Objective To systematically review the current status of genomics research in patients with tic disorder (TDs) in China,and to summarize the genes related to disease susceptibility and the effects of drug treatment,so as to provide evidence for the prevention and treatment of TDs. Methods Pubmend,Embase,Cochrane library,CBM,CNKI,VIP,and Wanfang databases were searched from inception to July 2017.Studies which assessed the association between related genes and TDs were included and then descriptive analysis were used to summarize the result. Results A total of 43 studies involving 3 723 children and 2 433 families were included.The age of participants ranged from 3 to 22 years old.Publication time was between 2001 and 2016.Only 44.2% (19/43) included studies reported a positive Conclusion.Included studies involved 24 genes,only 4 positive genes were associated with TDs disease,1 positive gene was related to drug efficacy,5 positive genes were related to TDs with comorbidity. Conclusions The researches of genome in TDs develop rapidly,and the related genes are diverse and complicated.However,the sample size is small,and less positive genes are found,also there is a lack of the standard method and path for the clinical transformation from gene research to clinical practice.Most studies need to be validated by high-quality and large sample clinical studies in order to provide evidence to guide clinical practice.
Key words
tic disorders /
Tourette syndrome /
gene polymorphism /
evidence-based assessment
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 杨春松,张伶俐,黄红,等.抗癫痫药物在儿童多发性抽动症治疗中的研究进展[J].中华妇幼临床医学杂志,2015,11(3):407-410.
[2] Yang CS,Huang H,Zhang LL,et al.Aripiprazole for the treatment of tic disorders in children:a systematic review and meta-analysis[J].BMC Psychiatry,2015,15:179.
[3] Yang C,Hao Z,Zhu C,et al.Interventions for tic disorders:An overview of systematic reviews and meta analyses[J].Neurosci Biobehav Rev,2016,63:239-255.
[4] 刘玲,江志贵,李微,等.顺德龙江地区小学生抽动障碍流行病学调查及其与微量元素的关系[J].中国当代儿科杂志,2013,15(8):657-660.
[5] Roessner V,Plessen KJ,Rothenberger A,et al.European clinical guidelines for Tourette syndrome and other tic disorders.Part II:pharmacological treatment[J].Eur Child Adolesc Psychiatry,2011,20(4):173-196.
[6] Huertas-Fernández I,Gómez-Garre P,Madruga-Garrido M,et al.GDNF gene is GDNF gene is associated with tourette syndrome in a family study[J].Mov Disord,2015,30(8):1115-1120.
[7] Paschou P.The genetic basis of Gilles de la Tourette Syndrome[J].Neurosci Biobehav Rev,2013,37(6):1026-1039.
[8] Georgitsi M,Willsey AJ,Mathews CA,et al.The genetic etiology of Tourette syndrome:large-scale collaborative efforts on the precipice of discovery[J].Front Neurosci,2016,10:351.
[9] Alexander J,Potamianou H,Xing J,et al.Targeted re-sequencing approach of candidate genes implicates rare potentially functional variants in Tourette syndrome etiology[J].Front Neurosci,2016,10:428.
[10] El Malhany N,Gulisano M,Rizzo R,et al.Tourette syndrome and comorbid ADHD:causes and consequences[J].Eur J Pediatr,2015,174(3):279-288.
[11] Paschou P,Fernandez TV,Sharp F,et al.Genetic susceptibility and neurotransmittersin Tourette syndrome[J].Int Rev Neurobiol,2013,112:155-177.
[12] Georgitsi M,Willsey AJ,Mathews CA,et al.The genetic etiology of Tourette syndrome:large-scale collaborative efforts on the precipice of discovery[J].Front Neurosci,2016,10:351.
[13] 郑萍,李尔珍,王建华.抽动秽语综合征相关基因研究进展[J].国际儿科杂志,2012,39(2):155-158.