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EXPLORING THE MISSING GENETICS UNDERLYING NEUROPSYCHIATRIC DISORDERS WITH FUNCTIONAL GENOMICS 用功能基因组学探索神经精神疾病缺失的遗传学基础
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.057
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引用次数: 0
FUNCTIONAL GENOMIC APPROACHES WITH SINGLE-CELL RESOLUTION PROVIDE MECHANISTIC AND BIOLOGICAL INSIGHTS BASED ON GENETIC ASSOCIATION STUDIES 具有单细胞分辨率的功能基因组学方法,可在遗传关联研究的基础上提供机理和生物学见解
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.023
Jens Hjerling-Leffler (Chair) , Mary-Ellen Lynall (Co-chair) , Shuyang Yao Ph.D. (Discussant)
With few exceptions, the marked advances in knowledge about the genetic basis for psychiatric disorders have not converged on findings that can be confidently used for systematically interrogating underlying mechanisms for disease onset and progression. Functional genomics aims to provide mechanistic insights from genetic association studies and has the potential to facilitate biological insight. This series of presentations is from members of the newly started PGC working group for Functional Genomics and showcases how the use of data and methodology with single-cell resolution can further our understanding of the etiology of psychiatric disorders and the mechanism of drug action. The first talk describes an approach that allows the identification and characterization of cell type-specific and/or dynamic regulatory elements. The second talk leverages a new method to analyze cellular states and how these states relate to heritability enrichment for major depression disorder. The third talk describes a meta-analysis for optimizing sampling parameters for single-cell case/control studies which will provide much-needed rigor to an emerging field of study. The fourth talk is on the analysis of peripheral blood samples in the search for an immunological component to psychiatric disorders. Our four speakers all have expertise in single-cell methods and genetic association analysis. Each speaker has a complimentary background and methodological approach and will present the latest findings alongside the strengths and limitations of each approach and the datasets on which these analyses are based.
除少数例外情况外,有关精神疾病遗传基础的知识取得了显著进展,但这些进展并没有汇聚成可以有把握地用于系统探究疾病发病和发展内在机制的研究结果。功能基因组学旨在通过基因关联研究提供机理方面的见解,并有可能促进对生物学的深入了解。本系列报告由新成立的功能基因组学PGC工作组成员主讲,展示了利用单细胞分辨率的数据和方法如何进一步加深我们对精神疾病病因学和药物作用机制的理解。第一个讲座介绍了一种可以识别和表征细胞类型特异性和/或动态调控元件的方法。第二个讲座利用一种新方法来分析细胞状态以及这些状态与重度抑郁障碍遗传性富集的关系。第三个讲座介绍了优化单细胞病例/对照研究采样参数的荟萃分析,这将为这一新兴研究领域提供急需的严谨性。第四场讲座的主题是分析外周血样本,寻找精神疾病的免疫因素。我们的四位发言人都拥有单细胞方法和遗传关联分析方面的专业知识。每位发言人都有各自的背景和方法,他们将在介绍最新研究成果的同时,说明每种方法的优势和局限性,以及这些分析所依据的数据集。
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引用次数: 0
PROGRESS OF AND CHALLENGES FACED BY THE ANTI-RACISM WORKING GROUP AT KING'S COLLEGE LONDON 伦敦国王学院反种族主义工作组取得的进展和面临的挑战
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.062
Helena Davies , Yasmin Ahmadzadeh , Joanna K. Bright , Anti-Racism Working Group
The Anti-Racism Working Group (ARWG) of the Social, Genetic, Developmental Psychiatry (SGDP) Centre aims to help identify, propose, instigate, and support change consistent with an anti-racist agenda within the department. This talk will showcase the work done by the ARWG, the challenges we faced along the way, and where the team plans to go next. The ARWG was established in 2020 consists of three subgroups: (1) SGDP Centre Protocol, which aims to help develop and embed anti-racist procedures and practices within the department, (2) SGDP Centre Internal Events and Communication, which organises events on anti-racism for members of the department and the wider King's College London community, and (3) SGDP Centre External Events and Wider Opportunities, which aims to provide mentoring, allyship, training, and communication for people and organisations outside of King's College London. Since our inception, we have organised multiple events, including a talk from Dr Jedidiah Carlson titled ‘Disrupting the Weaponisation of Genetics Research by Extremists’, and have supervised multiple undergraduate projects with an anti-racism focus, for example, ‘Exploring anti-racist terminology and research practices for mental health researchers’. We also coordinate the annual faculty-wide outreach programme for London-based teenagers that aims to encourage continuation of science education to university level. To track and communicate perceptions and opinions about racism within the SGDP Centre, we distribute surveys and present the findings to the department, as well as deliver regular reports on our progress. A key challenge we encountered was fostering support and engagement from a wider audience. Building capacity across the university has been improved through collaboration with other departments and Culture, Equity, Diversity and Inclusion groups. Currently, the team is developing an anti-racist toolkit for use as an individual or within a team, guidelines on how to increase inclusivity of teaching, and a terminology guide for researchers measuring and reporting diversity. Moving forward, we hope to develop sustainable tools and initiatives that are embedded within departmental practice that promote diversity and equality of opportunity among students and staff across all levels of seniority.
社会、遗传和发育精神病学(SGDP)中心的反种族主义工作组(ARWG)旨在帮助确定、提出、推动和支持与部门内反种族主义议程相一致的变革。本讲座将展示反种族主义工作组所做的工作、我们一路走来所面临的挑战以及该团队下一步的计划。反种族主义工作组成立于 2020 年,由三个小组组成:(1)SGDP 中心协议小组,旨在帮助在系内制定和嵌入反种族主义程序和实践;(2)SGDP 中心内部活动和交流小组,为系内成员和更广泛的伦敦国王学院社区组织反种族主义活动;(3)SGDP 中心外部活动和更广泛的机会小组,旨在为伦敦国王学院以外的人员和组织提供指导、结盟、培训和交流。自成立以来,我们已经组织了多次活动,包括杰迪迪亚-卡尔森(Jedidiah Carlson)博士题为 "阻止极端分子将遗传学研究武器化 "的演讲,并指导了多个以反种族主义为重点的本科生项目,例如 "探索心理健康研究人员的反种族主义术语和研究实践"。我们还协调面向伦敦青少年的年度全系外联计划,旨在鼓励他们继续接受大学科学教育。为了跟踪和交流 SGDP 中心内部对种族主义的看法和意见,我们分发了调查问卷,并将调查结果提交给系里,同时定期提交进展报告。我们遇到的一个主要挑战是促进更广泛受众的支持和参与。通过与其他部门以及文化、平等、多样性和包容小组的合作,全校的能力建设得到了改善。目前,该团队正在开发供个人或团队使用的反种族主义工具包、如何提高教学包容性的指南,以及供研究人员衡量和报告多样性的术语指南。展望未来,我们希望能开发出可持续的工具和举措,并将其融入到部门实践中,以促进学生和各级教职员工之间的多样性和机会平等。
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引用次数: 0
POLYGENIC RISK SCORES FOR A SPECTRUM OF PSYCHIATRIC OUTCOMES ARE ALSO ASSOCIATED WITH DEPRESSION TRAJECTORIES FROM CHILDHOOD TO EARLY ADULTHOOD: FINDINGS FROM THE AVON LONGITUDINAL STUDY OF PARENTS AND CHILDREN 一系列精神疾病结果的多基因风险评分也与从童年到成年早期的抑郁轨迹有关:阿文父母与子女纵向研究的结果
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.093
Ruby Tsang, Nicholas Timpson
Depression is a complex and multifactorial disorder that has genetic and environmental influences. Genome-wide association studies have shown that common genetic variants are implicated in depression. These common variants, when combined into polygenic risk scores, are associated with depression case status, severity and age of onset. However, less is known about how genetic risk affects change in depression symptoms longitudinally. Furthermore, psychiatric disorders are comorbid and recent studies have shown genetic risk is shared between them, but the association between this shared polygenic risk and how depression manifests and changes over time is not yet understood.
We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC). Self-reported depressive symptoms were assessed on 10 occasions between the ages of 10 and 25 using the 13-item Short Mood and Feelings Questionnaire. Polygenic risk scores (PRS) for major depressive disorder (MDD), anxiety (ANX), neuroticism (NEU), and schizophrenia (SCZ) were computed with PRSice-2 using summary statistics from recent genome-wide associations studies, in which ALSPAC was not included. Additionally, we used genomic structural equation modelling (GSEM) to create a multi-trait PRS of MDD, ANX, NEU, SCZ, bipolar disorder, autism spectrum disorder, and attention deficit hyperactivity disorder, to capture the spectrum of psychopathology and explored how this genetic risk score was associated with depression trajectories.
We modelled depression trajectories using generalised additive models, with age as the time metric, and included sex, age-sex interaction, PRS, age-PRS interaction, and the first 10 principal components as predictors. We ran separate models for each PRS.
Depression trajectories for those in the top and bottom deciles of MDD and NEU PRS start to show divergence around mid- to late-adolescence with higher genetic risk associated with worse trajectories. With the multi-trait PRS, differences emerge as early as childhood, again with higher genetic risk indicative of worse trajectories. In these three models, the separation between the trajectories then continues to increase into adulthood. No clear pattern of separation was observed with the ANX or SCZ PRS.
These findings suggest that psychiatric PRS are associate with (and may influence) the longitudinal course of depressive symptoms from childhood into early adulthood. The multi-trait PRS was superior to PRS of individual psychiatricdisorders in delineating depression trajectories in association with genetic risk. One interpretation is that a spectrum of psychiatric genetic risk could underpin developmental differences in depression trajectories.
抑郁症是一种复杂的多因素疾病,受遗传和环境影响。全基因组关联研究表明,常见的基因变异与抑郁症有关。这些常见变异组合成多基因风险评分后,与抑郁症的病例状态、严重程度和发病年龄有关。然而,人们对遗传风险如何影响抑郁症状的纵向变化知之甚少。此外,精神疾病具有并发性,最近的研究表明,它们之间存在共同的遗传风险,但这种共同的多基因风险与抑郁症的表现形式和随时间变化之间的关联尚不清楚。我们使用了雅芳父母与子女纵向研究(ALSPAC)的数据,在 10 至 25 岁期间,使用 13 项短期情绪和感觉问卷对自我报告的抑郁症状进行了 10 次评估。重度抑郁症(MDD)、焦虑症(ANX)、神经质(NEU)和精神分裂症(SCZ)的多基因风险评分(PRS)是通过 PRSice-2 计算得出的,计算时使用了近期全基因组关联研究(ALSPAC 未包括在内)的汇总统计数据。此外,我们还使用基因组结构方程建模(GSEM)创建了一个包含 MDD、ANX、NEU、SCZ、双相情感障碍、自闭症谱系障碍和注意缺陷多动障碍的多性状 PRS,以捕捉精神病理学的谱系,并探讨了这一遗传风险评分与抑郁轨迹的关联。我们使用广义加法模型对抑郁轨迹进行建模,以年龄作为时间度量,并将性别、年龄-性别交互作用、PRS、年龄-PRS 交互作用和前 10 个主成分作为预测因子。在青春期中后期,MDD 和 NEU PRS 顶部和底部十分位组的抑郁轨迹开始出现分化,遗传风险越高,轨迹越差。在多特质 PRS 中,差异最早出现在儿童时期,同样,遗传风险越高,轨迹越差。在这三种模型中,轨迹之间的差异会持续到成年期。这些研究结果表明,精神病学 PRS 与抑郁症状从童年到成年早期的纵向发展过程有关(并可能对其产生影响)。多特质PRS在描述与遗传风险相关的抑郁轨迹方面优于单个精神障碍的PRS。一种解释是,一系列精神病遗传风险可能是抑郁症发展轨迹差异的基础。
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引用次数: 0
ENGAGING INSIGHTS: CONNECTING WITH PEOPLE WITH PSYCHIATRIC DIAGNOSES AND THEIR FAMILIES AROUND PSYCHIATRIC GENETICS 引人入胜的见解:围绕精神病遗传学,与精神疾病患者及其家人建立联系
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.103
David Crepaz-Keay
As someone who grew up living with a diagnosis of schizophrenia - among others - at a time when our view of genetics was much simpler and deterministic, the work of “communicating about psychiatric genetics in a diverse world" is a priority for me. Like many living with a diagnosis, my search of answers actually uncovered more questions. My conversations with skilled professionals in the world of psychiatric genetics have been productive and informative for both me and them. Such an experience encouraged me to try and engage more people who share my diagnoses to participate in these discussions.
This presentation will draw on my work with people with psychiatric diagnoses and their families, exploring the journey from initial hesitation to meaningful engagement in psychiatric genetics. I will discuss how we can bridge clinical knowledge with real-world dialogues, revealing the transformative power of informed discussions.
Drawing on ten years of experience, I will begin with the common initial reactions—either a belief that psychiatric genetics was too complex or a question of its relevance. I will share how we navigated these perceptions to foster a genuine interest and understanding. In addition, I will share the strategies that helped demystify complex genetic concepts and the explanations that resonated, as well as how simplifying our approach made genetic science accessible and relevant. I will highlight the most effective questions and topics that emerged during our discussions, such as genetic risk factors and their implications for treatment choices and lifestyle decisions. The presentation will emphasise the mutual benefits gained from these interactions, underscoring a shared journey of discovery that enriched both the participants' and the professionals' understanding.
We started from a place where many felt that psychiatric genetics was either too complex to grasp or simply irrelevant. Overall, this presentation will demonstrate how we moved from those initial doubts to a deeper, more informed understanding that empowers - rather than confounds - people with psychiatric diagnoses. I hope this presentation will encourage and give confidence to enable skilled professionals to navigate complex issues and share their knowledge with those who stand to benefit most.
作为一个从小就被诊断患有精神分裂症等疾病的人,在我们对遗传学的看法还比较简单和决定论盛行的时代,"在多元化的世界中传播精神遗传学 "是我的首要任务。和许多被诊断出患有精神疾病的人一样,我在寻找答案的过程中发现了更多的问题。我与精神科遗传学领域的专业人士进行的交流,对我和他们来说都是富有成效的,也为我们提供了很多信息。这样的经历鼓励我尝试让更多与我有相同诊断的人参与到这些讨论中来。本演讲将从我与精神疾病患者及其家人的工作中汲取经验,探索他们从最初的犹豫不决到有意义地参与精神疾病遗传学研究的过程。我将讨论我们如何将临床知识与现实世界的对话联系起来,揭示知情讨论的变革力量。根据十年的经验,我将从最初的常见反应开始--要么认为精神科遗传学过于复杂,要么质疑其相关性。我将与大家分享我们是如何驾驭这些看法,以促进真正的兴趣和理解的。此外,我还将分享有助于揭开复杂遗传学概念神秘面纱的策略和能引起共鸣的解释,以及如何简化我们的方法,使遗传科学变得通俗易懂、贴近生活。我将重点介绍讨论中出现的最有效的问题和话题,如遗传风险因素及其对治疗选择和生活方式决定的影响。我们的出发点是,许多人认为精神科遗传学过于复杂,难以掌握,或者根本不相关。总之,本演讲将展示我们是如何从最初的怀疑转变为更深入、更明智的理解,从而赋予精神疾病患者更多的权利,而不是让他们感到困惑。我希望这次演讲能够鼓励并给予专业人士信心,使他们能够驾驭复杂的问题,并与那些受益最大的人分享他们的知识。
{"title":"ENGAGING INSIGHTS: CONNECTING WITH PEOPLE WITH PSYCHIATRIC DIAGNOSES AND THEIR FAMILIES AROUND PSYCHIATRIC GENETICS","authors":"David Crepaz-Keay","doi":"10.1016/j.euroneuro.2024.08.103","DOIUrl":"10.1016/j.euroneuro.2024.08.103","url":null,"abstract":"<div><div>As someone who grew up living with a diagnosis of schizophrenia - among others - at a time when our view of genetics was much simpler and deterministic, the work of “communicating about psychiatric genetics in a diverse world\" is a priority for me. Like many living with a diagnosis, my search of answers actually uncovered more questions. My conversations with skilled professionals in the world of psychiatric genetics have been productive and informative for both me and them. Such an experience encouraged me to try and engage more people who share my diagnoses to participate in these discussions.</div><div>This presentation will draw on my work with people with psychiatric diagnoses and their families, exploring the journey from initial hesitation to meaningful engagement in psychiatric genetics. I will discuss how we can bridge clinical knowledge with real-world dialogues, revealing the transformative power of informed discussions.</div><div>Drawing on ten years of experience, I will begin with the common initial reactions—either a belief that psychiatric genetics was too complex or a question of its relevance. I will share how we navigated these perceptions to foster a genuine interest and understanding. In addition, I will share the strategies that helped demystify complex genetic concepts and the explanations that resonated, as well as how simplifying our approach made genetic science accessible and relevant. I will highlight the most effective questions and topics that emerged during our discussions, such as genetic risk factors and their implications for treatment choices and lifestyle decisions. The presentation will emphasise the mutual benefits gained from these interactions, underscoring a shared journey of discovery that enriched both the participants' and the professionals' understanding.</div><div>We started from a place where many felt that psychiatric genetics was either too complex to grasp or simply irrelevant. Overall, this presentation will demonstrate how we moved from those initial doubts to a deeper, more informed understanding that empowers - rather than confounds - people with psychiatric diagnoses. I hope this presentation will encourage and give confidence to enable skilled professionals to navigate complex issues and share their knowledge with those who stand to benefit most.</div></div>","PeriodicalId":12049,"journal":{"name":"European Neuropsychopharmacology","volume":"87 ","pages":"Page 42"},"PeriodicalIF":6.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CROSS-DISORDER RARE VARIANT ANALYSIS OF AUTISM AND ADHD 自闭症和 adhd 的跨障碍罕见变异分析
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.047
Jinjie Duan , Jakob Grove , Ditte Demontis , F. Kyle Satterstrom , Jack Fu , Caitlin Carey , Stephan Sanders , Bernie Devlin , Kathryn Roeder , Joseph Buxbaum , Elise Robinson , Michael Talkowski , Benjamin Neale , Mark Daly , Anders Børglum
<div><div>Autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) are heterogeneous neurodevelopmental disorders with high heritability and frequent co-occurrence. Our previous work on the first phase of iPSYCH exomes (Satterstrom et al., 2019) suggested a similar burden of rare protein-truncating variants (PTVs) across ASD and ADHD and identified MAP1A as a shared risk gene implicated by rare PTVs in both disorders. This study aims to 1) extend these findings, employing a significantly larger iPSYCH exome dataset for gene discovery, 2) estimate the burden heritability explained by rare coding variants in ASD and ADHD, and 3) assess the burden genetic correlation between the two disorders.</div><div>We analyzed exomes of 25,208 individuals from iPSYCH, encompassing 7,119 individuals diagnosed with ASD alone (ASD-only), 5,598 with ADHD alone (ADHD-only), 3,794 with both ASD and ADHD (ASD+ADHD), and 8,697 controls. We used multivariate Poisson regression models to systematically evaluate rare variant burdens in different gene sets across the three case groups and controls, stratified further by the presence or absence of intellectual disability (ID). The gene sets included all genes, genes intolerant to loss-of-function variants (pLI > 0.9), and gene sets associated with different disorders including ID, ASD, ADHD, schizophrenia, and a broader group of neurodevelopmental disorders. We applied c-alpha tests to assess whether the distribution of rare deleterious variants differs between ASD and ADHD. We employed burden heritability regression to estimate the burden heritability of ASD and ADHD, respectively, and the burden genetic correlation between the two disorders. For gene discovery, we combined individuals diagnosed with ASD and/or ADHD into a single case group and applied TADA+ to integrate with family data and Swedish PAGES case-control data from a recent large-scale ASD rare variant study (Fu et al., 2022).</div><div>We observed similar burdens of class I variants including rare PTVs and rare deleterious missense variants (MPC > 3) in constrained genes across the three case groups, while they all showed a significant excess compared to controls: OR = 1.35, 95% CI = [1.26, 1.45] for ASD-only; OR = 1.35, CI = [1.25, 1.45] for ADHD-only; and OR = 1.39, CI = [1.28, 1.52] for ASD+ADHD. The c-alpha tests indicated no significant differences in the distribution of class I variants in constrained genes between ASD-only and ADHD-only groups (P= 0.39) while, when comparing the case groups to controls, significant differences were observed. The burden heritability of class I variants on the liability scale was estimated to 1.87% (SE = 0.51%) for ASD and 2.42% (s.e. = 0.72%) for ADHD. The class I variant burden genetic correlation between ASD and ADHD was 0.31 (s.e. = 0.26), which approximates the point estimate of their common-variant genetic correlation of 0.42 (s.e. = 0.05) (Demontis et al., 2023).</div><div>Our findi
自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)是异质性神经发育疾病,具有高遗传性和频繁并发性。我们之前对第一阶段 iPSYCH 外显子的研究(Satterstrom 等人,2019 年)表明,自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)中存在相似的罕见蛋白质截断变异(PTVs),并发现 MAP1A 是这两种疾病中罕见 PTVs 所涉及的共同风险基因。本研究旨在:1)扩展这些发现,利用更大的 iPSYCH 外显子组数据集来发现基因;2)估计 ASD 和 ADHD 中罕见编码变异所解释的负荷遗传率;3)评估这两种疾病之间的负荷遗传相关性。我们分析了来自 iPSYCH 的 25208 个个体的外显子组,其中包括 7119 个单独诊断为 ASD 的个体(ASD-only)、5598 个单独诊断为 ADHD 的个体(ADHD-only)、3794 个同时诊断为 ASD 和 ADHD 的个体(ASD+ADHD)以及 8697 个对照组。我们使用多变量泊松回归模型系统地评估了三个病例组和对照组中不同基因组的罕见变异负担,并根据是否存在智力障碍(ID)进行了进一步分层。基因集包括所有基因、不耐受功能缺失变异的基因(pLI > 0.9),以及与不同疾病相关的基因集,包括ID、ASD、ADHD、精神分裂症和更广泛的神经发育障碍。我们采用c-α检验来评估ASD和ADHD之间罕见有害变异的分布是否存在差异。我们采用负荷遗传率回归法分别估算了 ASD 和 ADHD 的负荷遗传率,以及这两种疾病之间的负荷遗传相关性。为了发现基因,我们将确诊为ASD和/或ADHD的个体合并为一个病例组,并应用TADA+与最近一项大规模ASD罕见变异研究(Fu等人,2022年)中的家族数据和瑞典PAGES病例对照数据进行整合。我们在三个病例组的受限基因中观察到了相似的I类变异负担,包括罕见的PTV和罕见的致畸性错义变异(MPC >3),而与对照组相比,它们都显示出显著的过量:仅 ASD 的 OR = 1.35,95% CI = [1.26,1.45];仅 ADHD 的 OR = 1.35,CI = [1.25,1.45];ASD+ADHD 的 OR = 1.39,CI = [1.28,1.52]。c-α检验表明,纯ASD组和纯ADHD组之间受限基因中I类变异的分布无显著差异(P= 0.39),而当病例组与对照组比较时,则观察到显著差异。据估计,ASD 和 ADHD 的 I 类变异在责任量表上的负担遗传率分别为 1.87%(SE = 0.51%)和 2.42%(s.e. = 0.72%)。ASD和ADHD之间的I类变异负担遗传相关性为0.31(s.e. = 0.26),近似于其共同变异遗传相关性的点估计值0.42(s.e. = 0.05)(Demontis等人,2023年)。这促使我们将被诊断为 ASD 和/或 ADHD 的个体合并为一个群体,以促进发现这两种疾病之间共享的罕见变异风险基因。这项基因发现分析正在进行中,结果将在大会上公布。
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引用次数: 0
FAMILY-BASED STUDIES IN PSYCHIATRIC GENOMICS: PROGRESS AND RELEVANCE IN 2024 精神病基因组学中以家庭为基础的研究:2024 年的进展与意义
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.079
Aiden Corvin (Chair) , Andrew McIntosh (Co-chair) , Niamh Ryan (Discussant)
To our knowledge it is ten years since the last symposium on pedigree-based analyses at the WCPG. In the era of whole genome sequencing a review is timely. As costs fall, the field of psychiatric genomics is transitioning from GWAS to next generation sequencing, with power to expand our understanding of the contribution of rare mutations to genetic burden across disorders. Identified rare pathogenic variants may be more informative in understanding disease biology than the common variants of small effect that represent the majority of discovery to date.
Rare variant association studies require sample sizes an order of magnitude larger than GWAS studies. This is because rare mutations tend to be selected against in populations over a few generations. However, such mutations may be identifiable where multiple generations of the same family are available. Moreover, families do not suffer the same population stratification or other confounds that are present at a population level. This approach, with small sample numbers in a family, allows for detailed phenotypic assessment and is accessible to clinicians and researchers with limited resources who want to contribute to the field.
This symposium will provide an update on progress made in ASD, where significant understanding of the genetic architecture and disease biology is emerging, in part due to trio- and quad-based approaches. We review progress from the PGC Pedigree Sequencing Group with an example of how sequencing individual families, with small numbers of individuals can identify relevant risk mutations only identifiable with thousands of samples using case-control approaches. We describe progress in other adult disorders from the international "Pedigree-Based Whole Genome Sequencing of Affective and Psychotic Disorders" consortium. Finally, we review the findings from colleagues working in India who are applying pedigree-based sequencing study approaches across disorders. Across presentations we consider recruitment, and how emerging findings indicate a need for broader inclusion criteria within families than might traditionally have been considered. This session will also present new methods for investigating pedigrees in the era of whole genome sequencing.
据我们所知,距离上一次在世界基因组大会上举办基于谱系分析的研讨会已经过去了十年。在全基因组测序时代,进行一次回顾是非常及时的。随着成本的下降,精神疾病基因组学领域正在从全球基因组分析系统(GWAS)向新一代测序系统过渡,这将有助于我们进一步了解罕见变异对各种疾病遗传负担的影响。在了解疾病生物学方面,发现的罕见致病变异可能比迄今为止发现的大多数影响较小的常见变异更有参考价值。罕见变异关联研究需要的样本量要比 GWAS 研究大一个数量级。这是因为罕见变异在人群中往往会经过几代人的选择而被淘汰。然而,在同一家族有多代人的情况下,这种突变可能是可识别的。此外,家族也不会受到人群分层的影响,也不会受到人群水平上存在的其他干扰因素的影响。本研讨会将介绍 ASD 研究的最新进展,在 ASD 研究中,人们对遗传结构和疾病生物学有了更深入的了解,这部分归功于基于三代和四代的研究方法。我们将回顾 PGC Pedigree Sequencing Group 取得的进展,并举例说明对个体数量较少的单个家庭进行测序如何发现相关的风险突变,而只有使用病例对照方法对成千上万的样本进行测序才能发现这些突变。我们还介绍了国际 "情感和精神障碍基于谱系的全基因组测序 "联盟在其他成人疾病方面取得的进展。最后,我们回顾了在印度工作的同事的研究成果,他们将基于 pedigree 的测序研究方法应用于各种疾病。在所有发言中,我们都会考虑招募问题,以及新出现的研究结果如何表明需要比传统上考虑的更广泛的家庭纳入标准。本次会议还将介绍在全基因组测序时代调查家系的新方法。
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引用次数: 0
SENSITIVE PERIODS FOR CHILDHOOD ADVERSITY AND DNA METHYLATION: META-ANALYSIS RESULTS AND DNA METHYLATION RISK SCORES 童年逆境和 DNA 甲基化的敏感期:荟萃分析结果和 DNA 甲基化风险评分
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.086
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引用次数: 0
INNOVATING KNOWLEDGE DISSEMINATION FOR CULTURAL RELEVANCE AND ACCESSIBILITY 创新知识传播,促进文化相关性和可获取性
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.104
Michaela Pettie
We are all embedded within societies, communities, families, and institutions. But how do we ensure our research, methodologies, findings, and implications are accessible and meaningful for those who need the knowledge? As a Māori (Indigenous) researcher from New Zealand and a researcher within the NIH-funded International Eating Disorder Genetics Initiative (EDGI) study led by Professor Cynthia Bulik, I am acutely aware of the pivotal role language plays in bridging the gap between scientific communication and societal understanding.
My symposia presentation delves into the importance of a researcher's role as a knowledge creator to craft accessible and culturally sensitive narratives from complex scientific concepts. Researchers are responsible for spreading the knowledge of genetic findings beyond the confines of scholarly journals so that our work reaches and resonates with communities far and wide. It is imperative to embrace diverse modalities of dissemination and recognise that peer-reviewed articles are but one conduit through which knowledge can flow. I will cover opportunities for various dissemination modalities, including the use wānanga by our Māori communities in New Zealand. Wānanga (forum or seminar) is a way of sharing knowledge, discussing, exploring and making meaning of the content, and using the associated concepts can present new opportunities for knowledge dissemination in various contexts.
Ultimately, my presentation serves as a call to action for researchers and communicators alike. The true measure of research impact lies not solely in scholarly publications but in the tangible difference we make in the lives of people and communities through accessible, inclusive, and culturally resonant knowledge dissemination practices.
我们都身处社会、社区、家庭和机构之中。但是,我们如何确保我们的研究、方法、发现和影响对那些需要这些知识的人来说是可及和有意义的呢?作为一名来自新西兰的毛利(土著)研究人员,以及由辛西娅-布里克(Cynthia Bulik)教授领导的、由美国国立卫生研究院(NIH)资助的国际饮食失调遗传学计划(EDGI)研究中的一名研究人员,我清楚地意识到,语言在弥合科学交流与社会理解之间的鸿沟方面发挥着举足轻重的作用。研究人员有责任将基因研究成果的知识传播到学术期刊之外的地方,使我们的工作能够影响到更广泛的群体并引起他们的共鸣。当务之急是采用多种传播方式,并认识到同行评审文章只是知识流动的一个渠道。我将介绍各种传播方式的机会,包括新西兰毛利社区使用wānanga的情况。Wānanga(论坛或研讨会)是一种分享知识、讨论、探索和理解内容意义的方式,使用相关概念可以为各种背景下的知识传播提供新的机会。真正衡量研究影响力的标准不仅仅是学术出版物,而是我们通过无障碍、包容性和文化共鸣的知识传播实践为人们和社区的生活带来的切实改变。
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引用次数: 0
SYSTEMS BIOLOGY OF PTSD REVEALS MECHANISMS OF RISK AND DISEASE PROCESSES AT BRAIN MULTI-OMIC, BRAIN CELL TYPE, AND BLOOD LEVELS PTSD 的系统生物学揭示了大脑多原子、脑细胞类型和血液水平的风险和疾病过程机制
IF 6.1 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.euroneuro.2024.08.015
Nikolaos Daskalakis , Artemis Iatrou , Christos Chatzinakos , Aarti Jajoo , Clara Snijders , PGC PTSD Working Group , Charles Nemeroff , Joel Kleinman , Kerry Ressler
Stress-related disorders stem from the interplay of genetic susceptibility and stress exposure, shaping gene and protein expression through epigenetic modifications across the lifespan. Studies on postmortem brains of PTSD and MDD patients, compared to neurotypical controls, reveal genetic overlaps, sex disparities, and immune and interneuron signaling involvement, yet lack integrative analyses. To address this gap, we established a brain multi-omic, multi-region database comprising individuals with PTSD, MDD, and NCs (77/group, n = 231). We analyzed molecular changes across the central nucleus of the amygdala (CeA), medial prefrontal cortex (mPFC), and hippocampal dentate gyrus (DG) at transcriptomic, methylomic, and proteomic levels. Our approach is supplemented by single-nucleus RNA sequencing (snRNA-seq), genetics, and blood proteomics, aiming for a comprehensive systems perspective. Our findings highlight predominant molecular
changes in the mPFC, with differentially expressed genes (DEGs) and exons carrying disease signals. Notably, methylation alterations were concentrated in the DG for PTSD and CeA for MDD. Findings supported by replication analyses across two cohorts (n = 114). We observed a moderate overlap between disorders, with childhood trauma and suicide driving molecular variations, and sex-specificity was more notable in MDD. Pathway analyses link disease-associated molecular signatures to immune mechanisms, metabolism, mitochondria function, and stress hormone signaling, albeit with low concordance across omics. Top upstream regulators include IL1B, GR, STAT3, and TNF. Multi-omic factor and gene network analyses suggest latent factors and modules related to aging, inflammation, vascular processes, and stress.
Complementing multi-omics, our snRNA-seq in the dorsolateral PFC reveals dysregulated pathways and upstream regulators in neuronal and non-neuronal cell types, including stress-related genes. Examining brain multi-omics with blood proteins in the large UK Biobank cohort shows significant correlation, overlap, and directional similarity, implying potential blood-based biomarkers. Fine-mapping of PTSD and MDD genome-wide association study results reveals limited overlap between risk and disease processes at the gene and pathway level.
Ultimately, prioritized genes with multi-omic, multi-region, or multi-trait associations are implicated in pathways/networks, exhibit cell-type specificity, demonstrate blood biomarker potential, or are linked to genetic risk for PTSD and MDD.
In conclusion, our study unveils shared and unique brain multi-omic molecular dysregulations in PTSD and MDD, elucidating distinct cell-type involvement and paving the way for blood-based biomarker development. These insights not only implicate established stress-related pathways but also offer potential therapeutic avenues.
压力相关疾病源于遗传易感性和压力暴露的相互作用,通过整个生命周期的表观遗传修饰影响基因和蛋白质的表达。与神经畸形对照组相比,对创伤后应激障碍和精神障碍患者死后大脑的研究揭示了遗传重叠、性别差异、免疫和中间神经元信号参与等问题,但缺乏综合分析。为了填补这一空白,我们建立了一个大脑多组学、多区域数据库,其中包括创伤后应激障碍患者、MDD患者和NCs患者(77人/组,n = 231)。我们在转录组、甲基组和蛋白质组水平上分析了杏仁核中央核(CeA)、内侧前额叶皮层(mPFC)和海马齿状回(DG)的分子变化。我们的方法辅以单核 RNA 测序(snRNA-seq)、遗传学和血液蛋白质组学,旨在从全面的系统角度进行研究。我们的研究结果凸显了 mPFC 中主要的分子变化,其中差异表达基因 (DEG) 和外显子携带疾病信号。值得注意的是,甲基化改变集中在创伤后应激障碍的 DG 和 MDD 的 CeA。两个队列(n = 114)的重复分析支持了这一结果。我们观察到疾病之间存在一定程度的重叠,童年创伤和自杀是分子变异的驱动因素,而性别特异性在 MDD 中更为显著。通路分析将与疾病相关的分子特征与免疫机制、新陈代谢、线粒体功能和应激激素信号转导联系在一起,尽管在全局组学中的一致性较低。最主要的上游调节因子包括 IL1B、GR、STAT3 和 TNF。多组学因子和基因网络分析表明,潜在因子和模块与衰老、炎症、血管过程和应激有关。作为多组学的补充,我们在背外侧前脑功能区进行的snRNA-seq分析揭示了神经元和非神经元细胞类型中失调的通路和上游调控因子,包括与应激有关的基因。对英国生物库大型队列中的大脑多组学与血液蛋白质进行的研究显示了显著的相关性、重叠性和方向相似性,这意味着潜在的基于血液的生物标记物。创伤后应激障碍和多发性硬化症全基因组关联研究结果的精细图谱显示,风险与疾病过程在基因和通路水平上的重叠有限。最终,具有多组学、多区域或多性状关联的优先基因与通路/网络有牵连,表现出细胞类型特异性,显示出血液生物标记物的潜力,或与创伤后应激障碍和多发性硬化症的遗传风险有关。总之,我们的研究揭示了创伤后应激障碍和多发性抑郁症共有的和独特的大脑多组学分子失调,阐明了不同细胞类型的参与,为基于血液的生物标记物的开发铺平了道路。这些见解不仅牵涉到已确立的应激相关途径,还提供了潜在的治疗途径。
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引用次数: 0
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European Neuropsychopharmacology
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