Abstract
Schizophrenia is an etiologically heterogeneous psychiatric disease, which exists in familial and nonfamilial (sporadic) forms1. Here, we examine the possibility that rare de novo copy number (CN) mutations with relatively high penetrance contribute to the genetic component of schizophrenia. We carried out a whole-genome scan and implemented a number of steps for finding and confirming CN mutations. Confirmed de novo mutations were significantly associated with schizophrenia (P = 0.00078) and were collectively ∼8 times more frequent in sporadic (but not familial) cases with schizophrenia than in unaffected controls. In comparison, rare inherited CN mutations were only modestly enriched in sporadic cases. Our results suggest that rare de novo germline mutations contribute to schizophrenia vulnerability in sporadic cases and that rare genetic lesions at many different loci can account, at least in part, for the genetic heterogeneity of this disease.
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References
Gottesman, I.I. Schizophrenia Genesis. (W.H. Freeman and Company, New York, 1991).
Gottesman, I.I. & Shields, J. A polygenic theory of schizophrenia. Proc. Natl. Acad. Sci. USA 58, 199–205 (1967).
Sullivan, P.F., Kendler, K.S. & Neale, M.C. Schizophrenia as a complex trait: evidence from a meta-analysis of twin studies. Arch. Gen. Psychiatry 60, 1187–1192 (2003).
Pritchard, J.K. & Cox, N.J. The allelic architecture of human disease genes: common disease-common variant...or not? Hum. Mol. Genet. 11, 2417–2423 (2002).
Karayiorgou, M. & Gogos, J.A. Schizophrenia genetics: uncovering positional candidate genes. Eur. J. Hum. Genet. 14, 512–519 (2006).
Karayiorgou, M. et al. Schizophrenia susceptibility associated with interstitial deletions of chromosome 22q11. Proc. Natl. Acad. Sci. USA 92, 7612–7616 (1995).
Liu, H. et al. Genetic variation in the 22q11 locus and susceptibility to schizophrenia. Proc. Natl. Acad. Sci. USA 99, 16859–16864 (2002).
MacIntyre, D.J., Blackwood, D.H., Porteous, D.J., Pickard, B.S. & Muir, W.J. Chromosomal abnormalities and mental illness. Mol. Psychiatry 8, 275–287 (2003).
Sebat, J. et al. Strong association of de novo copy number mutations with autism. Science 316, 445–449 (2007).
Marshall, C.R. et al. Structural variation of chromosomes in autism spectrum disorder. Am. J. Hum. Genet. 82, 477–488 (2008).
Abecasis, G.R. et al. Genomewide scan in families with schizophrenia from the founder population of Afrikaners reveals evidence for linkage and uniparental disomy on chromosome 1. Am. J. Hum. Genet. 74, 403–417 (2004).
Autism Genome Project Consortium. Mapping autism risk loci using genetic linkage and chromosomal rearrangements. Nat. Genet. 39, 319–328 (2007).
Li, C. & Wong, W.H. Model-based analysis of oligonucleotide arrays: expression index computation and outlier detection. Proc. Natl. Acad. Sci. USA 98, 31–36 (2001).
Redon, R. et al. Global variation in copy number in the human genome. Nature 444, 444–454 (2006).
Wiehahn, G.J. et al. Assessment of the frequency of the 22q11 deletion in Afrikaner schizophrenic patients. Am. J. Med. Genet. B. Neuropsychiatr. Genet. 129, 20–22 (2004).
Bennett, R.L., Karayiorgou, M., Sobin, C.A., Norwood, T.H. & Kay, M.A. Identification of an interstitial deletion in an adult female with schizophrenia, mental retardation, and dysmorphic features: further support for a putative schizophrenia-susceptibility locus at 5q21–23.1. Am. J. Hum. Genet. 61, 1450–1454 (1997).
Lewis, C.M. et al. Genome scan meta-analysis of schizophrenia and bipolar disorder, part II: schizophrenia. Am. J. Hum. Genet. 73, 34–48 (2003).
Chen, X. et al. Haplotypes spanning SPEC2, PDZ-GEF2 and ACSL6 genes are associated with schizophrenia. Hum. Mol. Genet. 15, 3329–3342 (2006).
Kuiperij, H.B. et al. Characterisation of PDZ-GEFs, a family of guanine nucleotide exchange factors specific for Rap1 and Rap2. Biochim. Biophys. Acta 1593, 141–149 (2003).
Kayser, M.S., McClelland, A.C., Hughes, E.G. & Dalva, M.B. Intracellular and trans-synaptic regulation of glutamatergic synaptogenesis by EphB receptors. J. Neurosci. 26, 12152–12164 (2006).
Yue, Y. et al. Specification of distinct dopaminergic neural pathways: roles of the Eph family receptor EphB1 and ligand ephrin-B2. J. Neurosci. 19, 2090–2101 (1999).
Lyons-Warren, A. et al. Evidence of association between bipolar disorder and Citron on chromosome 12q24. Mol. Psychiatry 10, 807–809 (2005).
Di Cunto, F. et al. Defective neurogenesis in citron kinase knockout mice by altered cytokinesis and massive apoptosis. Neuron 28, 115–127 (2000).
Furuyashiki, T. et al. Citron, a Rho-target, interacts with PSD-95/SAP-90 at glutamatergic synapses in the thalamus. J. Neurosci. 19, 109–118 (1999).
Murchison, E.P. & Hannon, G.J. miRNAs on the move: miRNA biogenesis and the RNAi machinery. Curr. Opin. Cell Biol. 16, 223–229 (2004).
Stark, K.L. et al. Altered brain microRNA biogenesis contributes to phenotypic deficits in a 22q11-deletion mouse model. Nat. Genet. 40, 751–760 (2008).
Lupski, J.R. Genomic rearrangements and sporadic disease. Nat. Genet. 39, S43–S47 (2007).
Murphy, K.C., Jones, L.A. & Owen, M.J. High rates of schizophrenia in adults with velo-cardio-facial syndrome. Arch. Gen. Psychiatry 56, 940–945 (1999).
Pulver, A.E. et al. Psychotic illness in patients diagnosed with velo-cardio-facial syndrome and their relatives. J. Nerv. Ment. Dis. 182, 476–478 (1994).
Walsh, T. et al. Rare structural variants disrupt multiple genes in neurodevelopmental pathways in schizophrenia. Science 320, 539–543 (2008).
Acknowledgements
We thank all the families who participated in this research. We also thank H. Pretorius and nursing sisters R. van Wyk, C. Botha and H. van den Berg for their assistance with subject recruitment and diagnostic evaluations. We thank A. Abrams-Downey and Y. Sun for expert technical assistance and J. Merriam and R.L. Allikmets for their help. We also thank A. Hagerty, J. Mote and J. Hallock for sample processing support and B. Boone and P. Dexheimer for genotyping data generation and support. All microarray experiments were performed in the Vanderbilt Microarray Shared Resource, which is supported by the Vanderbilt Ingram Cancer Center (P30 CA68485), the Vanderbilt Digestive Disease Center (P30 DK58404) and the Vanderbilt Vision Center (P30 EY08126). This work was supported in part by National Institute of Mental Health (NIMH) grants MH061399 (to M.K.) and MH077235 (to J.A.G.) and the Lieber Center for Schizophrenia Research at Columbia University Medical Center.
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B.X. carried out the analysis; J.L.R. collected subjects and participated in the diagnostic evaluations; E.J.V.R. collected a subset of the control subjects; S.L. oversaw the genotyping; J.A.G. and M.K. designed the project and oversaw the analysis; M.K. directed the project; and B.X., J.A.G. and M.K. wrote the paper.
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Xu, B., Roos, J., Levy, S. et al. Strong association of de novo copy number mutations with sporadic schizophrenia. Nat Genet 40, 880–885 (2008). https://doi.org/10.1038/ng.162
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DOI: https://doi.org/10.1038/ng.162
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