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DISC1 association, heterogeneity and interplay in schizophrenia and bipolar disorder

Abstract

Disrupted in schizophrenia 1 (DISC1) has been associated with risk of schizophrenia, schizoaffective disorder, bipolar disorder, major depression, autism and Asperger syndrome, but apart from in the original translocation family, true causal variants have yet to be confirmed. Here we report a harmonized association study for DISC1 in European cohorts of schizophrenia and bipolar disorder. We identify regions of significant association, demonstrate allele frequency heterogeneity and provide preliminary evidence for modifying interplay between variants. Whereas no associations survived permutation analysis in the combined data set, significant corrected associations were observed for bipolar disorder at rs1538979 in the Finnish cohorts (uncorrected P=0.00020; corrected P=0.016; odds ratio=2.73±95% confidence interval (CI) 1.42–5.27) and at rs821577 in the London cohort (uncorrected P=0.00070; corrected P=0.040; odds ratio=1.64±95% CI 1.23–2.19). The rs821577 single nucleotide polymorphism (SNP) showed evidence for increased risk within the combined European cohorts (odds ratio=1.27±95% CI 1.07–1.51), even though significant corrected association was not detected (uncorrected P=0.0058; corrected P=0.28). After conditioning the European data set on the two risk alleles, reanalysis revealed a third significant SNP association (uncorrected P=0.00050; corrected P=0.025). This SNP showed evidence for interplay, either increasing or decreasing risk, dependent upon the presence or absence of rs1538979 or rs821577. These findings provide further support for the role of DISC1 in psychiatric illness and demonstrate the presence of locus heterogeneity, with the effect that clinically relevant genetic variants may go undetected by standard analysis of combined cohorts.

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References

  1. Kendler KS, Pedersen N, Johnson L, Neale MC, Mathe AA . A pilot Swedish twin study of affective illness, including hospital- and population-ascertained subsamples. Arch Gen Psychiatry 1993; 50: 699–700.

    Article  CAS  PubMed  Google Scholar 

  2. Sullivan PF, Kendler KS, Neale MC . Schizophrenia as a complex trait: evidence from a meta-analysis of twin studies. Arch Gen Psychiatry 2003; 60: 1187–1192.

    Article  PubMed  Google Scholar 

  3. Gottesman I . Schizophrenia Genesis. WH Freeman and Company: New York, 1991.

    Google Scholar 

  4. Goodwin FK, Jamison KR . Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression, 2nd edn. Oxford University Press: Oxford, New York, 2007.

    Google Scholar 

  5. Berrettini W . Bipolar disorder and schizophrenia: not so distant relatives? World Psychiatry 2003; 2: 68–72.

    PubMed  PubMed Central  Google Scholar 

  6. Craddock N, O’Donovan MC, Owen MJ . Genes for schizophrenia and bipolar disorder? Implications for psychiatric nosology. Schizophr Bull 2006; 32: 9–16.

    Article  PubMed  Google Scholar 

  7. Blackwood DH, Fordyce A, Walker MT, St Clair DM, Porteous DJ, Muir WJ . Schizophrenia and affective disorders—cosegregation with a translocation at chromosome 1q42 that directly disrupts brain-expressed genes: clinical and P300 findings in a family. Am J Hum Genet 2001; 69: 428–433.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Cardno AG, Rijsdijk FV, Sham PC, Murray RM, McGuffin P . A twin study of genetic relationships between psychotic symptoms. Am J Psychiatry 2002; 159: 539–545.

    Article  PubMed  Google Scholar 

  9. Millar JK, Wilson-Annan JC, Anderson S, Christie S, Taylor MS, Semple CA et al. Disruption of two novel genes by a translocation co-segregating with schizophrenia. Hum Mol Genet 2000; 9: 1415–1423.

    CAS  PubMed  Google Scholar 

  10. St Clair D, Blackwood D, Muir W, Carothers A, Walker M, Spowart G et al. Association within a family of a balanced autosomal translocation with major mental illness. Lancet 1990; 336: 13–16.

    Article  CAS  PubMed  Google Scholar 

  11. Millar JK, Pickard BS, Mackie S, James R, Christie S, Buchanan SR et al. DISC1 and PDE4B are interacting genetic factors in schizophrenia that regulate cAMP signaling. Science 2005; 310: 1187–1191.

    Article  CAS  PubMed  Google Scholar 

  12. Mackie S, Millar JK, Porteous DJ . Role of DISC1 in neural development and schizophrenia. Curr Opin Neurobiol 2007; 17: 95–102.

    Article  CAS  PubMed  Google Scholar 

  13. Hennah W, Varilo T, Kestila M, Paunio T, Arajarvi R, Haukka J et al. Haplotype transmission analysis provides evidence of association for DISC1 to schizophrenia and suggests sex-dependent effects. Hum Mol Genet 2003; 12: 3151–3159.

    Article  CAS  PubMed  Google Scholar 

  14. Cannon TD, Hennah W, van Erp TG, Thompson PM, Lonnqvist J, Huttunen M et al. Association of DISC1/TRAX haplotypes with schizophrenia, reduced prefrontal gray matter, and impaired short- and long-term memory. Arch Gen Psychiatry 2005; 62: 1205–1213.

    Article  CAS  PubMed  Google Scholar 

  15. Callicott JH, Straub RE, Pezawas L, Egan MF, Mattay VS, Hariri AR et al. Variation in DISC1 affects hippocampal structure and function and increases risk for schizophrenia. Proc Natl Acad Sci USA 2005; 102: 8627–8632.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Hodgkinson CA, Goldman D, Jaeger J, Persaud S, Kane JM, Lipsky RH et al. Disrupted in schizophrenia 1 (DISC1): association with schizophrenia, schizoaffective disorder, and bipolar disorder. Am J Hum Genet 2004; 75: 862–872.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Maeda K, Nwulia E, Chang J, Balkissoon R, Ishizuka K, Chen H et al. Differential expression of disrupted-in-schizophrenia (DISC1) in bipolar disorder. Biol Psychiatry 2006; 60: 929–935.

    Article  PubMed  Google Scholar 

  18. Thomson PA, Wray NR, Millar JK, Evans KL, Hellard SL, Condie A et al. Association between the TRAX/DISC locus and both bipolar disorder and schizophrenia in the Scottish population. Mol Psychiatry 2005; 10: 657–668.

    Article  CAS  PubMed  Google Scholar 

  19. Liu YL, Fann CS, Liu CM, Chen WJ, Wu JY, Hung SI et al. A single nucleotide polymorphism fine mapping study of chromosome 1q42.1 reveals the vulnerability genes for schizophrenia, GNPAT and DISC1: association with impairment of sustained attention. Biol Psychiatry 2006; 60: 554–562.

    Article  CAS  PubMed  Google Scholar 

  20. Ekelund J, Hennah W, Hiekkalinna T, Parker A, Meyer J, Lonnqvist J et al. Replication of 1q42 linkage in Finnish schizophrenia pedigrees. Mol Psychiatry 2004; 9: 1037–1041.

    Article  CAS  PubMed  Google Scholar 

  21. Chen QY, Chen Q, Feng GY, Lindpaintner K, Wang LJ, Chen ZX et al. Case–control association study of disrupted-in-schizophrenia-1 (DISC1) gene and schizophrenia in the Chinese population. J Psychiatr Res 2006; 41: 428–434.

    Article  PubMed  Google Scholar 

  22. Hashimoto R, Numakawa T, Ohnishi T, Kumamaru E, Yagasaki Y, Ishimoto T et al. Impact of the DISC1 Ser704Cys polymorphism on risk for major depression, brain morphology, and ERK signaling. Hum Mol Genet 2006; 15: 3024–3033.

    Article  CAS  PubMed  Google Scholar 

  23. DeRosse P, Hodgkinson CA, Lencz T, Burdick KE, Kane JM, Goldman D et al. Disrupted in schizophrenia 1 genotype and positive symptoms in schizophrenia. Biol Psychiatry 2007; 61: 1208–1210.

    Article  CAS  PubMed  Google Scholar 

  24. Kilpinen H, Ylisaukko-Oja T, Hennah W, Palo OM, Varilo T, Vanhala R et al. Association of DISC1 with autism and Asperger syndrome. Mol Psychiatry 2008; 13: 187–196; e-pub ahead of print: doi: 10.1038/sj.mp.4002031.

    Article  CAS  PubMed  Google Scholar 

  25. Wood LS, Pickering EH, Dechairo BM . Significant support for DAO as a schizophrenia susceptibility locus: examination of five genes putatively associated with schizophrenia. Biol Psychiatry 2007; 61: 1195–1199.

    Article  CAS  PubMed  Google Scholar 

  26. Palo OM, Antila M, Silander K, Hennah W, Kilpinen H, Soronen P et al. Association of distinct allelic haplotypes of DISC1 with psychotic and bipolar spectrum disorders and with underlying cognitive impairments. Hum Mol Genet 2007; 16: 3517–3528; e-pub ahead of print: doi: 10.1093/hmg/ddm1207.

    Article  Google Scholar 

  27. Burdick KE, Hodgkinson CA, Szeszko PR, Lencz T, Ekholm JM, Kane JM et al. DISC1 and neurocognitive function in schizophrenia. Neuroreport 2005; 16: 1399–1402.

    Article  PubMed  Google Scholar 

  28. Thomson PA, Harris SE, Starr JM, Whalley LJ, Porteous DJ, Deary IJ . Association between genotype at an exonic SNP in DISC1 and normal cognitive aging. Neurosci Lett 2005; 389: 41–45.

    Article  CAS  PubMed  Google Scholar 

  29. Hennah W, Tuulio-Henriksson A, Paunio T, Ekelund J, Varilo T, Partonen T et al. A haplotype within the DISC1 gene is associated with visual memory functions in families with a high density of schizophrenia. Mol Psychiatry 2005; 10: 1097–1103.

    Article  CAS  PubMed  Google Scholar 

  30. Hennah W, Thomson P, Peltonen L, Porteous D . Genes and schizophrenia: beyond schizophrenia: the role of DISC1 in major mental illness. Schizophr Bull 2006; 32: 409–416.

    Article  PubMed  PubMed Central  Google Scholar 

  31. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM-IV). American Psychiatric Press Inc.: Washington DC, 1994.

  32. Zhang F, Sarginson J, Crombie C, Walker N, St Clair D, Shaw D . Genetic association between schizophrenia and the DISC1 gene in the Scottish population. Am J Med Genet B Neuropsychiatr Genet 2006; 141: 155–159.

    Article  Google Scholar 

  33. McQuillin A, Bass NJ, Kalsi G, Lawrence J, Puri V, Choudhury K et al. Fine mapping of a susceptibility locus for bipolar and genetically related unipolar affective disorders, to a region containing the C21ORF29 and TRPM2 genes on chromosome 21q22.3. Mol Psychiatry 2006; 11: 134–142.

    Article  CAS  PubMed  Google Scholar 

  34. Pimm J, McQuillin A, Thirumalai S, Lawrence J, Quested D, Bass N et al. The Epsin 4 gene on chromosome 5q, which encodes the clathrin-associated protein enthoprotin, is involved in the genetic susceptibility to schizophrenia. Am J Hum Genet 2005; 76: 902–907.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Ekholm JM, Kieseppa T, Hiekkalinna T, Partonen T, Paunio T, Perola M et al. Evidence of susceptibility loci on 4q32 and 16p12 for bipolar disorder. Hum Mol Genet 2003; 12: 1907–1915.

    Article  CAS  PubMed  Google Scholar 

  36. Mantere O, Suominen K, Leppamaki S, Valtonen H, Arvilommi P, Isometsa E . The clinical characteristics of DSM-IV bipolar I and II disorders: baseline findings from the Jorvi Bipolar Study (JoBS). Bipolar Disord 2004; 6: 395–405.

    Article  PubMed  Google Scholar 

  37. The HapMap Consortium. A haplotype map of the human genome. Nature 2005; 437: 1299–1320.

    Article  Google Scholar 

  38. Barrett JC, Fry B, Maller J, Daly MJ . Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 2005; 21: 263–265.

    Article  CAS  PubMed  Google Scholar 

  39. Hedrick PW . Gametic disequilibrium measures: proceed with caution. Genetics 1987; 117: 331–341.

    CAS  PubMed  PubMed Central  Google Scholar 

  40. Jurinke C, van den Boom D, Cantor CR, Koster H . Automated genotyping using the DNA MassArray technology. Methods Mol Biol 2001; 170: 103–116.

    CAS  PubMed  Google Scholar 

  41. Hennah W, Tomppo L, Hiekkalinna T, Palo OM, Kilpinen H, Ekelund J et al. Families with the risk allele of DISC1 reveal a link between schizophrenia and another component of the same molecular pathway, NDE1. Hum Mol Genet 2007; 16: 453–462.

    Article  CAS  PubMed  Google Scholar 

  42. Keller MC, Miller G . Resolving the paradox of common, harmful, heritable mental disorders: which evolutionary genetic models work best? Behav Brain Sci 2006; 29: 385–404; discussion 405–352.

    Article  PubMed  Google Scholar 

  43. Consortium WTCC. Genome-wide association study of 14 000 cases of seven common diseases and 3000 shared controls. Nature 2007; 447: 661–678.

    Article  Google Scholar 

  44. Baum AE, Akula N, Cabanero M, Cardona I, Corona W, Klemens B et al. A genome-wide association study implicates diacylglycerol kinase eta (DGKH) and several other genes in the etiology of bipolar disorder. Mol Psychiatry 2008; 13: 197–207.

    Article  CAS  PubMed  Google Scholar 

  45. Gabriel SB, Salomon R, Pelet A, Angrist M, Amiel J, Fornage M et al. Segregation at three loci explains familial and population risk in Hirschsprung disease. Nat Genet 2002; 31: 89–93.

    Article  CAS  PubMed  Google Scholar 

  46. Arias-Vasquez A, Isaacs A, Aulchenko YS, Hofman A, Oostra BA, Breteler M et al. The cholesteryl ester transfer protein (CETP) gene and the risk of Alzheimer's disease. Neurogenetics 2007; 8: 189–193.

    Article  CAS  PubMed  Google Scholar 

  47. Smith NG, Eyre-Walker A . Human disease genes: patterns and predictions. Gene 2003; 318: 169–175.

    Article  CAS  PubMed  Google Scholar 

  48. Camargo LM, Collura V, Rain JC, Mizuguchi K, Hermjakob H, Kerrien S et al. Disrupted in Schizophrenia 1 Interactome: evidence for the close connectivity of risk genes and a potential synaptic basis for schizophrenia. Mol Psychiatry 2007; 12: 74–86.

    Article  CAS  PubMed  Google Scholar 

  49. Pocklington AJ, Cumiskey M, Armstrong JD, Grant SG . The proteomes of neurotransmitter receptor complexes form modular networks with distributed functionality underlying plasticity and behaviour. Mol Syst Biol 2006; 2, 2006.0023.

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Acknowledgements

We thank Dr Simon Cooper for his help in preparing the figures. This work was funded in part by the UK Medical Research Council and the Chief Scientist Office, Scotland (WH, PT, DB, WM, DP), Research into Ageing, the Chief Scientist Office, Scotland and the UK Biotechnology and Biological Sciences Research Council (IJD, SEH) and the Center of Excellence of the Academy of Finland and Biocentrum Helsinki Foundation (LP). The research at University College London was funded by UK Medical Research Council Grant number G0500791. The UK UCL sample was collected with generous help from the UK Manic Depression Fellowship. Professor Arpo Aromaa is acknowledged for his role with the Finnish control cohort. WH is a long-term EMBO Research Fellow and he was also supported by the Finnish Cultural Foundation Piippa Stiina Immonen grant. AL is supported by an Academy of Finland post-doctoral fellowship. IJD is the recipient of a Royal Society-Wolfson Research Merit Award.

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Correspondence to W Hennah.

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Hennah, W., Thomson, P., McQuillin, A. et al. DISC1 association, heterogeneity and interplay in schizophrenia and bipolar disorder. Mol Psychiatry 14, 865–873 (2009). https://doi.org/10.1038/mp.2008.22

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