Increased burden of ultra-rare protein-altering variants among 4,877 individuals with schizophrenia

被引:329
作者
Genovese, Giulio [1 ,2 ,3 ]
Fromer, Menachem [4 ,5 ]
Stahl, Eli A. [4 ,5 ]
Ruderfer, Douglas M. [4 ,5 ]
Chambert, Kimberly [1 ]
Landen, Mikael [6 ]
Moran, Jennifer L. [1 ]
Purcell, Shaun M. [4 ,5 ]
Sklar, Pamela [4 ,5 ]
Sullivan, Patrick F. [7 ,8 ,9 ]
Hultman, Christina M. [9 ]
McCarroll, Steven A. [1 ,2 ,3 ]
机构
[1] Broad Inst MIT & Harvard, Stanley Ctr Psychiat Res, Cambridge, MA 02142 USA
[2] Broad Inst MIT & Harvard, Program Med & Populat Genet, Cambridge, MA 02142 USA
[3] Harvard Med Sch, Dept Genet, Boston, MA 02115 USA
[4] Icahn Sch Med Mt Sinai, Dept Psychiat, Div Psychiat Genom, New York, NY 10029 USA
[5] Icahn Sch Med Mt Sinai, Inst Genom & Multiscale Biol, New York, NY 10029 USA
[6] Univ Gothenburg, Sahlgrenska Acad, Inst Neurosci Physiol, Dept Psychiat & Neurochem, Gothenburg, Sweden
[7] Univ N Carolina, Dept Genet, Chapel Hill, NC USA
[8] Univ N Carolina, Dept Psychiat, Chapel Hill, NC USA
[9] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
关键词
AUTISM SPECTRUM DISORDERS; OF-FUNCTION VARIANTS; DE-NOVO; BRAIN-DEVELOPMENT; BIPOLAR DISORDER; GENES; MUTATIONS; ASSOCIATION; TRANSLOCATION; HERITABILITY;
D O I
10.1038/nn.4402
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
By analyzing the exomes of 12,332 unrelated Swedish individuals, including 4,877 individuals affected with schizophrenia, in ways informed by exome sequences from 45,376 other individuals, we identified 244,246 coding-sequence and splice-site ultra-rare variants (URVs) that were unique to individual Swedes. We found that gene-disruptive and putatively protein-damaging URVs (but not synonymous URVs) were more abundant among individuals with schizophrenia than among controls (P = 1.3 x 10(-10)). This elevation of protein-compromising URVs was several times larger than an analogously elevated rate for de novo mutations, suggesting that most rare-variant effects on schizophrenia risk are inherited. Among individuals with schizophrenia, the elevated frequency of protein-compromising URVs was concentrated in brain-expressed genes, particularly in neuronally expressed genes; most of this elevation arose from large sets of genes whose RNAs have been found to interact with synaptically localized proteins. Our results suggest that synaptic dysfunction may mediate a large fraction of strong, individually rare genetic influences on schizophrenia risk.
引用
收藏
页码:1433 / 1441
页数:9
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