多基因风险评分揭示了物质使用障碍和ADHD之间的共同疾病的遗传基础
Lisa I Horstman1, Dora Koller2, Judit Cabana-Domínguez3
1Department of Psychiatry, Radboudumc, Donders Centre for Medical Neuroscience, Nijmegen, The Netherlands.
概括
注意缺陷/多动障碍 (ADHD) 和物质使用障碍 (SUD) 分享遗传影响,特别是在ADHD和阿片类药物使用障碍之间. 这项研究探讨了这些共同的并发症之间的遗传重叠.
科学领域:
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
- 神经科学是一个神经科学.
背景情况:
- 注意缺陷/多动障碍 (ADHD) 和物质使用障碍 (SUD) 经常同时发生,影响多达20%的SUD患者.
- 假设共同的遗传因素有助于这种共同疾病,但研究是有限的.
研究的目的:
- 研究ADHD和各种SUD表型之间的共同遗传影响.
- 使用遗传数据检查ADHD特征和SUD之间的潜在因果关系.
主要方法:
- 在1,513名寻求SUD治疗的欧洲血统个体中利用了多基因风险评分 (PRS).
- 评估了ADHD PRS与SUD表型和SUD PRS与ADHD表型的相关性.
- 采用孟德尔的随机化来测试因果关系.
主要成果:
- ADHD PRS显著预测了海洛因使用.
- 阿片类药物使用障碍PRS与ADHD注意力缺失症状和总症状得分有显著的关联.
- 在ADHD和SUD表型之间没有发现因果关系的证据.
结论:
- 研究结果表明,ADHD和SUD之间存在遗传重叠,特别是在阿片类药物使用障碍方面.
- 强调在理解ADHD-SUD并发症时考虑遗传贡献的重要性.
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