raffaele, Department of Neuropsychiatric Sciences, University of Milan, Milan, Italy.
Am J Med Genet. 1996 Nov 22;67(6):541-5. doi: 10.1002/(SICI)1096-8628(19961122)67:6<541::AID-AJMG5>3.0.CO;2-K.
Dysfunctions in serotonergic pathways may underlie several psychiatric disorders. The reuptake of serotonin (5-HT) from synaptic terminals is mediated by a specific transporter (5-HTT). Genetic variation in the gene coding for the 5-HTT protein might be involved in the predisposition to psychiatric disorders. A systematic screening of the whole coding sequence of the 5-HTT gene in mood disorder (MD) and obsessive-compulsive disorder (OCD) patients, as well as in healthy controls, using PCR and denaturing gradient gel electrophoresis (DGGE) revealed the presence of two mutations. The first was in intron 4, and the second was a C-->A transversion leading to an amino-acid exchange (Leu-->Met) in position 255 of the deduced protein sequence. No further occurrence of this substitution was found in an extended sample of patients and controls. Therefore, structural modifications of the 5-HTT gene do not seem to play either a major or minor role in the genetic predisposition to MD or OCD.
血清素能通路功能障碍可能是多种精神疾病的潜在病因。血清素(5-羟色胺,5-HT)从突触终末的再摄取由一种特定的转运体(5-羟色胺转运体,5-HTT)介导。编码5-HTT蛋白的基因中的遗传变异可能与精神疾病的易感性有关。使用聚合酶链反应(PCR)和变性梯度凝胶电泳(DGGE)对情绪障碍(MD)患者、强迫症(OCD)患者以及健康对照者的5-HTT基因整个编码序列进行系统筛查,发现了两个突变。第一个突变位于内含子4,第二个突变是一个C→A的颠换,导致推导的蛋白质序列第255位的氨基酸发生交换(亮氨酸→甲硫氨酸)。在扩大的患者和对照样本中未发现该替代的进一步出现。因此,5-HTT基因的结构修饰似乎在MD或OCD的遗传易感性中不起主要或次要作用。