Neuroimaging genetics to study social cognitive deficits in ASD and schizophrenia

流行病学、脑成像和基因组研究的最新进展表明，自闭症谱系障碍（ASD）和精神分裂症（SCZ）这两种最具遗传性和普遍性的神经发育障碍可能具有一些共同的病因机制。虽然这两种疾病在发展轨迹和临床表现方面明显不同，但人们早就认识到，社会认知缺陷有相当大的重叠。因此，社会认知缺陷的这种重叠是否反映了共同的病因机制，还是由于这两种疾病的共病或误诊而表现出表面上的相似性，这是一个看似合理但尚未回答的问题。申请人Phil H. Lee博士建议通过ASD和SCZ的综合神经影像学遗传学研究来解决这一研究问题，从基因到神经回路，最终到社会认知的行为测量。由于全球合作者多年的努力，Lee博士现在可以获得大规模的基因型数据（全基因组snp， N=32,921；全外显子组测序数据，N=7,000）和一个独立的ASD神经影像学队列。

Recent advances in epidemiologic, brain-imaging, and genomic studies suggest that autism spectrum disorder (ASD) and schizophrenia (SCZ), two of the most heritable and pervasive neurodevelopmental disorders, may share some common etiologic mechanisms. While the two disorders are markedly distinct in terms of developmental trajectories and clinical presentations, it has long been recognized that there is considerable overlap of social cognitive deficits. It is thus a highly plausible yet unanswered question whether this overlap in social cognitive deficits reflects common etiological mechanisms, or represents superficial similarities due to comorbidity or misdiagnosis between these two illnesses. The applicant, Dr. Phil H. Lee proposes to address this research question through integrative neuroimaging genetic studies of ASD and SCZ, starting from genes to neural circuits, and ultimately to behavioral measures of social cognition. Owing to years’ of efforts from worldwide collaborators, Dr. Lee now has access to large-scale genotype data (for genome-wide SNPs, N=32,921; for whole-exome-sequencing data, N=7,000) and an independent neuroimaging cohort of ASD, SCZ cases and healthy controls for whom a rich set of brain imaging and behavioral measures are available (N=3,752). Using these exceptionally powerful resources, she will investigate predictive relationships between common ASD and SCZ genetic risk burden and brain imaging/behavioral indexes of social cognitive functioning. The successful completion of this study will thus: (1) clarify how genetic variations at multiple levels (i.e., common and rare variants) influence brain structure/function and the development of core social deficits transcending traditional nosologic boundaries; (2) develop novel analytic strategies that are highly innovative and of general applicability to the studies of complex traits; and (3) lay the foundation for the development of biology-based prevention and remediation strategies for this core brain deficit. Dr. Lee’s career goal is to study the etiologic pathways of severe neurodevelopmental disorders, such as autism and schizophrenia, using an integrative analysis of genetic and neuroimaging data. This proposal builds on her postdoctoral training in psychiatric statistical genetics, centered on genome-wide association studies of a variety of neuropsychiatric disorders. While working towards accomplishing the proposed study, Dr. Lee will receive in-depth research training from world’s leading experts in computational genetics, clinical psychiatry, and cognitive neuroscience. This K99 Award will thus provide her with crucial and timely support to develop into an independent translational geneticist, who can effectively design and conduct neuroimaging genetic studies, ensure the validity, reliability and clinical applicability of the research work, and most importantly, is capable of translating the research findings into great public health benefits through the development of evidence-based prevention, diagnosis, and treatment strategies.