Genetic Determinants of Gating Functions: Do We Get Closer to Understanding Schizophrenia Etiopathogenesis?
Genetic Determinants of Gating Functions: Do We Get Closer to Understanding Schizophrenia Etiopathogenesis?
Deficits in the gating of sensory stimuli, i.e., the ability to suppress the processing of irrelevant sensory input, are considered to play an important role in the pathogenesis of several neuropsychiatric disorders, in particular schizophrenia. Gating is disrupted both in schizophrenia patients and their unaffected relatives, suggesting that gating deficit may represent a biomarker associated with a genetic liability to the disorder. To assess the strength of the evidence for the etiopathogenetic links between genetic variation, gating efficiency, and schizophrenia, we carried out a systematic review of human genetic association studies of sensory gating (suppression of the P50 component of the auditory event-related brain potential) and sensorimotor gating (prepulse inhibition of the acoustic startle response). Sixty-three full-text articles met the eligibility criteria for inclusion in the review. In total, 117 genetic variants were reported to be associated with gating functions: 33 variants for sensory gating, 80 variants for sensorimotor gating, and four variants for both sensory and sensorimotor gating. However, only five of these associations (four for prepulse inhibition—CHRNA3 rs1317286, COMT rs4680, HTR2A rs6311, and TCF4 rs9960767, and one for P50 suppression—CHRNA7 rs67158670) were consistently replicated in independent samples. Although these variants and genes were all implicated in schizophrenia in research studies, only two polymorphisms (HTR2A rs6311 and TCF4 rs9960767) were also reported to be associated with schizophrenia at a meta-analytic or genome-wide level of evidence. Thus, although gating is widely considered as an important endophenotype of schizophrenia, these findings demonstrate that evidence for a common genetic etiology of impaired gating functions and schizophrenia is yet unsatisfactory, warranting further studies in this field.
- University of Vienna Austria
- First Affiliated Hospital of Xi'an Jiaotong University China (People's Republic of)
- Universität Wien Austria
- Universität Wien Austria
- Slovak Academy of Science Slovakia
P50 SUPPRESSION, 301401 Brain research, intermediate phenotype, RC435-571, PREPULSE INHIBITION, 301109 Pathophysiologie, SDG 3 - Good Health and Well-being, ACOUSTIC STARTLE RESPONSE, 302065 Psychiatrie, SCHIZOTYPAL PERSONALITY-DISORDER, 301109 Pathophysiology, 302065 Clinical psychiatry, sensory gating, startle reflex, ACETYLCHOLINE-RECEPTOR SUBUNIT, Psychiatry, prepulse inhibition, P50, sensorimotor gating, BIPOLAR DISORDER, endophenotypes, schizophrenia, CATECHOL-O-METHYLTRANSFERASE, SDG 3 – Gesundheit und Wohlergehen, NEURAL CIRCUIT REGULATION, 301401 Hirnforschung, AUDITORY P50, VAL(158) MET POLYMORPHISM
P50 SUPPRESSION, 301401 Brain research, intermediate phenotype, RC435-571, PREPULSE INHIBITION, 301109 Pathophysiologie, SDG 3 - Good Health and Well-being, ACOUSTIC STARTLE RESPONSE, 302065 Psychiatrie, SCHIZOTYPAL PERSONALITY-DISORDER, 301109 Pathophysiology, 302065 Clinical psychiatry, sensory gating, startle reflex, ACETYLCHOLINE-RECEPTOR SUBUNIT, Psychiatry, prepulse inhibition, P50, sensorimotor gating, BIPOLAR DISORDER, endophenotypes, schizophrenia, CATECHOL-O-METHYLTRANSFERASE, SDG 3 – Gesundheit und Wohlergehen, NEURAL CIRCUIT REGULATION, 301401 Hirnforschung, AUDITORY P50, VAL(158) MET POLYMORPHISM
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