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遗传学研究结果对以症状为基础的精神障碍诊断分类系统的挑战
  • ISSN号:1002-0829
  • 期刊名称:《上海精神医学》
  • 时间:0
  • 分类:TP393[自动化与计算机技术—计算机应用技术;自动化与计算机技术—计算机科学与技术]
  • 作者机构:Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
  • 相关基金:supported by program of the National Natural Science Foundation of China(81471358); the ‘Plateau and Peak’ plan of the Shanghai Municipal Education Commission(20152530); the Shanghai Municipal Medical Guidance Project(14411969000)
作者: 张晨
中文摘要:

概述:现有的精神疾病诊断系统主要是依据症状学来分类的。最近一项跨病种全基因组关联分析研究显示,在临床诊断为精神分裂症、双相障碍、抑郁症、注意缺陷多动障碍以及孤独症谱系障碍等疾病的患者中,染色体3p21和10q24区域内的基因具有相似性,两条L-型电压门控钙离子通道亚基基因CACNA1C和CACNB2的单核苷酸多态性也相似。这些研究结果表明这五种看似独立的疾病其病理机制存在着某种关联。这种跨病种研究对现有以症状为基础的精神疾病诊断分类系统提出了挑战。研究人员需要找出创造性方法,消除这两种不同方法对精神障碍理解、分类间的差异。

英文摘要:

The present diagnostic classification of mental illnesses is primarily based on symptomatology. A recent cross-disorder genome-wide association study revealed that there were genetic similarities between multiple clinically defined diagnoses(including schizophrenia, bipolar disorder, depression, attention deficit hyperactivity disorder, and autism spectrum disorder) on regions of chromosomes 3p21 and 10q24 and single-nucleotide polymorphisms(SNPs) within two L-type voltage-gated calcium channel subunits of CACNA1 C and CACNB2. These findings suggest that the pathogenesis of these five independent disorders are related. Such cross-disorder genetic studies challenge the current symptom-based diagnostic classification of mental disorders. Researchers need to identify creative ways to bridge the gap between these two approaches to understanding and labelling mental disorders.

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期刊信息
  • 《上海精神医学》
  • 中国科技核心期刊
  • 主管单位:上海市卫生局
  • 主办单位:上海市精神卫生中心
  • 主编:
  • 地址:上海市宛平南路600号
  • 邮编:200030
  • 邮箱:sharp_submission@163.com
  • 电话:021-34773296
  • 国际标准刊号:ISSN:1002-0829
  • 国内统一刊号:ISSN:31-1564/R
  • 邮发代号:4-798
  • 获奖情况:
  • 国内外数据库收录:
  • 被引量:12876