PMID- 30652006 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2054-345X (Print) IS - 2054-345X (Electronic) IS - 2054-345X (Linking) VI - 6 DP - 2019 TI - Genetics of narcolepsy. PG - 4 LID - 10.1038/s41439-018-0033-7 [doi] LID - 4 AB - Narcolepsy is a term that was initially coined by Gelineau in 1880 and is a chronic neurological sleep disorder that manifests as a difficulty in maintaining wakefulness and sleep for long periods. Currently, narcolepsy is subdivided into two types according to the International Classification of Sleep Disorders, 3rd edition: narcolepsy type 1 (NT1) and narcolepsy type 2 (NT2). NT1 is characterized by excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis and is caused by a marked reduction in neurons in the hypothalamus that produce orexin (hypocretin), which is a wakefulness-associated neuropeptide. Except for cataplexy, NT2 exhibits most of the same symptoms as NT1. NT1 is a multifactorial disease, and genetic variations at multiple loci are associated with NT1. Almost all patients with NT1 carry the specific human leukocyte antigen (HLA) allele HLA-DQB1 (*) 06:02. Genome-wide association studies have uncovered >10 genomic variations associated with NT1. Rare variants associated with NT1 have also been identified by DNA genome sequencing. NT2 is also a complex disorder, but its underlying genetic architecture is poorly understood. However, several studies have revealed loci that increase susceptibility to NT2. The currently identified loci cannot explain the heritability of narcolepsy (NT1 and NT2). We expect that future genomic research will provide important contributions to our understanding of the genetic basis and pathogenesis of narcolepsy. FAU - Miyagawa, Taku AU - Miyagawa T AD - 1Sleep Disorders Project, Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan. GRID: grid.272456.0 AD - 2Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. ISNI: 0000 0001 2151 536X. GRID: grid.26999.3d FAU - Tokunaga, Katsushi AU - Tokunaga K AD - 2Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. ISNI: 0000 0001 2151 536X. GRID: grid.26999.3d LA - eng PT - Journal Article PT - Review DEP - 20190108 PL - England TA - Hum Genome Var JT - Human genome variation JID - 101652445 PMC - PMC6325123 COIS- The authors declare that they have no conflict of interest. EDAT- 2019/01/18 06:00 MHDA- 2019/01/18 06:01 PMCR- 2019/01/08 CRDT- 2019/01/18 06:00 PHST- 2018/07/18 00:00 [received] PHST- 2018/11/15 00:00 [revised] PHST- 2018/11/18 00:00 [accepted] PHST- 2019/01/18 06:00 [entrez] PHST- 2019/01/18 06:00 [pubmed] PHST- 2019/01/18 06:01 [medline] PHST- 2019/01/08 00:00 [pmc-release] AID - 33 [pii] AID - 10.1038/s41439-018-0033-7 [doi] PST - epublish SO - Hum Genome Var. 2019 Jan 8;6:4. doi: 10.1038/s41439-018-0033-7. eCollection 2019.