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Association of CAG repeat loci on chromosome 22 with schizophrenia and bipolar disorder

Abstract

Chromosome 22 has been implicated in schizophrenia and bipolar disorder in a number of linkage, association and cytogenetic studies. Recent evidence has also implicated CAG repeat tract expansion in these diseases. In order to explore the involvement of CAG repeats on chromosome 22 in these diseases, we have created an integrated map of all CAG repeats ≥5 on this chromosome together with microsatellite markers associated with these diseases using the recently completed nucleotide sequence of chromosome 22. Of the 52 CAG repeat loci identified in this manner, four of the longest repeat stretches in regions previously implicated by linkage analyses were chosen for further study. Three of the four repeat containing loci, were found in the coding region with the CAG repeats coding for glutamine and were expressed in the brain. All the loci studied showed varying degrees of polymorphism with one of the loci exhibiting two alleles of 7 and 8 CAG repeats. The 8-repeat allele at this locus was significantly overrepresented in both schizophrenia and bipolar patient groups when compared to ethnically matched controls, while alleles at the other three loci did not show any such difference. The repeat lies within a gene which shows homology to an androgen receptor related apoptosis protein in rat. We have also identified other candidate genes in the vicinity of this locus. Our results suggest that the repeats within this gene or other genes in the vicinity of this locus are likely to be implicated in bipolar disorder and schizophrenia.

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References

  1. Gottesman I . Schizophrenia Genesis: The Origins of Madness WH Freeman and Company: New York 1991

    Google Scholar 

  2. Karayiorgou M, Gogos JA . A turning point in schizophrenia genetics Neuron 1997 19: 967–979

    Article  CAS  Google Scholar 

  3. Riley BP, McGuffin P . Linkage and associated studies of schizophrenia Am J Med Genet 2000 97: 23–44

    Article  CAS  Google Scholar 

  4. Schwab SG, Wildenauer DB . Chromosome 22 workshop report Am J Med Genet 1999 88: 276–278

    Article  CAS  Google Scholar 

  5. Coon H, Jensen S, Holik J, Hoff M, Myles-Worsley M, Reimherr F et al. Genomic scan for genes predisposing to schizophrenia Am J Med Genet 1994 54: 59–71

    Article  CAS  Google Scholar 

  6. Pulver AE, Karayiorgou M, Wolyniec PS, Lasseter VK, Kasch L, Nestadt G et al. Sequential strategy to identify a susceptibility gene for schizophrenia: report of potential linkage on chromosome 22q12-q13.1: Part 1 Am J Med Genet 1994 54: 36–43

    Article  CAS  Google Scholar 

  7. Schizophrenia Collaborative Linkage Group for Chromosome 22 . A transmission disequilibrium and linkage analysis of D22S278 marker alleles in 574 families: further support for a susceptibility locus for schizophrenia at 22q12 Schizophr Res 1998 32: 115–121

    Article  Google Scholar 

  8. Kelsoe JR . Loetscher E, Spence MA, Foguet M, Sadovnick AD, Remick RA et al. A genome survey of bipolar disorder indicates a susceptibility locus on chromosome 22 (abstract) Am J Med Genet 1998 81: 461

    Google Scholar 

  9. Shprintzen RJ, Goldberg R, Golding-Kushner KJ, Marion RW . Late-onset psychosis in the velo-cardio-facial syndrome (letter) Am J Med Genet 1992 42: 141–142

    Article  CAS  Google Scholar 

  10. Pulver AE, Nestadt G, Goldberg R, Shprintzen RJ, Lamacz M, Wolyniec PS et al. Psychotic illness in patients diagnosed with velo-cardio-facial syndrome and their relatives J Nerv Ment Dis 1994 182: 476–478

    Article  CAS  Google Scholar 

  11. Bassett AS, Chow EW . 22q11 deletion syndrome: a genetic subtype of schizophrenia Biol Psychiatry 1999 46: 882–891

    Article  CAS  Google Scholar 

  12. Karayiorgou M, Morris MA, Morrow B, Shprintzen RJ, Goldberg R, Borrow J et al. Schizophrenia susceptibility associated with interstitial deletions of chromosome 22q11 Proc Natl Acad Sci USA 1995 92: 7612–7616

    Article  CAS  Google Scholar 

  13. Du Montcel S, Mendizabai H, Ayme S, Levy A, Philip N . Prevalence of 22q11 microdeletion (letter) J Med Genet 1996 33: 719

    Article  Google Scholar 

  14. Devriendt K, Fryns JP, Mortier G, van Thienen MN, Keymolen K . The annual incidence of DiGeorge/velocardiofacial syndrome (letter) J Med Genet 1998 35: 789–790

    Article  CAS  Google Scholar 

  15. Lachman HM, Kelsoe JR, Remick RA, Sadovnick AD, Rapaport MH, Lin M et al. DF Linkage studies suggest a possible locus for bipolar disorder near the velo-cardio-facial syndrome region on chromosome 22 Am J Med Genet 1997 74: 121–128

    Article  CAS  Google Scholar 

  16. Vincent JB, Paterson AD, Strong E, Petronis A, Kennedy JL . The unstable trinucleotide repeat story of major psychosis Am J Med Genet 2000 97: 77–97

    Article  CAS  Google Scholar 

  17. Cummings CJ, Zoghbi HY . Fourteen and counting: unraveling trinucleotide repeat diseases Hum Mol Genet 2000 9: 909–916

    Article  CAS  Google Scholar 

  18. Ross CA, Wood JD, Schilling G, Peters MF, Nucifora FC Jr, Cooper JK et al. Polyglutamine pathogenesis Philos Trans R Soc Lond B Biol Sci 1999 354: 1005–1011

    Article  CAS  Google Scholar 

  19. Stevanin G, Durr A, Brice A . Clinical and molecular advances in autosomal dominant cerebellar ataxias: from genotype to phenotype and physiopathology Eur J Hum Genet 2000 8: 4–18

    Article  CAS  Google Scholar 

  20. Bassett AS, Honer WG . Evidence for anticipation in schizophrenia Am J Hum Genet 1994 54: 864–870

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Mclnnis MG . Anticipation: an old idea in new genes Am J Hum Genet 1996 59: 973–979

    Google Scholar 

  22. O'Donovan MC, Guy C, Craddock N, Murphy KC, Cardno AG, Jones LA et al. Expanded CAG repeats in schizophrenia and bipolar disorder (letter) Nat Genet 1995 10: 380–381

    Article  CAS  Google Scholar 

  23. O'Donovan MC, Guy C, Craddock N, Bowen T, McKeon P, Macedo A et al. Confirmation of association between expanded CAG/CTG repeats and both schizophrenia and bipolar disorder Psychol Med 1996 26: 1145–1153

    Article  CAS  Google Scholar 

  24. Morris AG, Gaitonde E, McKenna PJ, Mollon JD, Hunt DM . CAG repeat expansions and schizophrenia: association with disease in females and with early age-at-onset Hum Mol Genet 1995 4: 1957–1961

    Article  CAS  Google Scholar 

  25. Petronis A, Bassett AS, Honer WG, Vincent JB, Tatuch Y, Sasaki T et al. Search for unstable DNA in schizophrenia families with evidence for genetic anticipation Am J Hum Genet 1996 59: 905–911

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Saleem Q, Vijayakumar M, Mutsuddi M, Chowdhary N, Jain S, Brahmachari SK . Variation at the MJD locus in the major psychoses Am J Med Genet 1998 81: 440–442

    Article  CAS  Google Scholar 

  27. Saleem Q, Sreevidya VS, Sudhir J, Vijaya Savithri J, Gowda Y, Rao CB et al. Association analysis of CAG repeats at the KCNN3 locus in Indian patients with bipolar disorder and schizophrenia Am J Med Genet 2000 96: 744–748

    Article  CAS  Google Scholar 

  28. Dunham I, Shimizu N, Roe BA, Chissoe S, Hunt AR, Collins JE et al. The DNA sequence of human chromosome 22 Nature 1999 402: 489–495

    Article  CAS  Google Scholar 

  29. McGuffin P, Farmer A, Harvey I . A polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system Arch Gen Psychiatry 1991 48: 764–770

    Article  CAS  Google Scholar 

  30. Miller SA, Dykes DD, Polesky HF . A simple salting out procedure for extracting DNA from human nucleated cells Nucleic Acids Res 1988 16: 1215

    Article  CAS  Google Scholar 

  31. Margolis RL, Abraham MR, Gatchell SB, Li SH, Kidwai AS, Breschel TS et al. cDNAs with long CAG trinucleotide repeats from human brain Hum Genet 1997 100: 114–122

    Article  CAS  Google Scholar 

  32. Nagase T, Kikuno R, Nakayama M, Hirosawa M, Ohara O . Prediction of the coding sequences of unidentified human genes. XVIII. The complete sequences of 100 new cDNA clones from brain which code for large proteins in vitro DNA Res 2000 7: 273–281

    CAS  PubMed  Google Scholar 

  33. Moriniere S, Saada C, Holbert S, Sidransky E, Galat A, Ginns E et al. Detection of polyglutamine expansion in a new acidic protein: a candidate for childhood onset schizophrenia? Mol Psychiatry 1999 4: 58–63

    Article  CAS  Google Scholar 

  34. Saleem Q, Choudhry S, Mukerji M, Bashyam L, Padma MV, Chakravarthy A et al. Molecular analysis of autosomal dominant hereditary ataxias in the Indian population: high frequency of SCA2 and evidence for a common founder mutation Human Genet 2000 106: 107–187

    Article  Google Scholar 

  35. Wildenauer DB, Schwab SG, Maier W, Detera-Wadleigh SD . Do schizophrenia and bipolar disorder share susceptibility genes? Schizophr Res 1999 39: 107–111

    Article  CAS  Google Scholar 

  36. Kedra D, Pan H-Q, Seroussi E, Fransson I, Guilbaud C, Collins JE et al. Characterization of the human synaptogyrin gene family Hum Genet 1998 103: 131–141

    Article  CAS  Google Scholar 

  37. Mirnics K, Middleton FA, Marquez A, Lewis DA, Levitt P . Molecular characterization of schizophrenia viewed by microarray analysis of gene expression in prefrontal cortex Neuron 2000 28: 53–67

    Article  CAS  Google Scholar 

  38. Stone RL, Aimi J, Barshop BA, Jaeken J, Van den Berghe G, Zalkin H et al. A mutation in adenylosuccinate lyase associated with mental retardation and autistic features Nature Genet 1992 1: 59–63

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to Ms B Sujatha and Dr Vani Brahmachari for providing some of the normal DNA samples, Ms R Jaya and Ms M Ruchi for help with Genescan analysis, Mr Neeraj Pandey for providing primers for the 22CH4 locus, Dr CB Rao and Professor DK Subbukrishna for assistance with statistical analyses. We would like to acknowledge Dr Anuranjan Anand for extraction of patient DNA samples. This work was supported by Dept of Biotechnology, Govt of India and Council of Scientific and Industrial Research, Govt of India.

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Correspondence to S K Brahmachari.

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Saleem, Q., Dash, D., Gandhi, C. et al. Association of CAG repeat loci on chromosome 22 with schizophrenia and bipolar disorder. Mol Psychiatry 6, 694–700 (2001). https://doi.org/10.1038/sj.mp.4000924

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