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Genetic Contributions to BMI Fluctuation and Its Associations With BMI and Its Trajectories Over Adolescence and Early Adulthood: A 25-Year Follow-Up Longitudinal Study of Finnish Twins. 遗传因素对BMI波动的影响及其与青春期和成年早期BMI及其轨迹的关联:芬兰双胞胎25年随访纵向研究
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-10-20 DOI: 10.1017/thg.2025.10030
Alvaro Obeso, Aline Jelenkovic, Jose Angel Peña, Gabin Drouard, Sari Aaltonen, Jaakko Kaprio, Karri Silventoinen

We examined how BMI, BMI trajectories, and BMI fluctuation around these trajectories in adolescence were correlated with BMI trajectories and BMI fluctuation in early adulthood, as well as the genetic basis of these associations. BMI data from Finnish twins (N = 1379, 48% males) were collected at ages 11.5, 14, 17.5, 24, and 37 years. BMI trajectories in adolescence (11.5-17.5 years) and early adulthood (17.5-37 years) were estimated using linear mixed-effect models. BMI fluctuation was calculated as the average squared differences between observed and expected BMI around these trajectories. Genetic twin models and a polygenic risk score for BMI (PRSBMI) were used to assess genetic contributions to BMI fluctuation and its associations with BMI and BMI trajectories. Adolescent BMI fluctuation was positively correlated with early adulthood BMI trajectories in females, while in males, adolescent BMI trajectories were positively associated with BMI fluctuation in early adulthood. Genetic factors affected BMI fluctuation in both adolescence and early adulthood when estimated using twin modelling and PRSBMI. Adolescent BMI was positively associated with early adulthood fluctuation in both sexes, with genetic factors playing a role (genetic correlations .08-.29). It was concluded that genetic factors play a significant role in BMI fluctuations in adolescence and early adulthood, with some overlap with the genetics of BMI.

我们研究了青春期的BMI、BMI轨迹和这些轨迹周围的BMI波动与成年早期的BMI轨迹和BMI波动之间的关系,以及这些关联的遗传基础。在11.5、14、17.5、24和37岁时收集芬兰双胞胎(N = 1379, 48%为男性)的BMI数据。使用线性混合效应模型估计青春期(11.5-17.5岁)和成年早期(17.5-37岁)的BMI轨迹。BMI波动是根据这些轨迹周围观察到的BMI和预期BMI之间的平均平方差来计算的。使用遗传双胞胎模型和BMI多基因风险评分(PRSBMI)来评估遗传对BMI波动的影响及其与BMI和BMI轨迹的关系。女性青少年BMI波动与成年早期BMI轨迹呈正相关,男性青少年BMI波动与成年早期BMI波动呈正相关。当使用双胞胎模型和PRSBMI估计时,遗传因素影响青春期和成年早期的BMI波动。青少年体重指数与两性成年早期波动呈正相关,遗传因素起作用(遗传相关性为0.08 - 0.29)。由此得出,遗传因素在青春期和成年早期BMI波动中起着重要作用,并与BMI遗传有一定的重叠。
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引用次数: 0
Behavioral Genetics and Human Agency: How Selectively Deterministic Theories of Free Will Drive Unwarranted Opposition to Behavioral Genetic Research and Undermine Our Moral and Legal Conventions, Part III. 行为遗传学和人类能动性:自由意志的选择性决定论如何推动对行为遗传学研究的无端反对,并破坏我们的道德和法律惯例,第三部分。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-10-18 DOI: 10.1017/thg.2025.10016
Damien Morris

This article argues that a pervasive but confused theory of free will is driving unwarranted resistance to behavioral genetic research and undermining the concept of personal responsibility enshrined in our moral and legal conventions. We call this the theory of 'free-will-by-subtraction'. A particularly explicit version of this theory has been propounded by the psychologist Eric Turkheimer, who has proposed that human agency can be scientifically quantified as the behavioral variation that remains unexplained after known genetic and environmental causes have been accounted for. This theory motivates resistance to research that suggests genetic differences substantially account for differences in human behavior because that is seen to reduce the scope of human freedom. In academic philosophy, free-will-by-subtraction theory corresponds to a position called 'libertarian incompatibilism', which holds that human beings are not responsible for behavior that has antecedent causes yet maintains that free will nonetheless exists because some fraction of human behavioral variation is self-caused. However, this position is rejected by most professional philosophers. We argue that libertarian incompatibilism is inconsistent with a secular materialist outlook in which all human behavior is understood to have antecedent causes whether those causes are known to science or not - an outlook Turkheimer shares. We show that Turkheimer sustains this contradiction by adopting an untenable position we call 'epistemic libertarianism', which holds that antecedent causes of our behavior only infringe on our freedom if we know about them. By contrast, the overwhelming majority of secular materialist philosophers support a position called 'compatibilism', which maintains that free will is compatible with the comprehensive causation of human behavior. We show that compatibilism neutralizes the threat that genetic explanation poses to human agency and rescues a generous conception of personal responsibility that aligns with our moral intuitions.

这篇文章认为,一种普遍但令人困惑的自由意志理论正在推动对行为基因研究的毫无根据的抵制,并破坏了我们的道德和法律惯例中所体现的个人责任概念。我们称之为“减法自由意志”理论。心理学家埃里克·图克海默(Eric Turkheimer)提出了这一理论的一个特别明确的版本,他提出,人类能动可以被科学地量化为在已知的遗传和环境原因被解释后仍然无法解释的行为变异。这一理论促使人们抵制那些认为基因差异在很大程度上解释了人类行为差异的研究,因为这被视为减少了人类自由的范围。在学院派哲学中,减法自由意志理论对应于一种被称为“自由意志不相容论”的立场,这种立场认为,人类不必为有先决原因的行为负责,但仍然认为自由意志是存在的,因为人类行为变化的某些部分是自我引起的。然而,这一立场被大多数专业哲学家所拒绝。我们认为,自由意志主义的不相容与世俗唯物主义的观点是不一致的,在世俗唯物主义的观点中,所有的人类行为都被理解为有预先的原因,无论这些原因是否为科学所知——这是图克海默所赞同的观点。我们表明,托克海默通过采取一种我们称之为“认知自由主义”的站不住脚的立场来维持这种矛盾,这种立场认为,我们行为的前因只有在我们知道它们的情况下才会侵犯我们的自由。相比之下,绝大多数世俗唯物主义哲学家支持一种称为“相容论”的立场,认为自由意志与人类行为的全面因果关系是相容的。我们的研究表明,相容主义消除了基因解释对人类能动性构成的威胁,并挽救了与我们的道德直觉一致的个人责任的慷慨概念。
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引用次数: 0
Trends and Factors Associated with Under-5 Excess Mortality among Twins in sub-Saharan Africa: A Study of 156 National Surveys from 42 Countries. 撒哈拉以南非洲地区5岁以下双胞胎超额死亡率的趋势和相关因素:对42个国家156项国家调查的研究。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-10-13 DOI: 10.1017/thg.2025.10007
Adama Ouedraogo, Sophie Le Coeur, Gilles Pison, Abdramane B Soura

Twin children are more likely to die than singletons. This is an additional burden in sub-Saharan African (SSA) countries, as child mortality levels are already higher than anywhere else. This article provides estimates of under-5 mortality rates (U5MRs) for twins and singletons in SSA from 1986 to 2016. It describes the geographical variations and changes over time. It also describes the variation of twins' excess mortality according to age from 0 to 5 years. Additionally, it analyzes the factors associated with twins' excess mortality. We used data from 156 national surveys from 42 countries. We estimated U5MRs for twins and single children and built a Cox model to analyze factors associated with excess mortality among twins. Although child mortality has declined on the continent, twins' excess mortality remains very high. U5MRs are, on average, 3 times higher among twins than singletons. The Cox model shows that all other things being equal, the adjusted hazard ratio of under-5 mortality (U5M) is 3.2 (2.9-3.3; p < .001) times higher among twins than singletons. The main factors associated with excess mortality risks among twins are biomedical and nutritional features, such as low birth weight, non-use of cesarean section delivery, and lack of breastfeeding. Health policy makers in SSA should be aware of the vulnerability of twins, and interventions to prevent their early deaths should be considered.

双胞胎比单胎更容易死亡。这在撒哈拉以南非洲国家是一个额外的负担,因为儿童死亡率已经高于其他任何地方。本文提供了1986年至2016年SSA双胞胎和单胎5岁以下儿童死亡率(U5MRs)的估计数。它描述了地理上的变化和随时间的变化。还描述了0 ~ 5岁年龄组双胞胎超额死亡率的变化情况。此外,它还分析了与双胞胎高死亡率相关的因素。我们使用了来自42个国家的156项全国性调查的数据。我们估计了双胞胎和单胎的u5mr,并建立了Cox模型来分析双胞胎中死亡率过高的相关因素。尽管非洲大陆的儿童死亡率有所下降,但双胞胎的超额死亡率仍然很高。平均而言,双胞胎的u5mr比单胎高3倍。Cox模型显示,在其他条件相同的情况下,双胞胎5岁以下儿童死亡率(U5M)的调整风险比是单胎的3.2倍(2.9-3.3;p < 0.001)。与双胞胎死亡风险过高相关的主要因素是生物医学和营养特征,如出生体重过低、未使用剖宫产以及缺乏母乳喂养。SSA的卫生决策者应意识到双胞胎的脆弱性,并应考虑采取干预措施防止其过早死亡。
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引用次数: 0
Data Resource Profile: The Finnish TwinRegistry Project. 数据资源简介:芬兰TwinRegistry项目。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-10-09 DOI: 10.1017/thg.2025.10025
Stephanie Zellers, Sarah Niemi de Paiva, Mikko Olkkonen, Hannu Karhunen, Terhi Maczulskij, Annina Ropponen, Jaakko Kaprio, Antti Latvala

The Older Finnish Twin Cohort was established 50 years ago and includes twins born in Finland before 1958. Members of the cohort have responded to detailed questionnaires about their health, habits, and lifestyle up to four times, in 1975, 1981, 1991, and 2011. In 2019, the Finnish Parliament approved the Act on the Secondary Use of Health and Social Data, which enables wider use of data from national social and healthcare registers as well as various patient systems and social services. This data resource article describes the linkage of the Older Finnish Twin Cohort to numerous social and healthcare registers, alongside linked data from their families and the broader Finnish population born in 1945-1957, which serves as a reference population for generalizability and other analyses.

芬兰老年双胞胎队列成立于50年前,包括1958年之前在芬兰出生的双胞胎。研究对象分别在1975年、1981年、1991年和2011年四次回答了关于他们的健康、习惯和生活方式的详细问卷。2019年,芬兰议会批准了《卫生和社会数据二次使用法》,该法案允许更广泛地使用来自国家社会和医疗保健登记以及各种患者系统和社会服务的数据。这篇数据资源文章描述了老年芬兰双胞胎队列与众多社会和医疗保健登记册的联系,以及来自其家庭和1945-1957年出生的更广泛的芬兰人口的关联数据,这些数据可作为泛化性和其他分析的参考人口。
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引用次数: 0
Is the General Factor of Personality an Entity? Testing Reflective, Formative, and Mixed Models of Polygenic Score Influence Using the English Longitudinal Study of Aging. 人格的一般因素是一个实体吗?使用英语衰老纵向研究测试多基因评分影响的反思、形成和混合模型。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-30 DOI: 10.1017/thg.2025.10024
Michael A Woodley, Mateo Peñaherrera-Aguirre, Matthew A Sarraf

Leveraging a unique dataset (the English Longitudinal Study of Aging) containing polygenic scores (PGSs) - estimated using meta-analytically-derived single nucleotide polymorphisms (SNPs) for the Big Five (BF) - the General Factor of Personality's (GFP) existence as a veritable psychometric entity was investigated. Exploratory tests involving a subsample of 200 participants revealed that while the BF PGSs were adequate for factor analysis, parallel analysis suggested the presence of zero factors, indicating no "genetic GFP" among these PGSs, but did indicate the presence of a robust latent GFP among the phenotypic BF. Confirmatory factor analysis involving an independent sample of 4,533 participants was used to compete three models: full mediation by the GFP of PGS effects on the BF (common pathway or reflective); full mediation by the BF of PGS effects on the GFP (independent pathways or formative); and a mixed model. All models exhibited good fit, with the reflective model having the greatest parsimony. Statistically significant covariances were also observed among the PGSs, potentially consistent with pleiotropy. Even though the reflective model fit best, the common paths were extremely weak (and could be set to zero in most cases), with only the (negatively signed) path from the extraversion PGS to the GFP reaching significance. This finding is (weakly) consistent with the hypothesis that the GFP is a valid entity.

利用包含多基因分数(PGSs)的独特数据集(英国老龄化纵向研究)-使用大五(BF)的荟萃分析衍生的单核苷酸多态性(snp)估计-人格的一般因素(GFP)作为一个真正的心理测量实体存在进行了调查。涉及200名参与者的子样本的探索性测试显示,虽然BF pgs足以进行因子分析,但平行分析表明零因素的存在,表明这些pgs中没有“遗传GFP”,但确实表明表型BF中存在强大的潜在GFP。验证性因子分析涉及4,533名参与者的独立样本,用于竞争三种模型:GFP对PGS对BF的影响(共同途径或反射)的完全中介;BF完全介导PGS对GFP的影响(独立途径或形成途径);一个混合模型。所有模型均表现出良好的拟合性,其中反射模型最简约。在pgs中也观察到统计学上显著的协方差,可能与多效性一致。尽管反射模型最适合,但共同路径非常弱(并且在大多数情况下可以设置为零),只有从外向性PGS到GFP的(负符号)路径达到显著性。这一发现(弱)与GFP是一个有效实体的假设相一致。
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引用次数: 0
Behavioral Genetics and Human Agency: How Selectively Deterministic Theories of Free Will Drive Unwarranted Opposition to Behavioral Genetic Research and Undermine Our Moral and Legal Conventions, Part II. 行为遗传学和人类代理:自由意志的选择性决定论如何推动对行为遗传学研究的无端反对,并破坏我们的道德和法律惯例,第二部分。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-18 DOI: 10.1017/thg.2025.10015
Damien Morris

This article argues that a pervasive but confused theory of free will is driving unwarranted resistance to behavioral genetic research and undermining the concept of personal responsibility enshrined in our moral and legal conventions. We call this the theory of 'free-will-by-subtraction'. A particularly explicit version of this theory has been propounded by the psychologist Eric Turkheimer, who has proposed that human agency can be scientifically quantified as the behavioral variation that remains unexplained after known genetic and environmental causes have been accounted for. This theory motivates resistance to research that suggests genetic differences substantially account for differences in human behavior because that is seen to reduce the scope of human freedom. In academic philosophy, free-will-by-subtraction theory corresponds to a position called 'libertarian incompatibilism', which holds that human beings are not responsible for behavior that has antecedent causes yet maintains that free will nonetheless exists because some fraction of human behavioral variation is self-caused. However, this position is rejected by most professional philosophers. We argue that libertarian incompatibilism is inconsistent with a secular materialist outlook in which all human behavior is understood to have antecedent causes whether those causes are known to science or not - an outlook Turkheimer shares. We show that Turkheimer sustains this contradiction by adopting an untenable position we call 'epistemic libertarianism', which holds that antecedent causes of our behavior only infringe on our freedom if we know about them. By contrast, the overwhelming majority of secular materialist philosophers support a position called 'compatibilism', which maintains that free will is compatible with the comprehensive causation of human behavior. We show that compatibilism neutralizes the threat that genetic explanation poses to human agency and rescues a generous conception of personal responsibility that aligns with our moral intuitions.

这篇文章认为,一种普遍但令人困惑的自由意志理论正在推动对行为基因研究的毫无根据的抵制,并破坏了我们的道德和法律惯例中所体现的个人责任概念。我们称之为“减法自由意志”理论。心理学家埃里克·图克海默(Eric Turkheimer)提出了这一理论的一个特别明确的版本,他提出,人类能动可以被科学地量化为在已知的遗传和环境原因被解释后仍然无法解释的行为变异。这一理论促使人们抵制那些认为基因差异在很大程度上解释了人类行为差异的研究,因为这被视为减少了人类自由的范围。在学院派哲学中,减法自由意志理论对应于一种被称为“自由意志不相容论”的立场,这种立场认为,人类不必为有先决原因的行为负责,但仍然认为自由意志是存在的,因为人类行为变化的某些部分是自我引起的。然而,这一立场被大多数专业哲学家所拒绝。我们认为,自由意志主义的不相容与世俗唯物主义的观点是不一致的,在世俗唯物主义的观点中,所有的人类行为都被理解为有预先的原因,无论这些原因是否为科学所知——这是图克海默所赞同的观点。我们表明,托克海默通过采取一种我们称之为“认知自由主义”的站不住脚的立场来维持这种矛盾,这种立场认为,我们行为的前因只有在我们知道它们的情况下才会侵犯我们的自由。相比之下,绝大多数世俗唯物主义哲学家支持一种称为“相容论”的立场,认为自由意志与人类行为的全面因果关系是相容的。我们的研究表明,相容主义消除了基因解释对人类能动性构成的威胁,并挽救了与我们的道德直觉一致的个人责任的慷慨概念。
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引用次数: 0
Twins in Naturalistic Context: Highlights from the International Society for Human Ethology/Twin Research Reviews: Twins with Feingold Syndrome; Twins' Language Delays; Breastfeeding Twins; Twins with Olmsted Syndrome/In the News: Loss of Texas Twins; A Singular Musical Sensation; Conjoined Twin Deliveries in Myanmar and India; Major League Baseball Pairs. 自然主义背景下的双胞胎:来自国际人类行为学学会/双胞胎研究综述的亮点:法因戈尔德综合征双胞胎;双胞胎的语言迟缓;母乳喂养的双胞胎;患有奥姆斯特德综合症的双胞胎/新闻:德克萨斯州双胞胎的损失;奇异的音乐感;缅甸和印度的连体分娩;美国职业棒球大联盟。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-09-09 DOI: 10.1017/thg.2025.10020
Nancy L Segal

Twin highlights from the 2025 summer meeting of the International Society for Human Ethology are reviewed. The value of observing twins in naturalistic and semi-naturalistic settings is revealed. Research reports involving twins with Feingold syndrome, twins with language delays, breastfeeding of twins, and twins with Olmsted syndrome are reviewed. The final section of this article covers timely and informative news of twins in the media. Topics include the loss of young Texas twins in the devasting July 4th flood, a sensational - and singular - musical twin performer, conjoined twin deliveries in Myanmar and India, and two pairs of twins headed to major league baseball teams.

回顾了2025年国际人类行为学学会夏季会议的两个亮点。揭示了在自然和半自然环境下观察双胞胎的价值。本文回顾了法因戈尔德综合征双胞胎、语言迟缓双胞胎、母乳喂养双胞胎和奥姆斯特德综合征双胞胎的研究报告。本文的最后一部分涵盖了媒体上关于双胞胎的及时和翔实的新闻。话题包括在7月4日毁灭性的洪水中失去了德克萨斯州的一对年轻双胞胎,一个轰动而独特的双胞胎音乐表演者,缅甸和印度的双胞胎连体分娩,以及两对双胞胎前往大联盟棒球队。
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引用次数: 0
Upholding Protocol - The Logic of Diagnosis - Tribute to E. M. Nicholls (1927-2011). 坚持协议-诊断的逻辑-致敬e.m.尼科尔斯(1927-2011)。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-19 DOI: 10.1017/thg.2025.10017
Alan E Stark, Paulo A Otto

Max Nicholls had an almost unique experience as a medical practitioner, researcher and teacher of medical genetics. An earlier paper described his contribution to the etiology of neurofibromatosis. This was followed by Nicholls' own experience as lecturer in the Faculty of Medicine, University of New South Wales, Australia. This note draws attention to his research in immunology. For example, he was instrumental in the study of the buffy coat leuko-agglutination (BCLA) test, a sensitive assay for cell-mediated immunity that he introduced to detect conditions (including cancer) in preclinical stages.

马克斯·尼科尔斯作为一名医学从业者、研究人员和医学遗传学教师,有着几乎独一无二的经历。一篇较早的论文描述了他对神经纤维瘤病病因学的贡献。接下来是Nicholls自己在澳大利亚新南威尔士大学医学院担任讲师的经历。这篇笔记使人们注意到他在免疫学方面的研究。例如,他在白皮毛白细胞凝集(BCLA)试验的研究中发挥了重要作用,这是一种检测细胞介导免疫的敏感试验,他引入了这种试验来检测临床前阶段的疾病(包括癌症)。
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引用次数: 0
A Seven-Gene Signature for the Diagnosis of Parkinson's Disease and Immune Infiltration Analysis. 帕金森病诊断和免疫浸润分析的七基因标记。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-19 DOI: 10.1017/thg.2025.10008
Chengqun Wei, Rui Xue, Zhan Gao, Hongyan Zhu, Xiuzhi Xu

The objective was to identify the predictive markers and develop a diagnostic model with predictive markers for Parkinson's disease (PD) and investigate the roles of immune cells in the disease pathology. Microarray datasets of PD and control samples were obtained from the Gene Expression Omnibus (GEO) database. We then performed a comprehensive analysis of differentially expressed genes (DEGs), functional enrichment, and protein-protein interactions to pinpoint a set of promising candidate genes. To establish a diagnosis model for PD, we utilized machine learning algorithms and evaluated the corresponding diagnostic performance using the receiver operating characteristic (ROC) curve and the area under the ROC curve (AUC). Additionally, the differential abundance of immune cell subsets between PD and control samples was evaluated using the single-sample Gene Set Enrichment Analysis (ssGSEA) method. A total of 264 DEGs were identified in GSE72267. The PPI network ultimately identified 30 hub genes for model construction. Seven genes, namely CD79B, CD40, CCR9, ADRA2A, SIGLEC1, FLT3LG, and THBD, were identified as diagnostic markers for PD, with an AUC of 0.870. This seven-gene signature model was subsequently validated in an independent cohort (GSE22491), demonstrating an AUC of 0.825. Ultimately, the infiltration of 28 immune cells showed that activated B cells, natural killer T cells, and regulatory T cells may contribute to the occurrence and progression of PD. We also found complex associations between these genes and immune cells. CD79B, CD40, CCR9, ADRA2A, SIGLEC1, FLT3LG, and THBD were identified as diagnostic markers for PD, and the infiltration of immune cells may contribute to the pathogenesis of the disease.

目的是确定帕金森病(PD)的预测标志物,建立具有预测标志物的诊断模型,并研究免疫细胞在疾病病理中的作用。PD和对照样本的微阵列数据集来自基因表达Omnibus (GEO)数据库。然后,我们对差异表达基因(DEGs)、功能富集和蛋白质-蛋白质相互作用进行了全面分析,以确定一组有希望的候选基因。为了建立PD的诊断模型,我们使用机器学习算法,并使用受试者工作特征(ROC)曲线和ROC曲线下面积(AUC)评估相应的诊断性能。此外,使用单样本基因集富集分析(ssGSEA)方法评估PD和对照样品之间免疫细胞亚群的差异丰度。在GSE72267中共鉴定出264个deg。PPI网络最终确定了30个枢纽基因用于模型构建。共鉴定出CD79B、CD40、CCR9、ADRA2A、SIGLEC1、FLT3LG、THBD 7个基因作为PD的诊断标志物,AUC为0.870。该7基因签名模型随后在一个独立队列(GSE22491)中得到验证,AUC为0.825。最终,28个免疫细胞的浸润表明,活化的B细胞、自然杀伤T细胞和调节性T细胞可能参与PD的发生和发展。我们还发现这些基因和免疫细胞之间存在复杂的关联。CD79B、CD40、CCR9、ADRA2A、SIGLEC1、FLT3LG和THBD被确定为PD的诊断标志物,免疫细胞的浸润可能参与PD的发病机制。
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引用次数: 0
Mutual Tissue Microchimerism of Hepatoblastomas in Monozygotic Twins From a Familial Adenomatous Polyposis Family. 腺瘤性息肉病家族同卵双胞胎肝母细胞瘤的相互组织微嵌合。
IF 1.2 4区 医学 Q4 GENETICS & HEREDITY Pub Date : 2025-08-18 DOI: 10.1017/thg.2025.10019
Atsuhiro Arisue, Kiyoshi Yamaguchi, Kiyoko Takane, Yoshiko Asakura, Yasushi Hasegawa, Masaru Mizuno, Hiroyuki Nitta, Kazuyuki Ishida, Takeshi Iwaya, Eigo Shimizu, Seiya Imoto, Satoru Miyano, Yoichi Furukawa, Satoshi S Nishizuka

Patients with familial adenomatous polyposis (FAP) have increased risk of hepatoblastoma (HB). We report monozygotic twins with HB in a FAP family. To explore genetic alterations in the HBs of the twins, we carried out whole exome sequencing (WES), RNA-seq, and immunohistochemical analyses of the tumors. Additional multiregional digital PCR was performed to profile clonality of each tumor. To determine a pathogenic germline variant in APC, Sanger sequencing was applied for the twins, the father, and the siblings of the father. A pathogenic variant of the APC gene was identified in the father as well as the twins. The WES of the HBs in the twins identified somatic mutations, including an NRAS mutation in the tumor of the first infant (C1), and an ACVR2A mutation in the tumor of the second infant (C2). No somatic mutations were identified in the genes associated with the Wnt signaling pathway. However, accumulation of β-catenin was found in the C1 and C2 tumors by immunohistochemical staining, suggesting activation of the Wnt signaling pathway. Digital PCR analysis revealed that the NRAS mutation was found in multiregional specimens of C1 and those of C2. The ACVR2A mutation was found in multiregional specimens of C2, whereas the mutation was also identified in those of C1. The existence of a shared somatic mutation may suggest that microchimerism took place in the development of HBs through the utero-placental circulatory system. Importantly, the initiation of tumorigenesis is thought to occur during the fetal period after organ development of the liver.

家族性腺瘤性息肉病(FAP)患者发生肝母细胞瘤(HB)的风险增加。我们报告在一个FAP家庭同卵双胞胎与HB。为了探索双胞胎HBs的遗传改变,我们对肿瘤进行了全外显子组测序(WES)、RNA-seq和免疫组织化学分析。另外进行多区域数字PCR来分析每个肿瘤的克隆性。为了确定APC的致病种系变异,对双胞胎、父亲和父亲的兄弟姐妹进行了Sanger测序。在父亲和双胞胎中发现了APC基因的致病变异。双胞胎HBs的WES鉴定出体细胞突变,包括第一个婴儿肿瘤中的NRAS突变(C1)和第二个婴儿肿瘤中的ACVR2A突变(C2)。与Wnt信号通路相关的基因未发现体细胞突变。然而,免疫组化染色在C1和C2肿瘤中发现β-catenin的积累,提示Wnt信号通路的激活。数字PCR分析显示,在C1和C2的多区域标本中发现了NRAS突变。在C2的多区域标本中发现了ACVR2A突变,而在C1的标本中也发现了该突变。共同体细胞突变的存在可能表明,在HBs的发育过程中,通过子宫-胎盘循环系统发生了微嵌合。重要的是,肿瘤发生的起始被认为发生在肝脏器官发育后的胎儿时期。
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引用次数: 0
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Twin Research and Human Genetics
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