Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.
Child and Adolescent Mental Health Centre-Mental Health Services Capital Region, Copenhagen Region, Denmark.
Curr Psychiatry Rep. 2019 Mar 2;21(3):16. doi: 10.1007/s11920-019-1002-7.
Anxiety disorders are among the most common mental disorders with a lifetime prevalence of over 20%. Clinically, anxiety is not thought of as a homogenous disorder, but is subclassified in generalized, panic, and phobic anxiety disorder. Anxiety disorders are moderately heritable. This review will explore recent genetic and epigenetic approaches to anxiety disorders explaining differential susceptibility risk.
A substantial portion of the variance in susceptibility risk can be explained by differential inherited and acquired genetic and epigenetic risk. Available data suggest that anxiety disorders are highly complex and polygenic. Despite the substantial progress in genetic research over the last decade, only few risk loci for anxiety disorders have been identified so far. This review will cover recent findings from large-scale genome-wide association studies as well as newer epigenome-wide studies. Progress in this area will likely require analysis of much larger sample sizes than have been reported to date. We discuss prospects for clinical translation of genetic findings and future directions for research.
焦虑障碍是最常见的精神障碍之一,终身患病率超过 20%。临床上,焦虑症并非被认为是一种同质障碍,而是分为广泛性焦虑症、恐慌症和恐惧症。焦虑症具有中度遗传性。本综述将探讨焦虑症的遗传和表观遗传方法,解释易感性风险的差异。
易感性风险的大部分差异可以通过遗传和获得性遗传和表观遗传风险来解释。现有数据表明,焦虑症是高度复杂和多基因的。尽管在过去十年中遗传研究取得了重大进展,但迄今为止仅发现了少数几个焦虑症的风险位点。本综述将涵盖全基因组关联研究以及更新的表观基因组研究的最新发现。该领域的进展可能需要分析比迄今为止报告的更大的样本量。我们讨论了遗传发现的临床转化前景和未来的研究方向。