Substantial genetic liability is shared across psychiatric disorders but less is known about risk variants that are specific to a given disorder. We used multi-trait conditional and joint analysis (mtCOJO) to adjust GWAS summary statistics of one disorder for the effects of genetically correlated traits to identify putative disorder-specific SNP associations. We applied mtCOJO to summary statistics for five psychiatric disorders from the Psychiatric Genomics Consortium—schizophrenia (SCZ), bipolar disorder (BIP), major depression (MD), attention-deficit hyperactivity disorder (ADHD) and autism (AUT). Most genome-wide significant variants for these disorders had evidence of pleiotropy (i.e., impact on multiple psychiatric disorders) and hence have reduced mtCOJO conditional effect sizes. However, subsets of genome-wide significant variants had larger conditional effect sizes consistent with disorder-specific effects: 15 of 130 genome-wide significant variants for schizophrenia, 5 of 40 for major depression, 3 of 11 for ADHD and 1 of 2 for autism. We show that decreased expression of VPS29 in the brain may increase risk to SCZ only and increased expression of CSE1L is associated with SCZ and MD, but not with BIP. Likewise, decreased expression of PCDHA7 in the brain is linked to increased risk of MD but decreased risk of SCZ and BIP.
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This work is supported by grants from the National Health and Medical Research Council of Australia (1087889, 1145645, 1113400, 1078901 and 1078037), and the Sylvia & Charles Viertel Charitable Foundation. The PGC has received major funding from the US National Institute of Mental Health and the US National Institute of Drug Abuse (U01 MH109528 and U01 MH1095320). We thank the research participants and employees of 23andMe, Inc. for contributing to this study. This paper would not have been possible without the generosity of participants in the many studies that comprise the final meta-analyses and the dedication of many clinicians and research staff who have collected the data and made them publically available. Acknowledgments for specific data sets are provided in the Supplementary Material.
Conflict of interest
PFS is on the advisory committee at Lundbeck, is a Scientific Advisory Board member at Pfizer and has received speaker reimbursement and grant funding from Roche. JH-L. is a Scientific Advisor at Cartana and has received grant funding from Roche.
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Members of the Bipolar Working Group of the Psychiatric Genomics Consortium and Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium are listed in Supplementary Information file.
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Byrne, E.M., Zhu, Z., Qi, T. et al. Conditional GWAS analysis to identify disorder-specific SNPs for psychiatric disorders. Mol Psychiatry 26, 2070–2081 (2021). https://doi.org/10.1038/s41380-020-0705-9
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