Genomic Relationships, Novel Loci, and Pleiotropic Mechanisms across Eight Psychiatric Disorders

Wellcome Trust Case-Control Consortium, Cross-Disorder Group of the Psychiatric Genomics Consortium, 23andMe Research Team, Psychosis Endophenotypes International Consortium

Research output: Contribution to journalArticlepeer-review

821 Scopus citations

Abstract

Genetic influences on psychiatric disorders transcend diagnostic boundaries, suggesting substantial pleiotropy of contributing loci. However, the nature and mechanisms of these pleiotropic effects remain unclear. We performed analyses of 232,964 cases and 494,162 controls from genome-wide studies of anorexia nervosa, attention-deficit/hyperactivity disorder, autism spectrum disorder, bipolar disorder, major depression, obsessive-compulsive disorder, schizophrenia, and Tourette syndrome. Genetic correlation analyses revealed a meaningful structure within the eight disorders, identifying three groups of inter-related disorders. Meta-analysis across these eight disorders detected 109 loci associated with at least two psychiatric disorders, including 23 loci with pleiotropic effects on four or more disorders and 11 loci with antagonistic effects on multiple disorders. The pleiotropic loci are located within genes that show heightened expression in the brain throughout the lifespan, beginning prenatally in the second trimester, and play prominent roles in neurodevelopmental processes. These findings have important implications for psychiatric nosology, drug development, and risk prediction.

Original languageEnglish
Pages (from-to)1469-1482.e11
JournalCell
Volume179
Issue number7
DOIs
StatePublished - 12 Dec 2019

Funding

FundersFunder number
Therapix Biosiences
Tourette Association of America
Great Ormond Street Hospital NHS Foundation Trust
Merck
Therapix Biosiences and Wayland Group
Zynerba Pharmaceuticals
Else Kröner-Fresenius-Stiftung
National Center for Biotechnology Information
Aarhus Universitet
Tourette Gesellschaft Deutschland
Medizinisch Wissenschaftliche Verlagsgesellschaft Berlin
IACM
AbbVie
German Tourette Association TGD
National Institute for Health and Care Research
Camp4 Therapeutics Corporation
Stanley Foundation
European Commission
Faculty of Science, Agriculture and Engineering, Newcastle University
Janssen Pharmaceuticals
University College London
Fundacion Canna
Tilray
Klarman Family Foundation
Association for Cannabinoid Medicines
Abide Therapeutics
NIHR Great Ormond Street Hospital Biomedical Research Centre
Simons Foundation
Gene Environment Association Studies
American Society of Clinical Psychopharmacology
National Institute of Neurological Disorders and StrokeK02NS085048, R01NS016648, U01NS040024, P30NS062691
National Institute of Mental HealthR00MH101367, R01MH071507, R01MH092289, U01MH085520, U01MH109501, R01MH117599, R00MH113823, R01MH079494, K01MH106675, U01MH094421, K01MH109765, U01MH109528, R21MH087748, K01MH100435, U01MH085518, R01MH092513, R01MH119243, U01MH085513, R01MH119084, R13MH073250, DP2MH122403, R01MH113362, K01MH109782, U01MH109514, U01MH109536, R01MH079487, U01MH109499, U01MH109532, R01MH092293, K01MH113848, R01MH079489, U01MH094432, R01MH079488, U01MH109539, U01MH094411, R01MH096767, R01MH106547, U01MH096296, U01MH085508
National Human Genome Research InstituteU01HG008685, U01HG004446, U01HG004422, U01HG004438
Bundesministerium für Bildung und Forschung01KG1421
GENEVA Coordinating CenterU01 HG004446
National Institute on Drug AbuseHHSN268200782096C, R01DA013423
Novo Nordisk Fonden1U01MH109514-01
National Cancer InstituteP01CA089392
Simons Foundation Autism Research Initiative311789, 5U01MH094432-02
Seventh Framework Programme316978, 278367
GEIU01 HG004422
Johns Hopkins UniversityU01HG004438
LundbeckfondenR155-2014-1724, R248-2017-2003, R165-2013-15320, R102-A9118
FP7-HEALTH-2011FP7-PEOPLE-2012-ITN
Genetics of AlcoholismR01 DA013423, U10 AA008401, P01 CA089392
National Institute on Alcohol Abuse and AlcoholismU10AA008401, K01AA025113
South East Norway Health Authority2017-112
Deutsche ForschungsgemeinschaftGZ MU 1527/3-1
Vetenskapsrådet538-2013-8864
National Institutes of HealthR01MH002930-06
Norges Forskningsråd248828, 223273, 283798, 248778, 262656, 273291

    Keywords

    • GWAS
    • Psychiatric genetics
    • cross-disorder genetics
    • functional genomics
    • gene expression
    • genetic architecture
    • genetic correlation
    • neurodevelopment
    • pleiotropy
    • psychiatric disorders

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