Article

European Journal of Human Genetics (2008) 16, 1388–1395; doi:10.1038/ejhg.2008.100; published online 21 May 2008

Testing replication of a 5-SNP set for general cognitive ability in six population samples

Michelle Luciano1,7, Penelope A Lind1,2,7, Ian J Deary1, Antony Payton3, Danielle Posthuma4, Lee M Butcher5, Zoltan Bochdanovits4, Lawrence J Whalley6, Peter M Visscher2, Sarah E Harris1, Tinca J C Polderman4, Oliver S P Davis5, Margaret J Wright2, John M Starr1, Eco J C de Geus4, Timothy C Bates1, Grant W Montgomery2, Dorret I Boomsma4, Nicholas G Martin2 and Robert Plomin5

  1. 1Department of Psychology, MRC Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, UK
  2. 2Genetic Epidemiology, Queensland Institute of Medical Research, Brisbane, Queensland, Australia
  3. 3School of Medicine, The University of Manchester, Manchester, UK
  4. 4Biological Psychology, Vrije Universiteit of Amsterdam, Amsterdam, The Netherlands
  5. 5King's College London, Institute of Psychiatry, London, UK
  6. 6Mental Health, University of Aberdeen, Aberdeen, UK

Correspondence: Dr M Luciano, Department of Psychology, MRC Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, 7 George Square, Edinburgh, Lothian EH8 9JZ, UK. Tel: +44 131 651 5040; Fax: +44 131 651 1771; E-mail: michelle.luciano@ed.ac.uk

7The authors wish it to be known that, in their opinion, the first 2 authors should be regarded as joint First Authors

Received 30 October 2007; Revised 11 March 2008; Accepted 17 April 2008; Published online 21 May 2008.

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Abstract

A 5-single nucleotide polymorphism (SNP) set has been associated with general cognitive ability in 5000 7-year-old children from the Twins Early Development Study (TEDS). Four of these SNPs were identified through a 10K microarray analysis and one was identified through a targeted analysis of brain-expressed genes. The present study tested this association with general cognitive ability in six population samples of varying size and age from Australia, the UK (Scotland and England) and the Netherlands. Results from the largest sample (N=1310) approached significance (P=0.06) in the direction of the original finding, but results from the other samples (N=205–758) were mixed. A meta-analysis of the results – allowing for effect size heterogeneity between samples – yielded a non-significant correlation (r=−0.01, P=0.57), indicating that this SNP set was not associated with general cognitive ability in the populations studied.

Keywords:

SNP set, cognitive ability, replication

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Introduction

Cognitive abilities are partly heritable and findings generally show an increase in the influence of genes on mental abilities across the lifespan; heritability estimates of around 0.30 in childhood increase to 0.80 in old age.1, 2 Molecular genetic studies of cognitive abilities report genetic associations with specific cognitive abilities3, 4 and with general cognitive ability.5, 6, 7, 8 General cognitive ability captures the covariation between diverse cognitive abilities, and it has been proposed that this covariation reflects underlying ‘generalist genes’, affecting many cognitive abilities.9 Using an approach based on single nucleotide polymorphism (SNP) microarrays (~11000 SNPs) and DNA pooling, Butcher et al,10 reported an association between four SNPs and general cognitive ability (g) in 6154 children aged 7 years. These associations were confirmed by individual genotyping and explained 0.76% of variance in g when they were scored in the direction of a positive association with g and summed to form a composite score. The minor allele of each SNP conferred the greater risk for low g scores. Both dominance and epistasis effects were shown not to contribute considerably to the prediction of g, and therefore the composite measure was formed assuming an additive model (ie, using scores of 0, 1 and 2 for respective A1A1, A1A2 and A2A2 genotypes).

An SNP previously identified from a scan of 432 brain-expressed polymorphisms6 was later added to this set to form a 5-SNP set explaining 0.86% of variance in g in a largely overlapping sample (P<0.001); this SNP set was slightly more strongly correlated with verbal (r2=0.097, P<0.001) than non-verbal ability (r2=0.048, P=0.001). Furthermore, there was evidence that the SNP set explained 17% of the stable genetic variation between g at age 2 (assessed by a parentally administered cognitive test) and 7 (measured by a telephone administered form of the WISC-III-UK) years. So far, association of this SNP set has been tested only in the Twins Early Development Study (TEDS) sample, although longitudinally. Our aim therefore was to replicate this SNP set association with cognitive ability in six independent samples from Australia, the Netherlands, Scotland and England. The samples were of varying age, measured with diverse cognitive abilities tests and we have focused on general cognitive ability to attain the most similar and reliable cognitive index across cohorts. The 5-SNP set includes: rs1136141, located in heat-shock cognate protein 8 gene (HSPA8) on 11q; rs991684 on chromosome 2, near two known genes and perhaps is itself in a gene; rs726523 (chromosome 18), rs4128492 (chromosome 6) and rs2382591 (chromosome 7), not located in known genes.

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Materials and methods

Samples

Australian cohort
 

Twins and their non-twin siblings were initially recruited as part of ongoing studies of melanoma risk factors and cognition.11, 12 The sample included 1310 individuals (49.2% male) from 641 families (248 monozygotic [MZ] families with an additional 64 non-twin siblings, 393 dizygotic [DZ] with 111 non-twin siblings). Participants ranged in age from 15 to 22 years (mean age: 16.2±0.4 for twins; 17.4±1.13 for siblings), with the majority of the sample being Caucasian, predominantly Anglo-Celtic. Written informed consent was obtained from each participant and their parent/guardian (if <18 years) before testing.

Dutch cohorts (children, adult)
 

The Dutch children cohort was part of an ongoing study on the genetics of attention,2 who were born between 1990 and 1992 and measured on IQ at ages 5 and 12 years. There were 379 individuals (179 males) from 166 families with phenotype and genotype data. At 5 years, 85 MZ and 73 DZ twin pairs participated (mean age of 5.8 years±0.1), while at 12 years an additional 5 DZ twins pairs and 48 non-twin siblings of twins participated. On second assessment twins were aged 12.4±0.16 years, with younger siblings being on an average 9.6±0.71 and older siblings being 14.69±0.60. Before the assessment, the parents provided signed informed consent, including a voluntary agreement to provide buccal swabs for DNA isolation and genotyping. The Dutch adult cohort was part of an ongoing study on the genetics of brain function13 and consisted of 361 subjects (168 males) from 174 families. There were 42 MZ pairs, 61 DZ pairs, 1 DZ triplet and 152 siblings. Mean age at the time of testing was 36.4±12.4 years. Participants voluntarily agreed to donate blood for DNA study.

Scottish cohorts (Lothian, Aberdeen)
 

Recruitment of Lothian Birth Cohort 1921 (LBC1921) has been described previously.14 Briefly, the LBC1921 consisted of 526 subjects (219 males) with both phenotype and genotype data; they had participated in the Scottish Mental Survey of 1932 at the age of 11 years, and were retested between 1999 and 2001 at a mean age of 79. All participants lived independently in the community. For this study, inclusion criteria were no history of dementia and a Mini-Mental State Examination (MMSE) score of 24 or greater. Recruitment of the Aberdeen Birth Cohort 1936 (ABC1936) has been described previously,14 genotype data were available for 205 subjects (109 males) who took the Scottish Mental Survey of 1947 at the age of 11 years, and were retested at age 64. All participants lived independently in the community. Inclusion criteria were the same as for LBC1921. Ethics permission was granted from the Lothian and Grampian Research Ethics Committees, respectively, for the LBC1921 and the ABC1936 and all subjects gave written, informed consent to the study.

English cohort
 

The 758 Caucasian volunteers involved in this study form part of the Dyne Steele DNA bank for cognitive genetic studies and comprise 234 males and 524 females. On entry to the study, the age range was 50–85 years and the mean age was 63 years. Cognitive tests were given at five yearly intervals up to 15 years later. At the beginning of the study, all volunteers achieved the maximum score on the MMSE, and at the time of venesection (11–15 years later), cognitive tests indicated no sign of dementia. Recruitment and sample composition details are described elsewhere.15 Volunteers gave written consent for the use of their DNA.

TEDS
 

Caucasian participants without serious medical or perinatal problems were drawn from a subsample of 7410 twins from the TEDS16 who took part in a study of pooled DNA genotyped on microarrays.10 Of these, 6154 had general cognitive ability data and 4836 of these had complete genotyping data for the 5-SNPs. Of the 4836 individuals, 1516 were MZ pairs (421 girl pairs, 674 boy), 17 were unpaired MZ twins (7 girls, 10 boys), 1816 were same-sex DZ pairs (470 girl pairs, 438 boy), 1144 were in opposite-sex DZ pairs and 343 were unpaired DZ twins (173 girls, 170 boys).

Measures

Australian cohort
 

IQ data were collected in the laboratory using the shortened version of the Multidimensional Aptitude Battery: three verbal subtests, (information, arithmetic, vocabulary) and two performance subtests (spatial, object assembly). Scaled scores for Full IQ were calculated following the manual instructions.

Dutch cohorts
 

For the Dutch children cohort at age 5, IQ was assessed with a shortened version of the RAKIT, a Dutch intelligence test:17 exclusion, discs, hidden figures, verbal meaning, learning names and idea production. At age 12, IQ was assessed with the Dutch adaptation of the WISC-R18 using a shortened version (similarities, vocabulary, arithmetic, digit span, block design and object assembly). For the Dutch adult cohort, cognitive ability was assessed with the Dutch adaptation of the WAIS-IIR.19

Scottish cohorts
 

All LBC1921 and ABC1936 subjects took a version of the Moray House Test, No. 2 (MHT20, 21), a general mental ability test at 11 years, in the Scottish Mental Surveys of 1932 and 1947, respectively. The test was previously described in detail.14 LBC1921 repeated the same test at about 79 years, along with the Raven's Standard Progressive Matrices a measure of non-verbal reasoning,22 the Wechsler logical memory test, a test of verbal fluency and the National Adult Reading Test (NART), which provides an estimate of prior IQ.23, 24 The ABC1936 was retested at about 64 years on the Raven and the NART. The MHT scores were used to index g at age 11 in both cohorts. In the LBC1921 at 79 years, regression factor scores of the first unrotated principal component extracted from the five tests were taken as the measure of g derived in SPSS,25 while in the ABC1936 at 64 years, the two measures were standardised and summed to attain a global cognitive ability measure.

English cohort
 

Tests of fluid intelligence comprised the Heim intelligence tests parts one and two.26 Processing speed was assessed using the random letters test. A series of memory tests measured semantic memory, immediate verbal recall and delayed verbal recall. A general factor was extracted from these tests and regression factor scores used as a measure of g (as previously described). Measures of full scale IQ and g have been shown to be strongly correlated (~0.90) in previous research.27 As this was an ageing sample, data at the first time point only were investigated to avoid confounding of differential cognitive decline due to dementia.

TEDS
 

Two verbal subtests – Vocabulary, Similarities WISC-III-UK,28 – and two non-verbal subtests – Picture Completion (WISC-III-UK), Conceptual Grouping McCarthy Scales of Children's Abilities,29 were administered via telephone.30 Subtest scores were standardised on the full sample and summed to create g scale scores.

Genotyping

Australian cohort
 

Assays for the five SNPs (rs4128492, rs2382591, rs726523, rs1136141, rs991684) were designed using MassARRAY Assay Design software (version 3.0; Sequenom Inc., San Diego, CA) and typed using iPLEX™ chemistry on a Compact MALDI-TOF Mass Spectrometer (Sequenom Inc., San Diego, CA). Forward and reverse PCR primers and a primer extension probes were purchased from Bioneer Corporation (Daejeon, Korea). The iPLEX reaction products were desalted by diluting samples with 18μl of water and 3μl of resin to optimise mass spectrometric analysis and then spotted on a SpectroChip (Sequenom), processed and analysed by the MassARRAY Workstation software (version 3.3; Sequenom). Assay quality and genotype calls were assessed in the SpectroTYPER software (version 3.3; Sequenom). The genotypes for one assay (rs4128492) could not be accurately user-called and was excluded from analysis.

Dutch cohort
 

Genotyping was performed blind to familial status and phenotypic data. Both MZ twins of a pair were included, serving as additional quality control on genotyping. Genotyping was performed using fluorogenic probes in the high-throughput 5′-nuclease assay (TaqMan, PE Applied Biosystems, Foster city, CA), which combines polymerase chain reaction amplification and detection into a single step. The assay requires two allele-specific probes, which labelled two alleles with different fluorescent reporter dyes for discrimination. Following allele-specific hybridisation, the detection probe is cleaved during each amplification cycle by the 5′-exonuclease activity of Taq DNA polymerase if the probe's target sequence is present. No TaqMan assay for rs1136141 could be designed due to the presence of a nearby SNP, and the TaqMan assay for rs4128492 failed.

Scottish and English cohorts
 

The Sequenom MassArrayTM (Sequenom Inc., Germany) was used for genotyping SNPs in all cohorts, with the exception of rs4128492 in the Scottish cohorts. PCR iPLEX oligoprimers were designed and optimised using MassARRAY Assay Design software v.3.0. PCR reaction mix (5μl) consisted of 2.92μl deionized water, 0.625μl 10 × HotStar Taq PCR Buffer (15mM MgCl2), 0.325μl 25mM MgCl2, 0.1μl dNTPs 25mM each, 0.03μl HotStar Taq Polymerase (QIAgen) (5U/μl), 1.0μl Forward and Reverse Primer Mix (500nm each) and 25ng of genomic DNA. PCR cycles: 95°C 15min followed by 95°C 20s, 56°C 30s, 72°C 60s (35 cycles) and finally 72°C for 3min. In the Scottish cohorts, rs4128492 was genotyped at the Wellcome Trust Clinical Research Facility Genetics Core, Western General Hospital, Edinburgh (http://www.wtcrf.ed.ac.uk/genetics/index.htm) using TaqMan technology (Applied Biosystems).

TEDS
 

Individual genotyping and allele calling for the TEDS cohort was outsourced to Kbiosciences, UK, who use a mixture of competitive allele specific PCR (KASPar) and TaqMan genotyping assays (http://www.kbioscience.co. uk/). Kbioscience consider an assay successful if four quality control criteria are met: (1) three distinct clusters, (2) water controls must be negative, (3) number of genotypes callable must be >90% and (4) minor allele frequency should be greater than 2%.

Genotype error checking, including Mendelian inconsistencies, and tests of Hardy–Weinberg equilibrium were performed in MERLIN (http://www.sph.umich.edu/csg/abecasis/Merlin,31) and Sib-pair (http://www2.qimr.edu.au/davidD/sib-pair.html,32).

Association analyses

To calculate the SNP set score, the genotypes for each of the SNPs was recoded so that the decreaser allele homozygote was assigned a value of 0, the heterozygote assumed a value of 1 and the increaser allele homozygote was assigned a value of 2. These values were then summed across SNPs to derive an SNP set score. Association analyses were performed in Mx,33 which uses a maximum likelihood procedure to estimate parameters in a means model (to test the association effect). The means model included the fixed effects of relevant covariates in addition to a linear regression term for the SNP set effect. As SNPs were scored in the direction of the increaser allele, a positive correlation between g and the SNP set was expected irrespective of the differing number of SNPs contained in each set between cohorts (this varied from three to five).

In the Australian, Dutch and TEDS cohorts, the twin relationship was modelled in the covariance structure, separately for MZ and DZ twins, to account for the non-independence of siblings within a family. For the Dutch child cohort, the covariance between time points was further modelled to account for the longitudinal nature of the data. Likewise, the covariance between time points was modelled in the Scottish cohorts. To test the significance of the SNP set effect, the linear regression term for this measure was fixed to zero and the resulting model was compared to the model in which the regression term was estimated, using the likelihood ratio χ2-test. The difference in −2-log likelihood between these models is distributed as a χ2 with the degrees of freedom equal to the difference in degrees of freedom between the two models (ie, 1 for the SNP set effect). The power to detect an effect size of 0.8% (given an average marker allele frequency of 0.35) was 88% in the Australian sample, 70% in the English sample, 54% in the LBC1921, 40% in the Dutch adults, 34% in the Dutch children and 25% in the ABC1936. The power to detect the smaller, individual SNP effects was much lower. A meta-analysis of the results excluding the TEDS sample was performed using the Comprehensive Meta-analysis package.34 The correlation was used as the effect size measure and a random effects model was specified to account for systematic differences between the sampled populations.

As the original finding was reported in children, we analysed the SNP set effect separately for young (Dutch, LBC1921, ABC1936 children, Australian adolescents) and old (Dutch, LBC1921, ABC1936, English adults) cohorts. We further estimated the SNP set association with g separately for males and females because of a report that the g SNP set association is significantly stronger in males than females at age 10.35

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Results

Genotype screening showed that the population was not in Hardy–Weinberg equilibrium (P=0.005) at SNP rs1136141 in the Australian sample, with heterozygote genotypes underrepresented. No other deviations from Hardy–Weinberg (P<0.01) were observed in any of the other samples. With such a large number of independent tests performed (3–5 SNPs in six samples), it is probable that the deviation in the Australian sample was a false positive, so this SNP was retained for further analysis (note that analyses excluding this SNP from the SNP set score produced consistent results – data not shown). Allele frequencies for the five SNPs were consistent with reported frequency data in Caucasians, and did not differ between cohorts (see Table 1). The frequency distribution of the SNP set score was consistent with the distribution reported in the TEDS sample, displaying a slight negative skew.


Significant mean effects were shown for sex, months of schooling, and sibling status (twin versus non-twin sibling) in the Australian cohort, with males scoring higher than females, a greater amount of schooling relating to better test performance and non-twin siblings scoring higher than twins. In the Dutch child cohort, there were no sex differences at age 5, although boys scored higher than girls at age 12. In the Dutch adult cohort, men scored higher than women and age was negatively correlated with g. In the Scottish cohorts, age in days was positively associated with g at 11 years in the ABC1936 and negatively associated with g at 79 years in the LBC1921. Age and socio-economic status (SES) were significant in the English cohort, with younger participants performing better and higher SES relating to increased cognitive test performance. The tests of association were modelled with inclusion of the relevant covariates or performed using covariate-adjusted scores (standardised residuals).

The SNP set correlations and their 95% confidence intervals are shown in Table 2, separately for each cohort, and for the meta-analysis excluding TEDS. The largest sample (Australian) showed a marginally significant (P=0.06) effect in the expected direction; however, the results for the other studies were mixed – half showed positive results and the other half showed negative results. A significant association in the same direction as the initial TEDS finding was observed in the ABC1936 at 64 years (r=0.10, P=0.02); while in the LBC1921 at 11 years a significant association (r=−0.11, P=0.01) in the reverse direction was found. Positive and negative correlations between g and SNP set score occurred with roughly equal frequency. A homogeneity test (using the χ2- statistic) of the effect size between samples was significant (P<0.001) indicating that the effect size differed between cohorts. The meta-analysis of the results that allowed for systematic and unsystematic differences in effect size between cohorts showed a non-significant correlation of −0.01 (P=0.57). Despite reduced power, the effect of individual SNPs was tested within each cohort. No significant association was found for markers rs726523 and rs1136141 in any of the cohorts. For rs991684, a significant association (r=0.13, P=0.007) in the hypothesised direction was found in the ABC1936 cohort at 64 years. For rs4128492 and rs2382591, respective correlations of −0.10 (P=0.007) and −0.09 (P=0.16) were found in the English cohort, with the direction of the effect being inconsistent with the original finding in the TEDS sample.


Age effects were estimated by fixing the SNP set regression coefficient equal within young replicate cohorts (Australian, Dutch children, LBC1921 and ABC1936 at 11 years) and old replicate cohorts (English, Dutch adults, LBC1921 and ABC1936 adults). The test of the homogeneity of the SNP set effect within young and old cohorts was significant (P<0.01). Nevertheless, the test of association in both young and old cohorts was not significant (P=1). The sex analyses of the SNP set showed negative association (r=−0.03) for males in the ABC1936 (P=0.01) at 11 years and positive association (r=0.04) for females in the Dutch children at age 5 (P=0.04). Positive correlations were found in the ABC1936 (P=0.04) at 64 years in females (r=0.13) and males (r=0.07).

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Discussion

This is the first study to attempt replication of a 5-SNP set influencing general cognitive ability.36 These SNPs were originally identified through DNA pooling comparing low and high groups in microarray analysis selected from a large sample of children and confirmed using individual genotyping in the entire sample. Our study showed that in six population-based samples, the SNP set effect (in the expected direction) was replicated in one cohort. In a further cohort significant association was observed, but the SNP set effect was in the reverse direction to that expected. A meta-analysis of these results did not support an association between the SNP set and g.

Empirical tests of the equality of the SNP set β-coefficient showed significant heterogeneity in the effect size between the cohorts. Our more focussed analyses showed that neither sex nor age could explain these differences in effect size as heterogeneity was also observed within samples of the same sex and of similar age. The SNP set was not related to g in either young or old pooled samples nor was an enhanced effect of the SNP set effect observed in males (positive correlations were found in female and male groups or in females only). The original SNP set effect was shown in the TEDS cohort at ages 2, 4 and 7. In the cohort most comparable to the TEDS sample, the Dutch cohort measured at age 5, the correlation was positive (r=0.05), though not significant. Given the low power of this sample, it remains possible that the SNP set effect is important in early childhood. There is some evidence for different genes affecting IQ in the TEDS sample during childhood although most genetic effects are stable from year to year;37, 38 research in Dutch samples supports a largely stable influence of genes on IQ at ages 5 and 12 (with amplification of genetic effects during development).2, 39

Other explanations for the variation in the size of the SNP set effect between the cohorts were sought. The use of diverse cognitive measures might have been a factor, especially if the SNP set influences variation on some measures more than others. The original finding in TEDS reported a stronger relationship with verbal than non-verbal ability. In our cohorts, the g factor was extracted using different test batteries with some g factors therefore tapping more verbal ability variance than others; it is unclear to what extent the g factor between studies is measuring the same underlying processes. Another factor contributing to variability of the effect might be differences in the SNP set size tested (due to failed genotyping) across samples, with restriction in range of the SNP set size leading to attenuated correlations in the samples with missing genotype data.

While the finding of negative associations was unexpected, this ‘flip-flop’ association is not uncommon in replication studies of SNPs40 and may stem from epistatic effects in which other interacting alleles at unobserved loci have different frequencies across the different populations. It must be noted that a higher number of tests were significant (9) than expected by chance (4), with five of these in the predicted direction; furthermore, 5 out of 9 tests for the SNP set analyses showed a P-value less than 0.10. It is possible then that the SNP set has predictive validity when coupled with other unidentified SNPs contributing to g.

The SNP set approach appears as a reasonable method to test for the association of multiple gene effects on a trait, reducing problems associated with multiple testing of individual genes and with detecting very small effect sizes of individual SNPs. However, the approach assumes that individual SNPs in a set contribute equal amounts of variance to a trait. When allele frequencies differ between SNPs, those SNPs with greater heterozygosity will carry a larger influence on the SNP set score. In this study, allele frequencies of the SNPs were similar, with little expected bias in the results. For future analyses of SNP set scores, it may be useful to weigh the SNPs by their effect size.

The present study highlights the importance of replication studies, and what will be an increasing need for them in light of the burgeoning era of genome-wide association (GWA) studies. This is especially so for two reasons. First, given that GWA studies now incorporate hundreds of thousands of SNPs rather than the 10000 used in the original TEDS study; while these studies will have more success in finding true genetic variants they will also detect a larger number of associations due to chance. Second, although GWA studies can reliably detect large effect sizes as in the early exciting report for age-related macular degeneration,41 the largest effects in recent GWA studies such as the Wellcome Trust Case Control Consortium42 are very small, which will be difficult to replicate. Although the TEDS two-stage design had considerable power to detect small effects, the effect sizes of the associations that were detected were smaller than warranted by the power of the design. In other words, although GWA studies will easily detect any large effects, identifying the ‘best of the rest’ will be challenging. Demands for power will be just as daunting for replication studies. An innovation of the TEDS study was to aggregate candidate SNPs of small effect size together in an additive SNP set which can be tested for replication with greater power; however, the SNP set is only as good as its constituent SNPs.

In our meta-analysis, which allowed heterogeneity of the SNP set effect between samples, the SNP set was not correlated with g. While the SNP set is not related to general cognitive ability in the cohorts we tested, the ideal replication study would be the one conducted in a large sample of children more closely matched in age to that of the TEDS and using the same cognitive measures.

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Acknowledgements

We thank the participants and their families for their cooperation. Australian data collection was funded by ARC grants (A79600334, A79906588, A79801419, DP0212016, DP0343921) and the Human Frontiers of Science Program (HFSP; Grant rg0154/1998-B). Dutch data collection was supported by the Universitair Stimulerings Fonds (Grant 96/22), the HFSP (Grant rg0154/1998-B), and the Netherlands Organization for Scientific Research (NWO)/ Centre for Medical Systems Biology (CMSB) (Grant NWO/SPI 56-464-14192 & 904-57-94 and NWO/MaGW VIDI-016-065-318). The Lothian Birth Cohort 1921 is supported by the UK's Biotechnology and Biological Sciences Research Council. The Aberdeen Birth Cohort 1936 is supported by the Wellcome Trust. IJD is the recipient of a Royal Society-Wolfson Research Merit Award. Blood collection and DNA extraction for the Dyne Steele cohort was partly funded by Research into Ageing. The Twins Early Development Study is supported by the UK Medical Research Council (G0500079) and the Wellcome Trust (GR75492).

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