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Association of a schizophrenia-risk nonsynonymous variant with putamen volume in adolescents
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(2019) Association of a schizophrenia-risk nonsynonymous variant with putamen volume in adolescents. JAMA Psychiatry, 76 (4). pp. 435-445. doi:10.1001/jamapsychiatry.2018.4126 ISSN 2168-622X.
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Official URL: http://dx.doi.org/10.1001/jamapsychiatry.2018.4126
Abstract
Importance
Deviation from normal adolescent brain development precedes manifestations of many major psychiatric symptoms. Such altered developmental trajectories in adolescents may be linked to genetic risk for psychopathology.
Objective
To identify genetic variants associated with adolescent brain structure and explore psychopathologic relevance of such associations.
Design, Setting, and Participants
Voxelwise genome-wide association study in a cohort of healthy adolescents aged 14 years and validation of the findings using 4 independent samples across the life span with allele-specific expression analysis of top hits. Group comparison of the identified gene-brain association among patients with schizophrenia, unaffected siblings, and healthy control individuals. This was a population-based, multicenter study combined with a clinical sample that included participants from the IMAGEN cohort, Saguenay Youth Study, Three-City Study, and Lieber Institute for Brain Development sample cohorts and UK biobank who were assessed for both brain imaging and genetic sequencing. Clinical samples included patients with schizophrenia and unaffected siblings of patients from the Lieber Institute for Brain Development study. Data were analyzed between October 2015 and April 2018.
Main Outcomes and Measures
Gray matter volume was assessed by neuroimaging and genetic variants were genotyped by Illumina BeadChip.
Results
The discovery sample included 1721 adolescents (873 girls [50.7%]), with a mean (SD) age of 14.44 (0.41) years. The replication samples consisted of 8690 healthy adults (4497 women [51.8%]) from 4 independent studies across the life span. A nonsynonymous genetic variant (minor T allele of rs13107325 in SLC39A8, a gene implicated in schizophrenia) was associated with greater gray matter volume of the putamen (variance explained of 4.21% in the left hemisphere; 8.66; 95% CI, 6.59-10.81; P = 5.35 × 10−18; and 4.44% in the right hemisphere; t = 8.90; 95% CI, 6.75-11.19; P = 6.80 × 10−19) and also with a lower gene expression of SLC39A8 specifically in the putamen (t127 = −3.87; P = 1.70 × 10−4). The identified association was validated in samples across the life span but was significantly weakened in both patients with schizophrenia (z = −3.05; P = .002; n = 157) and unaffected siblings (z = −2.08; P = .04; n = 149).
Conclusions and Relevance
Our results show that a missense mutation in gene SLC39A8 is associated with larger gray matter volume in the putamen and that this association is significantly weakened in schizophrenia. These results may suggest a role for aberrant ion transport in the etiology of psychosis and provide a target for preemptive developmental interventions aimed at restoring the functional effect of this mutation.
Item Type: | Journal Article | |||||||||||||||||||||||||||
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Subjects: | R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry | |||||||||||||||||||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Science > Computer Science | |||||||||||||||||||||||||||
Library of Congress Subject Headings (LCSH): | Schizophrenia -- Genetic aspects, Teenagers | |||||||||||||||||||||||||||
Journal or Publication Title: | JAMA Psychiatry | |||||||||||||||||||||||||||
Publisher: | American Medical Association | |||||||||||||||||||||||||||
ISSN: | 2168-622X | |||||||||||||||||||||||||||
Official Date: | 2019 | |||||||||||||||||||||||||||
Dates: |
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Volume: | 76 | |||||||||||||||||||||||||||
Number: | 4 | |||||||||||||||||||||||||||
Page Range: | pp. 435-445 | |||||||||||||||||||||||||||
DOI: | 10.1001/jamapsychiatry.2018.4126 | |||||||||||||||||||||||||||
Status: | Peer Reviewed | |||||||||||||||||||||||||||
Publication Status: | Published | |||||||||||||||||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||||||||||||||||||||
Date of first compliant deposit: | 31 January 2019 | |||||||||||||||||||||||||||
Date of first compliant Open Access: | 31 January 2019 | |||||||||||||||||||||||||||
RIOXX Funder/Project Grant: |
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