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Published Online: 1 September 2012

Genome-Wide Association Study of Multiplex Schizophrenia Pedigrees

Abstract

Objective

The authors used a genome-wide association study (GWAS) of multiply affected families to investigate the association of schizophrenia to common single-nucleotide polymorphisms (SNPs) and rare copy number variants (CNVs).

Method

The family sample included 2,461 individuals from 631 pedigrees (581 in the primary European-ancestry analyses). Association was tested for single SNPs and genetic pathways. Polygenic scores based on family study results were used to predict case-control status in the Schizophrenia Psychiatric GWAS Consortium (PGC) data set, and consistency of direction of effect with the family study was determined for top SNPs in the PGC GWAS analysis. Within-family segregation was examined for schizophrenia-associated rare CNVs.

Results

No genome-wide significant associations were observed for single SNPs or for pathways. PGC case and control subjects had significantly different genome-wide polygenic scores (computed by weighting their genotypes by log-odds ratios from the family study) (best p=10−17, explaining 0.4% of the variance). Family study and PGC analyses had consistent directions for 37 of the 58 independent best PGC SNPs (p=0.024). The overall frequency of CNVs in regions with reported associations with schizophrenia (chromosomes 1q21.1, 15q13.3, 16p11.2, and 22q11.2 and the neurexin-1 gene [NRXN1]) was similar to previous case-control studies. NRXN1 deletions and 16p11.2 duplications (both of which were transmitted from parents) and 22q11.2 deletions (de novo in four cases) did not segregate with schizophrenia in families.

Conclusions

Many common SNPs are likely to contribute to schizophrenia risk, with substantial overlap in genetic risk factors between multiply affected families and cases in large case-control studies. Our findings are consistent with a role for specific CNVs in disease pathogenesis, but the partial segregation of some CNVs with schizophrenia suggests that researchers should exercise caution in using them for predictive genetic testing until their effects in diverse populations have been fully studied.

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Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 963 - 973
PubMed: 22885689

History

Received: 23 September 2011
Revision received: 17 April 2012
Accepted: 7 May 2012
Published online: 1 September 2012
Published in print: September 2012

Authors

Details

Douglas F. Levinson, M.D.
Dieter B. Wildenauer, Ph.D.
Claudine Laurent, M.D., Ph.D.
Bryan J. Mowry, M.D., F.R.A.N.Z.C.P.
Michael J. Owen, Ph.D., F.R.C.Psych.
Kenneth S. Kendler, M.D.
Sibylle G. Schwab, Ph.D.
Deborah Nertney, B.Sc.
Nigel M. Williams, Ph.D.
Virginia K. Lasseter, B.A.
Stephanie Godard-Bauché, M.S.
Madeline Alexander, Ph.D.
Michael C. O’Donovan, Ph.D., F.R.C.Psych.
Anthony O’Neill, M.D.
George N. Papadimitriou, M.D.
Dominique Campion, M.D., Ph.D.
David Cohen, M.D., Ph.D.
Peter Eichhammer, M.D.
Jeremy M. Silverman, Ph.D.
Hakon Hakonarson, M.D., Ph.D.
The Schizophrenia Psychiatric GWAS Consortium
Frank Dudbridge, Ph.D.
Peter A. Holmans, Ph.D.
From the Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, Calif.; Departments of Psychiatry and Preventive Medicine, University of Southern California, Los Angeles; Departments of Psychiatry and Human Genetics, Virginia Commonwealth University, Richmond; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore; Department of Psychiatry, University of Western Australia, Perth; NorthShore University Healthcare Research Institute, Evanston, Ill.; Department of Psychiatry, University of Chicago, Chicago; Queensland Brain Institute, University of Queensland, Brisbane, Australia; Queensland Centre for Mental Health Research, Brisbane; Department of Child and Adolescent Psychiatry, Faculty of Medicine, Université Pierre et Marie Curie, Paris; Department of Psychiatry and Psychotherapy, University of Erlangen-Nuremberg, Erlangen, Germany; ICM Institute, Hôpital de la Pitié Salpêtrière, Paris; State Mental Hospital, Haar, Germany; Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital de la Pitiè-Salpêtrière, Paris; Department of Psychiatry, University of Bonn, Bonn, Germany; Department of Psychiatry, University of Athens Medical School, Athens, Greece; the Health Research Board, Dublin, Ireland; Queens University, Belfast, Northern Ireland; Department of Psychiatry, Hadassah-Hebrew University Medical Center, Jerusalem; INSERM, Unité 614, Institut Hospitalo-Universitaire de Recherche Biomédicale, Rouen, France; Department of Research, Centre Hospitalier de Saint Etienne du Rouvray, Rouen; Mental Health Service Line, Washington VA Medical Center, Washington, D.C.; Department of Psychiatry, Georgetown University School of Medicine, Washington, D.C.; Department of Psychiatry, University of Regensburg, Regensburg, Germany; Department of Psychiatry, Mt. Sinai School of Medicine, New York; Children’s Hospital of Philadelphia and University of Pennsylvania, Philadelphia; Illumina, Inc., La Jolla, Calif.; Center for Human Genetic Research, Massachusetts General Hospital, Boston; Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, Mass.; Department of Statistical Genetics and Epidemiology, London School of Hygiene and Tropical Medicine, London; MRC Centre for Neuropsychiatric Genetics and Genomics, Department of Psychological Medicine and Neurology, School of Medicine, and Neuroscience and Mental Health Research Institute, Cardiff University, Wales, U.K.
Participants in the Schizophrenia Psychiatric GWAS Consortium are listed in the online data supplement (starting on p. S28).

Notes

Address correspondence to Dr. Levinson ([email protected]).

Funding Information

Dr. O’Donovan’s institution received an honorarium from Lilly with respect to a presentation he gave at a satellite meeting of the Japanese Schizophrenia Society. Dr. Hansen works for Illumina, Inc. Dr. Mallet is founder and part owner of Newvectys, Inc. (Paris). Dr. Maier has received research grants from, is a member of the advisory boards of, or receives speaking fees from AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Janssen-Cilag, Lundbeck, Merck, Pfizer, Sanofi-Aventis, Schering, and Böhringer. Dr. Papadimitriou has been on speakers or advisory boards for or has received travel expenses, honoraria, or consultancy fees for participation in research and in clinical expert groups from AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Janssen, Lundbeck, Pfizer, Sanofi, Servier, and Wyeth; he has also received unrestricted grants from AstraZeneca, Janssen, and Lilly for the Department of Psychiatry of Eginition Hospital (Athens University), of which he is the chairman. Dr. Dikeos has been on speakers or advisory boards for or has received honoraria or travel expenses from AstraZeneca, Boehringer, Bristol, Eli Lilly, Genesis Pharma, GlaxoSmithKline, Janssen, Lundbeck, Sanofi, UniPharma, and Wyeth; he has also received consultancy fees for participation in research for Eli Lilly and for participation in clinical expert groups for Bristol Myers Squibb and unrestricted grants from Lilly and AstraZeneca for the Sleep Research Unit of Eginition Hospital (Athens University), of which he is director. Dr. Jay and Ms. Lasseter are deceased and had no competing interests during this study. The remaining authors report no financial relationships with commercial interests.
Supplementary Material
Supported by NIMH grant R01MH062276 (to Drs. Levinson, Laurent, Owen, and Wildenauer), grant R01MH068922 (to Dr. Gejman), grant R01MH068921 (to Dr. Pulver) and grant R01MH068881 (to Dr. Riley). Data from the Molecular Genetics of Schizophrenia data set are available from the NIMH Center for Genetic Studies (http://nimhgenetics.org) and dbGAP (http://www.ncbi.nlm.nih.gov/gap); they were collected under funding by collaborative NIMH grants to NorthShore University HealthSystem, Evanston, Ill. (MH59571; Pablo V. Gejman, M.D., collaboration coordinator and principal investigator; and Alan R. Sanders, M.D.); Stanford University, Palo Alto, Calif. (MH61675; Douglas F. Levinson, M.D., principal investigator); Louisiana State University, New Orleans (MH67257; Nancy G. Buccola, A.P.R.N., B.C., principal investigator); University of Queensland, Brisbane, Queensland, Australia (MH59588; Bryan J. Mowry, M.D., principal investigator); University of Colorado, Denver (MH59565; Robert Freedman, M.D., principal investigator; and Ann Olincy, M.D.); Emory University School of Medicine, Atlanta (MH59587; Farooq Amin, M.D., principal investigator); University of Iowa, Iowa City (MH59566; Donald W. Black, M.D., principal investigator; and Raymond R. Crowe, M.D.); Mount Sinai School of Medicine, New York (MH59586; Jeremy M. Silverman, Ph.D., principal investigator); University of California, San Francisco (MH60870; William F. Byerley, M.D., principal investigator); and Washington University, St. Louis (MH60879; C. Robert Cloninger, M.D., principal investigator).

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