A polygenic resilience score moderates the genetic risk for schizophrenia

The Schizophrenia Working Group of the Psychiatric Genomics Consortium, Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH)

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Based on the discovery by the Resilience Project (Chen R. et al. Nat Biotechnol 34:531–538, 2016) of rare variants that confer resistance to Mendelian disease, and protective alleles for some complex diseases, we posited the existence of genetic variants that promote resilience to highly heritable polygenic disorders1,0 such as schizophrenia. Resilience has been traditionally viewed as a psychological construct, although our use of the term resilience refers to a different construct that directly relates to the Resilience Project, namely: heritable variation that promotes resistance to disease by reducing the penetrance of risk loci, wherein resilience and risk loci operate orthogonal to one another. In this study, we established a procedure to identify unaffected individuals with relatively high polygenic risk for schizophrenia, and contrasted them with risk-matched schizophrenia cases to generate the first known “polygenic resilience score” that represents the additive contributions to SZ resistance by variants that are distinct from risk loci. The resilience score was derived from data compiled by the Psychiatric Genomics Consortium, and replicated in three independent samples. This work establishes a generalizable framework for finding resilience variants for any complex, heritable disorder.

Original languageEnglish
Pages (from-to)800-815
Number of pages16
JournalMolecular Psychiatry
Volume26
Issue number3
DOIs
StatePublished - 1 Mar 2021

Funding

FundersFunder number
CIRRAU centers
Dutch Brain Foundation
K.G. Jebsen Centre for Research
National Institute of Mental Health
National Institute on Aging
National Institutes of Health5R01AG054002
National Institutes of Health
National Institute of Mental HealthU01 MH109536-01, U01 MH109532, 5R01MH101519
National Institute of Mental Health
National Institute on Alcohol Abuse and AlcoholismU10AA008401
National Institute on Alcohol Abuse and Alcoholism
Stanley Medical Research Institute
Strategiske Forskningsråd
Aarhus Universitet
Horizon 2020 Framework Programme667302
Horizon 2020 Framework Programme
Seventh Framework Programme602805
Seventh Framework Programme
European Research Council294838
European Research Council
Vrije Universiteit Amsterdam
Nederlandse Organisatie voor Wetenschappelijk Onderzoek480-05-003
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
LundbeckfondenR155-2014-1724, R102-A9118
Lundbeckfonden
Novo Nordisk Fonden

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