分子遗传学的研究极大地推进了我们对阅读障碍的理解,这对于深入了解阅读障碍者大脑结构和功能特征及其认知发展缺陷具有重要的推动意义,也有利于阅读障碍儿童的鉴别与矫治。目前研究者已经发现了多个阅读障碍候选基因,然而阅读障碍是受到多基因共同作用的复杂遗传疾病,其表现形式还受到语言文化环境等多种因素的影响,从不同研究中得到的结果仍然存在较大的差异。目前,对于这些候选基因的作用的实质还没有明确的结论,研究还处于初步积累阶段,仍然需要大量的研究对已有结果进行重复验证。当前正在发展的多中心合作研究将极大地促进阅读障碍候选基因的研究,帮助我们更好地探讨基因作用跨语言、文化、种族的普遍性和特殊性。

另外,目前的研究者普遍认同阅读障碍代表了阅读能力正态分布的末端,他们只存在发展上的落后(e.g.,Ho et al.,2007;Shaywitz & Shaywitz,2005)。既然阅读障碍代表阅读能力的末端,属于阅读能力连续体的一部分,那么阅读障碍的候选基因对一般群体阅读能力的作用如何是值得研究者进一步探讨的问题。此外,研究者主要采用横断研究的方法,仅在单一时间点上探讨候选基因与阅读障碍的关系,而行为研究已经证明,阅读障碍者的认知缺陷及障碍程度在个体发展的不同阶段存在异质性,因此后续研究还需要从纵向追踪的角度进行深入分析。

摘要 Abstract

Developmental dyslexia, DD, is a complex genetic disorder, and with multiple cognitive deficits.Previous molecular genetic studies mainly adopted case-control design to investigate possible candidate genes for DD, and have reported several candidate genes (such as DYX1C1,DCDC2,KIAA0319/TTRAP).Further investigation revealed that these candidate genes were also in contribution to reading-related cognitive skills.This paper introduces previous studies on candidate genes of DD, including findings of genetic association studies on Chinese population.

Keywords

developmental dyslexia, candidate gene, association analysis, cognitive phenotype

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[1] 成都医学院心理学系

[2] 北京师范大学认知神经科学与学习国家重点实验室