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Sex-Dependent Shared and Nonshared Genetic Architecture Across Mood and Psychotic Disorders

  • Gabriëlla A.M. Blokland*
  • , Jakob Grove
  • , iPSYCH Consortium
  • , Schizophrenia Working Group of the Psychiatric Genomics Consortium
  • , Bipolar Disorder Working Group of the Psychiatric Genomics Consortium
  • , Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium
  • , Sex Differences Cross-Disorder Analysis Group of the Psychiatric Genomics Consortium
  • , Chia Yen Chen
  • , Chris Cotsapas
  • , Stuart Tobet
  • , Robert Handa
  • , David St Clair
  • , Todd Lencz
  • , Bryan J. Mowry
  • , Sathish Periyasamy
  • , Murray J. Cairns
  • , Paul A. Tooney
  • , Jing Qin Wu
  • , Brian Kelly
  • , George Kirov
  • Patrick F. Sullivan, Aiden Corvin, Brien P. Riley, Tõnu Esko, Lili Milani, Erik G. Jönsson, Aarno Palotie, Hannelore Ehrenreich, Martin Begemann, Agnes Steixner-Kumar, Pak C. Sham, Nakao Iwata, Daniel R. Weinberger, Pablo V. Gejman, Alan R. Sanders, Joseph D. Buxbaum, Dan Rujescu, Ina Giegling, Bettina Konte, Annette M. Hartmann, Elvira Bramon, Henning Tiemeier, Jordan W Smoller, Jill M. Goldstein
*Corresponding author for this work
  • Maastricht University
  • Massachusetts General Hospital
  • Hebrew SeniorLife
  • Broad Institute of MIT and Harvard
  • Aarhus University
  • H. Lundbeck A/S
  • Center for Genome Analysis and Personalized Medicine
  • Bioinformatics Research Centre (BiRC)
  • Biogen IDEC
  • Yale University
  • Colorado State University
  • University of Aberdeen School of Medicine, Medical Sciences and Nutrition
  • Feinstein Institute for Medical Research
  • Hofstra Northwell School of Medicine
  • Zucker Hillside Hospital
  • University of Queensland
  • The Park Centre for Mental Health
  • Schizophrenia Research Institute
  • University of Newcastle
  • Cardiff University School of Medicine
  • University of North Carolina at Chapel Hill
  • Karolinska Institutet
  • St. James’s Hospital
  • Virginia Institute for Psychiatric and Behavioral Genetics
  • Estonian Biocentre
  • University of Oslo
  • University of Helsinki
  • Max Planck Institute of Experimental Medicine
  • The University of Hong Kong
  • Fujita Health University
  • Lieber Institute for Brain Development
  • Johns Hopkins School of Medicine
  • The University of Chicago
  • NorthShore University HealthSystem
  • Icahn School of Medicine at Mount Sinai
  • Martin Luther University Halle-Wittenberg
  • Ludwig Maximilian University of Munich
  • University College London
  • Center for Genomic Medicine
  • Harvard Medical School

Research output: Contribution to journalArticleAcademicpeer-review

96 Citations (Scopus)
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Abstract

Background: Sex differences in incidence and/or presentation of schizophrenia (SCZ), major depressive disorder (MDD), and bipolar disorder (BIP) are pervasive. Previous evidence for shared genetic risk and sex differences in brain abnormalities across disorders suggest possible shared sex-dependent genetic risk. Methods: We conducted the largest to date genome-wide genotype-by-sex (G×S) interaction of risk for these disorders using 85,735 cases (33,403 SCZ, 19,924 BIP, and 32,408 MDD) and 109,946 controls from the PGC (Psychiatric Genomics Consortium) and iPSYCH. Results: Across disorders, genome-wide significant single nucleotide polymorphism–by-sex interaction was detected for a locus encompassing NKAIN2 (rs117780815, p = 3.2 × 10−8), which interacts with sodium/potassium-transporting ATPase (adenosine triphosphatase) enzymes, implicating neuronal excitability. Three additional loci showed evidence (p < 1 × 10−6) for cross-disorder G×S interaction (rs7302529, p = 1.6 × 10−7; rs73033497, p = 8.8 × 10−7; rs7914279, p = 6.4 × 10−7), implicating various functions. Gene-based analyses identified G×S interaction across disorders (p = 8.97 × 10−7) with transcriptional inhibitor SLTM. Most significant in SCZ was a MOCOS gene locus (rs11665282, p = 1.5 × 10−7), implicating vascular endothelial cells. Secondary analysis of the PGC-SCZ dataset detected an interaction (rs13265509, p = 1.1 × 10−7) in a locus containing IDO2, a kynurenine pathway enzyme with immunoregulatory functions implicated in SCZ, BIP, and MDD. Pathway enrichment analysis detected significant G×S interaction of genes regulating vascular endothelial growth factor receptor signaling in MDD (false discovery rate-corrected p < .05). Conclusions: In the largest genome-wide G×S analysis of mood and psychotic disorders to date, there was substantial genetic overlap between the sexes. However, significant sex-dependent effects were enriched for genes related to neuronal development and immune and vascular functions across and within SCZ, BIP, and MDD at the variant, gene, and pathway levels.

Original languageEnglish
Pages (from-to)102-117
Number of pages16
JournalBiological Psychiatry
Volume91
Issue number1
DOIs
Publication statusPublished - 1 Jan 2022

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Publisher Copyright: © 2021 Society of Biological Psychiatry

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