Investigating Shared Genetic Basis Across Tourette Syndrome and Comorbid Neurodevelopmental Disorders Along the Impulsivity-Compulsivity Spectrum.

Investigating Shared Genetic Basis Across Tourette Syndrome and Comorbid Neurodevelopmental Disorders Along the Impulsivity-Compulsivity Spectrum.
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DOI:
10.1016/j.biopsych.2020.12.028
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发表时间:
2021-09-01
影响因子:
10.6
通讯作者:
Paschou, Peristera
Paschou, Peristera
中科院分区:
医学1区
文献类型:
--
作者:
Yang, Zhiyu;Wu, Hanrui;Lee, Phil H.;Tsetsos, Fotis;Davis, Lea K.;Yu, Dongmei;Lee, Sang Hong;Dalsgaard, Soren;Haavik, Jan;Barta, Csaba;Zayats, Tetyana;Eapen, Valsamma;Wray, Naomi R.;Devlin, Bernie;Daly, Mark;Neale, Benjamin;Borglum, Anders D.;Crowley, James J.;Scharf, Jeremiah;Mathews, Carol A.;V. Faraone, Stephen;Franke, Barbara;Mattheisen, Manuel;Smoller, Jordan W.;Paschou, Peristera

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抽动秽语综合征(TS)常常在冲动 - 强迫谱系中与其他神经发育障碍共病,其中注意缺陷/多动障碍(ADHD)、自闭症谱系障碍(ASD)和强迫症(OCD)最为常见。这表明在冲动 - 强迫连续统上可能存在共同的病因线索。 为了研究TS、ADHD、ASD和OCD之间共有的遗传基础,我们对跨疾病的遗传结构进行了评估和系统的荟萃分析,整合了来自最新全基因组关联研究(93,294人,6,788,510个标记)的汇总统计数据。 如先前已确定的,一个共同的统一因素将TS、ADHD和ASD联系起来,而在这些疾病中两两测试时,TS和OCD显示出最高的遗传相关性。由于一组更具同质性的疾病以及由遗传相关性指导的针对性方法,我们能够识别出多个新的位点和区域,这些位点和区域似乎对在此分析的特定疾病具有多效性作用,并且无法通过先前的研究识别出来。在基于单核苷酸多态性和基于基因的TS - ADHD - ASD全基因组关联研究的荟萃分析中,我们发现了13个全基因组显著区域,这些区域包含与所有三种研究疾病具有高后验关联概率(m值>0.9)的单核苷酸多态性,其中11个在先前的跨疾病分析中未被识别出来。相比之下,我们在TS - OCD荟萃分析中还识别出另外两个多效性区域。通过条件分析,我们强调了在TS - ADHD - ASD遗传因素与TS - OCD中起特定作用的基因和遗传区域。跨疾病组织特异性分析表明下丘脑 - 垂体 - 肾上腺轴在TS - ADHD - ASD中起作用。 我们的工作强调了重新定义传统诊断类别研究框架的价值。
Tourette syndrome (TS) is often found comorbid with other neurodevelopmental disorders across the impulsivity-compulsivity spectrum, with attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and obsessive-compulsive disorder (OCD) as most prevalent. This points to the possibility of a common etiological thread along an impulsivity-compulsivity continuum. Investigating the shared genetic basis across TS, ADHD, ASD, and OCD, we undertook an evaluation of cross-disorder genetic architecture and systematic meta-analysis, integrating summary statistics from the latest genome-wide association studies (93,294 individuals, 6,788,510 markers). As previously identified, a common unifying factor connects TS, ADHD, and ASD, while TS and OCD show the highest genetic correlation in pairwise testing among these disorders. Thanks to a more homogeneous set of disorders and a targeted approach that is guided by genetic correlations, we were able to identify multiple novel hits and regions that seem to play a pleiotropic role for the specific disorders analyzed here and could not be identified through previous studies. In the TS-ADHD-ASD genome-wide association study single nucleotide polymorphism– based and gene-based meta-analysis, we uncovered 13 genome-wide significant regions that host single nucleotide polymorphisms with a high posterior probability for association with all three studied disorders (m-value > 0.9), 11 of which were not identified in previous cross-disorder analysis. In contrast, we also identified two additional pleiotropic regions in the TS-OCD meta-analysis. Through conditional analysis, we highlighted genes and genetic regions that play a specific role in a TS-ADHD-ASD genetic factor versus TS-OCD. Cross-disorder tissue specificity analysis implicated the hypothalamus-pituitary-adrenal gland axis in TS-ADHD-ASD. Our work underlines the value of redefining the framework for research across traditional diagnostic categories.
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