@article{2a723b2c658c4dcab6e87d8499a41a68,
title = "Sex-Dependent Shared and Nonshared Genetic Architecture Across Mood and Psychotic Disorders",
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.",
author = "{Schizophrenia Working Group of the Psychiatric Genomics Consortium} and Blokland, {Gabri{\"e}lla A M} and Jakob Grove and Chia-Yen Chen and Chris Cotsapas and Stuart Tobet and Robert Handa and {St Clair}, David and Todd Lencz and Mowry, {Bryan J} and Sathish Periyasamy and Cairns, {Murray J} and Tooney, {Paul A} and Wu, {Jing Qin} and Brian Kelly and George Kirov and Sullivan, {Patrick F} and Aiden Corvin and Riley, {Brien P} and T{\~o}nu Esko and Lili Milani and J{\"o}nsson, {Erik G} and Aarno Palotie and Hannelore Ehrenreich and Martin Begemann and Agnes Steixner-Kumar and Sham, {Pak C} and Nakao Iwata and Weinberger, {Daniel R} and Gejman, {Pablo V} and Sanders, {Alan R} and Buxbaum, {Joseph D} and Dan Rujescu and Ina Giegling and Bettina Konte and Hartmann, {Annette M} and Elvira Bramon and Murray, {Robin M} and Pato, {Michele T} and Jimmy Lee and Ingrid Melle and Espen Molden and Ophoff, {Roel A} and Andrew McQuillin and Bass, {Nicholas J} and Rolf Adolfsson and Malhotra, {Anil K} and Martin, {Nicholas G} and Fullerton, {Janice M} and Mitchell, {Philip B} and Schofield, {Peter R} and Forstner, {Andreas J} and Franziska Degenhardt and Sabrina Schaupp and Comes, {Ashley L} and Manolis Kogevinas and Jos{\'e} Guzman-Parra and Andreas Reif and Fabian Streit and Lea Sirignano and Sven Cichon and Maria Grigoroiu-Serbanescu and Joanna Hauser and Jolanta Lissowska and Fermin Mayoral and Bertram M{\"u}ller-Myhsok and Beata {\'S}wi{\c a}tkowska and Schulze, {Thomas G} and N{\"o}then, {Markus M} and Marcella Rietschel and John Kelsoe and Marion Leboyer and St{\'e}phane Jamain and Bruno Etain and Frank Bellivier and Vincent, {John B} and Martin Alda and Claire O'Donovan and Pablo Cervantes and Biernacka, {Joanna M} and Mark Frye and McElroy, {Susan L} and Scott, {Laura J} and Stahl, {Eli A} and Mikael Land{\'e}n and Hamshere, {Marian L} and Smeland, {Olav B} and Srdjan Djurovic and Vaaler, {Arne E} and Andreassen, {Ole A} and Baune, {Bernhard T} and Tracy Air and Martin Preisig and Rudolf Uher and Levinson, {Douglas F} and Weissman, {Myrna M} and Potash, {James B} and Jianxin Shi and Knowles, {James A} and Perlis, {Roy H} and Susanne Lucae and Boomsma, {Dorret I} and Penninx, {Brenda W J H} and Jouke-Jan Hottenga and {de Geus}, {Eco J C} and Gonneke Willemsen and Yuri Milaneschi and Henning Tiemeier and Grabe, {Hans J} and Alexander Teumer and {Van der Auwera}, Sandra and Uwe V{\"o}lker and Hamilton, {Steven P} and Magnusson, {Patrik K E} and Alexander Viktorin and Divya Mehta and Niamh Mullins and Adams, {Mark J} and Gerome Breen and McIntosh, {Andrew M} and Lewis, {Cathryn M} and Hougaard, {David M} and Merete Nordentoft and Ole Mors and Mortensen, {Preben B} and Thomas Werge and Als, {Thomas D} and B{\o}rglum, {Anders D} and Petryshen, {Tracey L} and Smoller, {Jordan W} and Goldstein, {Jill M}",
note = "Copyright {\textcopyright} 2021 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.",
year = "2021",
month = mar,
day = "22",
doi = "10.1016/j.biopsych.2021.02.972",
language = "English",
journal = "Biological Psychiatry",
issn = "0006-3223",
publisher = "Elsevier",
}