心的外傷後ストレス障害に関する画期的研究(Breakthrough Study on Post-Traumatic Stress Disorder)

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2024-04-19 カリフォルニア大学サンディエゴ校(UCSD)

カリフォルニア大学サンディエゴ校医学部の研究チームが主導する精神病遺伝学コンソーシアム(PGC)は、世界保健機関が世界で約2億5000万人が影響を受けているとするPTSD(心的外傷後ストレス障害)の神経生物学に関する理解を深めました。このチームは、122万2822人を対象に行ったゲノムワイド関連研究から、PTSDに関連する遺伝子の位置95か所を特定し、そのうち80か所が新規の発見でした。この研究は、PTSDの遺伝的要因とそのリスクを明らかにし、将来の研究や治療戦略のための道を開いています。

<関連情報>

ゲノムワイド関連解析により95のリスク遺伝子座が同定され、心的外傷後ストレス障害の神経生物学への洞察が得られた Genome-wide association analyses identify 95 risk loci and provide insights into the neurobiology of post-traumatic stress disorder

Caroline M. Nievergelt,Adam X. Maihofer,Elizabeth G. Atkinson,Chia-Yen Chen,Karmel W. Choi,Jonathan R. I. Coleman,Nikolaos P. Daskalakis,Laramie E. Duncan,Renato Polimanti,Cindy Aaronson,Ananda B. Amstadter,Soren B. Andersen,Ole A. Andreassen,Paul A. Arbisi,Allison E. Ashley-Koch,S. Bryn Austin,Esmina Avdibegoviç,Dragan Babić,Silviu-Alin Bacanu,Dewleen G. Baker,Anthony Batzler,Jean C. Beckham,Sintia Belangero,Corina Benjet,AURORA Study,Estonian Biobank Research Team,FinnGen Investigators,HUNT All-In Psychiatry,… Karestan C. Koenen
Nature Genetics  Published:18 April 2024
DOI:https://doi.org/10.1038/s41588-024-01707-9

extended data figure 1

Abstract

Post-traumatic stress disorder (PTSD) genetics are characterized by lower discoverability than most other psychiatric disorders. The contribution to biological understanding from previous genetic studies has thus been limited. We performed a multi-ancestry meta-analysis of genome-wide association studies across 1,222,882 individuals of European ancestry (137,136 cases) and 58,051 admixed individuals with African and Native American ancestry (13,624 cases). We identified 95 genome-wide significant loci (80 new). Convergent multi-omic approaches identified 43 potential causal genes, broadly classified as neurotransmitter and ion channel synaptic modulators (for example, GRIA1, GRM8 and CACNA1E), developmental, axon guidance and transcription factors (for example, FOXP2, EFNA5 and DCC), synaptic structure and function genes (for example, PCLO, NCAM1 and PDE4B) and endocrine or immune regulators (for example, ESR1, TRAF3 and TANK). Additional top genes influence stress, immune, fear and threat-related processes, previously hypothesized to underlie PTSD neurobiology. These findings strengthen our understanding of neurobiological systems relevant to PTSD pathophysiology, while also opening new areas for investigation.

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