[与应激障碍发展相关的遗传变异:对GWAS的系统回顾]。

Q3 Medicine
Y A Zorkina, E A Golubeva, O I Gurina, A M Reznik, A Y Morozova
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引用次数: 0

摘要

研究创伤后应激障碍(PTSD)的遗传基础有助于预测有严重创伤应激史者的患病风险,并有助于尽早诊断和转诊给专科医生。本研究旨在回顾与创伤后应激障碍有关的所有基因组研究。共纳入了 20 项研究,其中 5 项是元分析,9 项包括退伍军人。研究考虑了基因的功能及其关联,包括涉及胚胎发生、神经元形成和细胞功能的不同基因组的单细胞多态性,以及许多转录有非编码 RNA 的 DNA 序列。我们研究了不同研究和复制样本之间结果的可重复性。在不同的研究中,CAMKV、CDHR4、DCC、FAM120A、FOXP2(3 项研究)、MAD1L1(3 项研究)、MAPT、NCAM1、NOS1、SP4、ZMYM4 和 TCF4 基因之间的关联重复出现。一项新的大规模研究发现了许多关联,因此被单独考虑。此外,作者还研究了有关多基因风险的研究,有几项研究显示焦虑症和躁郁症存在遗传合并症。然而,作者建立的模型只能解释很小比例的变异,而且在其他样本中重复性很弱。也许可以通过使用更大的样本和更明确的同质化纳入标准来解决这个问题。因此,目前关于创伤后应激障碍的基因组研究还很少;与针对其他精神障碍的相同研究相比,这些研究含糊不清,信息量也不大,但它们在评估患病风险方面具有进一步的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Genetic variants associated with the development of stress disorders: A systematic review of GWAS].

Studying the genetic basis of post-traumatic stress disorder (PTSD) can be useful in predicting its risk in a person with a history of severe traumatic stress and in facilitating earlier diagnosis and referral to a specialist. The aim of the study is to review all GWAS studies related to PTSD. In total, 20 studies were included, of which 5 meta-analyses and 9 included war veterans. The functions of genes and their associations were considered, which included single-cell polymorphisms in different groups of genes involved in embryogenesis, neuron formation, and cell functioning, as well as many DNA sequences with non-coding RNA transcribed. The repeatability of the results between studies and replicative samples was studied. Between the studies, the associations were repeated in the CAMKV, CDHR4, DCC, FAM120A, FOXP2 (3 studies), MAD1L1 (3 studies), MAPT, NCAM1, NOS1, SP4, ZMYM4, TCF4 genes. A new large-scale study with many found associations was considered individually. Studies regarding polygenic risk were also studied, and several studies showed genetic comorbidity with anxiety and bipolar disorder. However, the models developed by the authors explain a small percentage of variance and are weakly repeated in other samples. It may be possible to solve this problem by using larger samples and clearer homogeneous inclusion criteria. Thus, at the moment, there are few GWAS studies of PTSD; they are ambiguous and uninformative compared to the same studies for other mental disorders, but they have further potential for assessing the risks of developing the disease.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
287
审稿时长
3-6 weeks
期刊介绍: Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.
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