[en] Disorders of the brain can exhibit considerable epidemiological comorbidity and often share symptoms, provoking debate about their etiologic overlap. We quantified the genetic sharing of 25 brain disorders from genome-wide association studies of 265,218 patients and 784,643 control participants and assessed their relationship to 17 phenotypes from 1,191,588 individuals. Psychiatric disorders share common variant risk, whereas neurological disorders appear more distinct from one another and from the psychiatric disorders. We also identified significant sharing between disorders and a number of brain phenotypes, including cognitive measures. Further, we conducted simulations to explore how statistical power, diagnostic misclassification, and phenotypic heterogeneity affect genetic correlations. These results highlight the importance of common genetic variation as a risk factor for brain disorders and the value of heritability-based methods in understanding their etiology.
Disciplines :
Genetics & genetic processes
Author, co-author :
Anttila, Verneri
Bulik-Sullivan, Brendan
Finucane, Hilary K.
Walters, Raymond K.
Bras, Jose
Duncan, Laramie
Escott-Price, Valentina
Falcone, Guido J.
Gormley, Padhraig
Malik, Rainer
Patsopoulos, Nikolaos A.
Ripke, Stephan
Wei, Zhi
Yu, Dongmei
Lee, Phil H.
Turley, Patrick
Grenier-Boley, Benjamin
Chouraki, Vincent
Kamatani, Yoichiro
Berr, Claudine
Letenneur, Luc
Hannequin, Didier
Amouyel, Philippe
Boland, Anne
Deleuze, Jean-Francois
Duron, Emmanuelle
Vardarajan, Badri N.
Reitz, Christiane
Goate, Alison M.
Huentelman, Matthew J.
Kamboh, M. Ilyas
Larson, Eric B.
Rogaeva, Ekaterina
St George-Hyslop, Peter
Hakonarson, Hakon
Kukull, Walter A.
Farrer, Lindsay A.
Barnes, Lisa L.
Beach, Thomas G.
Demirci, F. Yesim
Head, Elizabeth
Hulette, Christine M.
Jicha, Gregory A.
Kauwe, John S. K.
Kaye, Jeffrey A.
Leverenz, James B.
Levey, Allan I.
Lieberman, Andrew P.
Pankratz, Vernon S.
Poon, Wayne W.
Quinn, Joseph F.
Saykin, Andrew J.
Schneider, Lon S.
Smith, Amanda G.
Sonnen, Joshua A.
Stern, Robert A.
Van Deerlin, Vivianna M.
Van Eldik, Linda J.
Harold, Denise
Russo, Giancarlo
Rubinsztein, David C.
Bayer, Anthony
Tsolaki, Magda
Proitsi, Petra
Fox, Nick C.
Hampel, Harald
Owen, Michael J.
Mead, Simon
Passmore, Peter
Morgan, Kevin
Nothen, Markus M.
Rossor, Martin
Lupton, Michelle K.
Hoffmann, Per
Kornhuber, Johannes
Lawlor, Brian
McQuillin, Andrew
Al-Chalabi, Ammar
Bis, Joshua C.
Ruiz, Agustin
Boada, Merce
Seshadri, Sudha
Beiser, Alexa
Rice, Kenneth
van der Lee, Sven J.
De Jager, Philip L.
Geschwind, Daniel H.
Riemenschneider, Matthias
Riedel-Heller, Steffi
Rotter, Jerome I.
Ransmayr, Gerhard
Hyman, Bradley T.
Cruchaga, Carlos
Alegret, Montserrat
Winsvold, Bendik
Palta, Priit
Farh, Kai-How
Cuenca-Leon, Ester
Furlotte, Nicholas
Kurth, Tobias
Ligthart, Lannie
Terwindt, Gisela M.
Freilinger, Tobias
Ran, Caroline
Gordon, Scott D.
Borck, Guntram
Adams, Hieab H. H.
Lehtimaki, Terho
Wedenoja, Juho
Buring, Julie E.
Schurks, Markus
Hrafnsdottir, Maria
Hottenga, Jouke-Jan
Penninx, Brenda
Artto, Ville
Kaunisto, Mari
Vepsalainen, Salli
Martin, Nicholas G.
Montgomery, Grant W.
Kurki, Mitja I.
Hamalainen, Eija
Huang, Hailiang
Huang, Jie
Sandor, Cynthia
Webber, Caleb
Muller-Myhsok, Bertram
Schreiber, Stefan
Salomaa, Veikko
Loehrer, Elizabeth
Gobel, Hartmut
Macaya, Alfons
Pozo-Rosich, Patricia
Hansen, Thomas
Werge, Thomas
Kaprio, Jaakko
Metspalu, Andres
Kubisch, Christian
Ferrari, Michel D.
Belin, Andrea C.
van den Maagdenberg, Arn M. J. M.
Zwart, John-Anker
Boomsma, Dorret
Eriksson, Nicholas
Olesen, Jes
Chasman, Daniel I.
Nyholt, Dale R.
Avbersek, Andreja
Baum, Larry
Berkovic, Samuel
Bradfield, Jonathan
Buono, Russell
Catarino, Claudia B.
Cossette, Patrick
De Jonghe, Peter
Depondt, Chantal
Dlugos, Dennis
Ferraro, Thomas N.
French, Jacqueline
Hjalgrim, Helle
Jamnadas-Khoda, Jennifer
Kalviainen, Reetta
Kunz, Wolfram S.
Lerche, Holger
Leu, Costin
Lindhout, Dick
Lo, Warren
Lowenstein, Daniel
McCormack, Mark
Moller, Rikke S.
Molloy, Anne
Ng, Ping-Wing
Oliver, Karen
Privitera, Michael
Radtke, Rodney
Ruppert, Ann-Kathrin
Sander, Thomas
Schachter, Steven
Schankin, Christoph
Scheffer, Ingrid
Schoch, Susanne
Sisodiya, Sanjay M.
Smith, Philip
Sperling, Michael
Striano, Pasquale
Surges, Rainer
Thomas, G. Neil
Visscher, Frank
Whelan, Christopher D.
Zara, Federico
Heinzen, Erin L.
Marson, Anthony
Becker, Felicitas
Stroink, Hans
Zimprich, Fritz
Gasser, Thomas
Gibbs, Raphael
Heutink, Peter
Martinez, Maria
Morris, Huw R.
Sharma, Manu
Ryten, Mina
Mok, Kin Y.
Pulit, Sara
Bevan, Steve
Holliday, Elizabeth
Attia, John
Battey, Thomas
Boncoraglio, Giorgio
Thijs, Vincent
Chen, Wei-Min
Mitchell, Braxton
Rothwell, Peter
Sharma, Pankaj
Sudlow, Cathie
Vicente, Astrid
Markus, Hugh
Kourkoulis, Christina
Pera, Joana
Raffeld, Miriam
Silliman, Scott
Boraska Perica, Vesna
Thornton, Laura M.
Huckins, Laura M.
William Rayner, N.
Lewis, Cathryn M.
Gratacos, Monica
Rybakowski, Filip
Keski-Rahkonen, Anna
Raevuori, Anu
Hudson, James I.
Reichborn-Kjennerud, Ted
Monteleone, Palmiero
Karwautz, Andreas
Mannik, Katrin
Baker, Jessica H.
O'Toole, Julie K.
Trace, Sara E.
Davis, Oliver S. P.
Helder, Sietske G.
Ehrlich, Stefan
Herpertz-Dahlmann, Beate
Danner, Unna N.
van Elburg, Annemarie A.
Clementi, Maurizio
Forzan, Monica
DOCAMPO MARTINEZ, Elisa ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de rhumatologie
Analysis of shared heritability in common disorders of the brain.
Publication date :
2018
Journal title :
Science
ISSN :
0036-8075
eISSN :
1095-9203
Publisher :
American Association for the Advancement of Science, Washington, United States - District of Columbia
Volume :
360
Issue :
6395
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2018 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.
J. B. Martin, The integration of neurology, psychiatry, and neuroscience in the 21st century. Am. J. Psychiatry 159, 695-704 (2002). doi: 10.1176/appi.ajp.159.5.695; pmid: 11986119
J. W. Smoller, Disorders and borders: Psychiatric genetics and nosology. Am. J. Med. Genet. B. Neuropsychiatr. Genet. 162, 559-578 (2013). doi: 10.1002/ajmg.b.32174; pmid: 24132891
T. R. Insel, P. S. Wang, Rethinking mental illness. JAMA 303, 1970-1971 (2010). doi: 10.1001/jama.2010.555; pmid: 20483974
T. J. Polderman et al., Meta-analysis of the heritability of human traits based on fifty years of twin studies. Nat. Genet. 47, 702-709 (2015). doi: 10.1038/ng.3285; pmid: 25985137
K. S. Kendler, C. A. Prescott, J. Myers, M. C. Neale, The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Arch. Gen. Psychiatry 60, 929-937 (2003). doi: 10.1001/archpsyc.60.9.929; pmid: 12963675
R. Jensen, L. J. Stovner, Epidemiology and comorbidity of headache. Lancet Neurol. 7, 354-361 (2008). doi: 10.1016/ S1474-4422(08)70062-0; pmid: 18339350
J. Nuyen et al., Comorbidity was associated with neurologic and psychiatric diseases: A general practice-based controlled study. J. Clin. Epidemiol. 59, 1274-1284 (2006). doi: 10.1016/ j.jclinepi.2006.01.005; pmid: 17098570
R. M. Hirschfeld et al., Screening for bipolar disorder in the community. J. Clin. Psychiatry 64, 53-59 (2003). doi: 10.4088/JCP.v64n0111; pmid: 12590624
A. Pan, Q. Sun, O. I. Okereke, K. M. Rexrode, F. B. Hu, Depression and risk of stroke morbidity and mortality: A meta-analysis and systematic review. JAMA 306, 1241-1249 (2011). doi: 10.1001/jama.2011.1282; pmid: 21934057
A. Lo-Castro, P. Curatolo, Epilepsy associated with autism and attention deficit hyperactivity disorder: Is there a genetic link? Brain Dev. 36, 185-193 (2014). doi: 10.1016/ j.braindev.2013.04.013; pmid: 23726375
E. N. Bertelsen, J. T. Larsen, L. Petersen, J. Christensen, S. Dalsgaard, Childhood Epilepsy, Febrile Seizures, and Subsequent Risk of ADHD. Pediatrics 138, e20154654 (2016). doi: 10.1542/peds.2015-4654; pmid: 27412639
C. G. de Kovel et al., Recurrent microdeletions at 15q11.2 and 16p13.11 predispose to idiopathic generalized epilepsies. Brain 133, 23-32 (2010). doi: 10.1093/brain/awp262; pmid: 19843651
T. D. Graves, M. G. Hanna, Neurological channelopathies. Postgrad. Med. J. 81, 20-32 (2005). doi: 10.1136/ pgmj.2004.022012; pmid: 15640425
J. Haan, G. M. Terwindt, A. M. van den Maagdenberg, A. H. Stam, M. D. Ferrari, A review of the genetic relation between migraine and epilepsy. Cephalalgia 28, 105-113 (2008). pmid: 18197881
S. Debette et al., Common variation in PHACTR1 is associated with susceptibility to cervical artery dissection. Nat. Genet. 47, 78-83 (2015). doi: 10.1038/ng.3154; pmid: 25420145
S. M. Purcell et al., Common polygenic variation contributes to risk of schizophrenia and bipolar disorder. Nature 460, 748-752 (2009). pmid: 19571811
Cross-Disorder Group of the Psychiatric Genomics Consortium, Genetic relationship between five psychiatric disorders estimated from genome-wide SNPs. Nat. Genet. 45, 984-994 (2013). doi: 10.1038/ng.2711; pmid: 23933821
J. C. Lambert et al., Meta-analysis of 74,046 individuals identifies 11 new susceptibility loci for Alzheimer's disease. Nat. Genet. 45, 1452-1458 (2013). doi: 10.1038/ng.2802; pmid: 24162737
T. W. Mühleisen et al., Genome-wide association study reveals two new risk loci for bipolar disorder. Nat. Commun. 5, 3339 (2014). doi: 10.1038/ncomms4339; pmid: 24618891
V. Anttila et al., Genome-wide meta-analysis identifies new susceptibility loci for migraine. Nat. Genet. 45, 912-917 (2013). doi: 10.1038/ng.2676; pmid: 23793025
M. A. Nalls et al., Large-scale meta-analysis of genome-wide association data identifies six new risk loci for Parkinson's disease. Nat. Genet. 46, 989-993 (2014). doi: 10.1038/ ng.3043; pmid: 25064009
Schizophrenia Working Group of the Psychiatric Genomics Consortium, Biological insights from 108 schizophrenia-associated genetic loci. Nature 511, 421-427 (2014). doi: 10.1038/nature13595; pmid: 25056061
N. Solovieff, C. Cotsapas, P. H. Lee, S. M. Purcell, J. W. Smoller, Pleiotropy in complex traits: Challenges and strategies. Nat. Rev. Genet. 14, 483-495 (2013). doi: 10.1038/nrg3461; pmid: 23752797
B. Bulik-Sullivan et al., An atlas of genetic correlations across human diseases and traits. Nat. Genet. 47, 1236-1241 (2015). doi: 10.1038/ng.3406; pmid: 26414676
H. K. Finucane et al., Partitioning heritability by functional annotation using genome-wide association summary statistics. Nat. Genet. 47, 1228-1235 (2015). doi: 10.1038/ng.3404; pmid: 26414678
M. H. de Moor et al., Meta-analysis of genome-wide association studies for personality. Mol. Psychiatry 17, 337-349 (2012). doi: 10.1038/mp.2010.128; pmid: 21173776
R. A. Power, M. Pluess, Heritability estimates of the Big Five personality traits based on common genetic variants. Transl. Psychiatry 5, e604 (2015). doi: 10.1038/tp.2015.96; pmid: 26171985
C. M. Haworth et al., The heritability of general cognitive ability increases linearly from childhood to young adulthood. Mol. Psychiatry 15, 1112-1120 (2010). doi: 10.1038/ mp.2009.55; pmid: 19488046
I. J. Deary et al., Genetic contributions to stability and change in intelligence from childhood to old age. Nature 482, 212-215 (2012). doi: 10.1038/nature10781; pmid: 22258510
S. De Rubeis et al., Synaptic, transcriptional and chromatin genes disrupted in autism. Nature 515, 209-215 (2014). doi: 10.1038/nature13772; pmid: 25363760
S. H. Lee et al., Estimation and partitioning of polygenic variation captured by common SNPs for Alzheimer's disease, multiple sclerosis and endometriosis. Hum. Mol. Genet. 22, 832-841 (2013). doi: 10.1093/hmg/dds491; pmid: 23193196
A. Okbay et al., Genome-wide association study identifies 74 loci associated with educational attainment. Nature 533, 539-542 (2016). doi: 10.1038/nature17671; pmid: 27225129
D. J. Smith et al., Genome-wide analysis of over 106 000 individuals identifies 9 neuroticism-associated loci. Mol. Psychiatry 21, 749-757 (2016). doi: 10.1038/mp.2016.49; pmid: 27067015
P. F. Buckley, B. J. Miller, D. S. Lehrer, D. J. Castle, Psychiatric comorbidities and schizophrenia. Schizophr. Bull. 35, 383-402 (2009). doi: 10.1093/schbul/sbn135; pmid: 19011234
C. G. Lyketsos et al., Mental and behavioral disturbances in dementia: Findings from the Cache County Study on Memory in Aging. Am. J. Psychiatry 157, 708-714 (2000). doi: 10.1176/appi.ajp.157.5.708; pmid: 10784462
R. Kendell, A. Jablensky, Distinguishing between the validity and utility of psychiatric diagnoses. Am. J. Psychiatry 160, 4-12 (2003). doi: 10.1176/appi.ajp.160.1.4; pmid: 12505793
A. S. Cristino et al., Neurodevelopmental and neuropsychiatric disorders represent an interconnected molecular system. Mol. Psychiatry 19, 294-301 (2014). doi: 10.1038/mp.2013.16; pmid: 23439483
D. A. Regier et al., Limitations of diagnostic criteria and assessment instruments for mental disorders. Implications for research and policy. Arch. Gen. Psychiatry 55, 109-115 (1998). doi: 10.1001/archpsyc.55.2.109; pmid: 9477922
T. M. Laursen, E. Agerbo, C. B. Pedersen, Bipolar disorder, schizoaffective disorder, and schizophrenia overlap: A new comorbidity index. J. Clin. Psychiatry 70, 1432-1438 (2009). doi: 10.4088/JCP.08m04807; pmid: 19538905
N. R. Wray, S. H. Lee, K. S. Kendler, Impact of diagnostic misclassification on estimation of genetic correlations using genome-wide genotypes. Eur. J. Hum. Genet. 20, 668-674 (2012). doi: 10.1038/ejhg.2011.257; pmid: 22258521
E. G. Willcutt, A. E. Doyle, J. T. Nigg, S. V. Faraone, B. F. Pennington, Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review. Biol. Psychiatry 57, 1336-1346 (2005). doi: 10.1016/ j.biopsych.2005.02.006; pmid: 15950006
J. T. Spector et al., Migraine headache and ischemic stroke risk: An updated meta-analysis. Am. J. Med. 123, 612-624 (2010). doi: 10.1016/j.amjmed.2009.12.021; pmid: 20493462
O. B. Fasmer, A. Halmøy, K. J. Oedegaard, J. Haavik, Adult attention deficit hyperactivity disorder is associated with migraine headaches. Eur. Arch. Psychiatry Clin. Neurosci. 261, 595-602 (2011). doi: 10.1007/s00406-011-0203-9; pmid: 21394551
N. Breslau, R. B. Lipton, W. F. Stewart, L. R. Schultz, K. M. Welch, Comorbidity of migraine and depression: Investigating potential etiology and prognosis. Neurology 60, 1308-1312 (2003). doi: 10.1212/01. WNL.0000058907.41080.54; pmid: 12707434
K. R. Merikangas, J. Angst, H. Isler, Migraine and psychopathology. Results of the Zurich cohort study of young adults. Arch. Gen. Psychiatry 47, 849-853 (1990). doi: 10.1001/archpsyc.1990. 01810210057008; pmid: 2393343
G. Barabas, W. S. Matthews, M. Ferrari, Tourette's syndrome and migraine. Arch. Neurol. 41, 871-872 (1984). doi: 10.1001/ archneur.1984.04050190077018; pmid: 6589980
R. S. McIntyre et al., The prevalence and impact of migraine headache in bipolar disorder: Results from the Canadian Community Health Survey. Headache 46, 973-982 (2006). doi: 10.1111/j.1526-4610.2006.00469.x; pmid: 16732843
M. T. Heneka et al., Neuroinflammation in Alzheimer's disease. Lancet Neurol. 14, 388-405 (2015). doi: 10.1016/S1474-4422(15)70016-5; pmid: 25792098
E. C. Hirsch, S. Hunot, Neuroinflammation in Parkinson's disease: A target for neuroprotection? Lancet Neurol. 8, 382-397 (2009). doi: 10.1016/S1474-4422(09)70062-6; pmid: 19296921
E. M. Frohman, M. K. Racke, C. S. Raine, Multiple sclerosis-the plaque and its pathogenesis. N. Engl. J. Med. 354, 942-955 (2006). doi: 10.1056/NEJMra052130; pmid: 16510748
C. Waeber, M. A. Moskowitz, Migraine as an inflammatory disorder. Neurology 64 (Suppl 2), S9-S15 (2005). doi: 10.1212/ WNL.64.10_suppl_2.S9; pmid: 15911785
J. Steiner et al., Increased prevalence of diverse N-methyl-D-aspartate glutamate receptor antibodies in patients with an initial diagnosis of schizophrenia: Specific relevance of IgG NR1a antibodies for distinction from N-methyl-D-aspartate glutamate receptor encephalitis. JAMA Psychiatry 70, 271-278 (2013). doi: 10.1001/2013.jamapsychiatry.86; pmid: 23344076
L. Jones et al., Convergent genetic and expression data implicate immunity in Alzheimer's disease. Alzheimers Dement. 11, 658-671 (2015). doi: 10.1016/j.jalz.2014.05.1757; pmid: 25533204
M. H. M. de Moor et al., Meta-analysis of Genome-wide Association Studies for Neuroticism, and the Polygenic Association With Major Depressive Disorder. JAMA Psychiatry 72, 642-650 (2015). doi: 10.1001/jamapsychiatry.2015.0554; pmid: 25993607
K. S. Kendler, M. Gatz, C. O. Gardner, N. L. Pedersen, Personality and major depression: A Swedish longitudinal, population-based twin study. Arch. Gen. Psychiatry 63, 1113-1120 (2006). doi: 10.1001/archpsyc.63.10.1113; pmid: 17015813
R. E. Ørstavik, K. S. Kendler, N. Czajkowski, K. Tambs, T. Reichborn-Kjennerud, The relationship between depressive personality disorder and major depressive disorder: A population-based twin study. Am. J. Psychiatry 164, 1866-1872 (2007). doi: 10.1176/appi.ajp.2007.07010045; pmid: 18056242
H. Hemingway, M. Marmot, Evidence based cardiology: Psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ 318, 1460-1467 (1999). doi: 10.1136/ bmj.318.7196.1460; pmid: 10346775
F. J. McClernon, S. H. Kollins, ADHD and smoking: From genes to brain to behavior. Ann. N. Y. Acad. Sci. 1141, 131-147 (2008). doi: 10.1196/annals.1441.016; pmid: 18991955
T. Korhonen et al., Externalizing behaviors and cigarette smoking as predictors for use of illicit drugs: A longitudinal study among Finnish adolescent twins. Twin Res. Hum. Genet. 13, 550-558 (2010). doi: 10.1375/twin.13.6.550; pmid: 21142931
D. A. Snowdon et al., Linguistic ability in early life and cognitive function and Alzheimer's disease in late life. Findings from the Nun Study. JAMA 275, 528-532 (1996). doi: 10.1001/ jama.1996.03530310034029; pmid: 8606473
S. Cortese et al., Association Between ADHD and Obesity: A Systematic Review and Meta-Analysis. Am. J. Psychiatry 173, 34-43 (2016). doi: 10.1176/appi.ajp.2015.15020266; pmid: 26315982
A. E. Locke et al., Genetic studies of body mass index yield new insights for obesity biology. Nature 518, 197-206 (2015). doi: 10.1038/nature14177; pmid: 25673413
L. Mustelin et al., Long-term outcome in anorexia nervosa in the community. Int. J. Eat. Disord. 48, 851-859 (2015). doi: 10.1002/eat.22415; pmid: 26059099
T. Kurth et al., Prospective study of body mass index and risk of stroke in apparently healthy women. Circulation 111, 1992-1998 (2005). doi: 10.1161/01.CIR.0000161822.83163.B6; pmid: 15837954
S. R. Korndörfer et al., Long-term survival of patients with anorexia nervosa: A population-based study in Rochester, Minn. Mayo Clin. Proc. 78, 278-284 (2003). doi: 10.4065/ 78.3.278; pmid: 12630579
P. F. Sullivan, Discrepant results regarding long-term survival of patients with anorexia nervosa? Mayo Clin. Proc. 78, 273-274 (2003). doi: 10.4065/ 78.3.273; pmid: 12630577