Rare chromosomal deletions and duplications increase risk of schizophrenia

被引:1116
作者
Stone, Jennifer L. [1 ,2 ,3 ,4 ]
O'Donovan, Michael C. [5 ]
Gurling, Hugh [6 ]
Kirov, George K. [5 ]
Blackwood, Douglas H. R. [7 ]
Corvin, Aiden [8 ,9 ]
Craddock, Nick J. [5 ]
Gill, Michael [8 ,9 ]
Hultman, Christina M. [10 ,11 ]
Lichtenstein, Paul [10 ]
McQuillin, Andrew [6 ]
Pato, Carlos N. [12 ]
Ruderfer, Douglas M. [1 ,2 ,3 ,4 ]
Owen, Michael J. [5 ]
St Clair, David [13 ]
Sullivan, Patrick F. [14 ,15 ,16 ]
Sklar, Pamela [1 ,2 ,3 ,4 ]
Purcell, Shaun M. [1 ,2 ,3 ,4 ]
Scolnick, E. M. [3 ]
Holmans, P. A. [5 ]
Georgieva, L. [5 ]
Nikolov, I. [5 ]
Norton, N. [5 ]
Williams, H. [5 ]
Williams, N. M. [5 ]
Toncheva, D. [18 ]
Milanova, V. [19 ]
Thelander, E. F. [10 ]
Morris, D. W. [8 ,9 ]
O'Dushlaine, C. T. [8 ,9 ]
Kenny, E. [8 ,9 ]
Waddington, J. L. [20 ]
Choudhury, K. [6 ]
Datta, S. [6 ]
Pimm, J. [6 ]
Thirumalai, S. [21 ]
Puri, V. [6 ]
Krasucki, R. [6 ]
Lawrence, J. [6 ]
Quested, D. [22 ]
Bass, N. [6 ]
Curtis, D. [23 ]
Crombie, C. [24 ]
Fraser, G. [24 ]
Kwan, S. L. [13 ]
Muir, W. J. [7 ]
McGhee, K. A. [7 ]
Pickard, B. [7 ]
Malloy, P. [7 ]
Maclean, A. W. [7 ]
机构
[1] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA 02114 USA
[3] Broad Inst MIT & Harvard, Stanley Ctr Psychiat Res, Cambridge, MA 02142 USA
[4] Massachusetts Gen Hosp, Ctr Human Genet Res, Cambridge, MA 02142 USA
[5] Cardiff Univ, Sch Med, Dept Med Psychol, Sch Med, Cardiff C14 4XN, Wales
[6] UCL, Sch Med, Mol Psychiat Lab, Dept Mental Hlth Sci,Windeyer Inst Med Sci, London W1T 4JF, England
[7] Univ Edinburgh, Div Psychiat, Sch Mol & Clin Med, Edinburgh EH10 5HF, Midlothian, Scotland
[8] Univ Dublin Trinity Coll, Neuropsychiat Genet Res Grp, Dept Psychiat, Dublin 2, Ireland
[9] Univ Dublin Trinity Coll, Neuropsychiat Genet Res Grp, Inst Mol Med, Dublin 2, Ireland
[10] Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden
[11] Uppsala Univ, Dept Neurosci Psychiat, SE-75017 Uppsala, Sweden
[12] Univ So Calif, Ctr Genom Psychiat, Los Angeles, CA 90033 USA
[13] Univ Aberdeen, Inst Med Sci, Aberdeen AB25 2ZD, Scotland
[14] Univ N Carolina, Dept Genet, Chapel Hill, NC 27599 USA
[15] Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27599 USA
[16] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27599 USA
[17] Queensland Inst Med Res, Brisbane, Qld 4006, Australia
[18] Univ Hosp Maichin Dom, Dept Med Genet, Sofia 1431, Bulgaria
[19] Alexander Univ Hosp, Dept Psychiat, Psychiat Clin 1, Sofia 1431, Bulgaria
[20] Royal Coll Surgeons Ireland, Molec & Cellular Therapeut & RCSI res Inst, Dublin 2, Ireland
[21] W Berkshire NHS Trust, Reading RG3 5LR, Berks, England
[22] W London Mental Hlth Trust, Hammersmith & Fulham Mental Hlth Unit, London W6 8RF, England
[23] Royal London Hosp, Univ London & E London & City Mental Hlth Trust, Quenn Mary Coll, London E1 1BB, England
[24] Univ Aberdeen, Dept Mental Hlth, Aberdeen AB25 2ZD, Scotland
[25] SUNY, Upstate Med Ctr, Syracuse, NY 13210 USA
[26] Washington VA Med Ctr, Washington, DC 20422 USA
[27] Georgetown Univ, Sch Med, Dept Psychiat, Washington, DC 20057 USA
[28] Virginia Commonwealth Univ, Dept Psychiat, Richmond, VA 23298 USA
[29] Dept Psychiat, P-9500310 Sao Miguel, Portugal
基金
爱尔兰科学基金会; 英国惠康基金; 英国医学研究理事会;
关键词
D O I
10.1038/nature07239
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Schizophrenia is a severe mental disorder marked by hallucinations, delusions, cognitive deficits and apathy, with a heritability estimated at 73 - 90% ( ref. 1). Inheritance patterns are complex, and the number and type of genetic variants involved are not understood. Copy number variants ( CNVs) have been identified in individual patients with schizophrenia(2-7) and also in neurodevelopmental disorders(8-11), but large- scale genome- wide surveys have not been performed. Here we report a genome- wide survey of rare CNVs in 3,391 patients with schizophrenia and 3,181 ancestrally matched controls, using high- density microarrays. For CNVs that were observed in less than 1% of the sample and were more than 100 kilobases in length, the total burden is increased 1.15- fold in patients with schizophrenia in comparison with controls. This effect was more pronounced for rarer, single- occurrence CNVs and for those that involved genes as opposed to those that did not. As expected, deletions were found within the region critical for velo- cardio- facial syndrome, which includes psychotic symptoms in 30% of patients(12). Associations with schizophrenia were also found for large deletions on chromosome 15q13.3 and 1q21.1. These associations have not previously been reported, and they remained significant after genome- wide correction. Our results provide strong support for a model of schizophrenia pathogenesis that includes the effects of multiple rare structural variants, both genome- wide and at specific loci.
引用
收藏
页码:237 / 241
页数:5
相关论文
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