학술논문

Exome sequencing in schizophrenia-affected parent–offspring trios reveals risk conferred by protein-coding de novo mutations
Document Type
article
Source
Nature Neuroscience. 23(2)
Subject
Serious Mental Illness
Schizophrenia
Mental Health
Biotechnology
Human Genome
Clinical Research
Genetics
Brain Disorders
2.1 Biological and endogenous factors
Aetiology
Adult
Child
Family
Female
Genetic Predisposition to Disease
Humans
Male
Mutation
Parents
Exome Sequencing
Neurosciences
Psychology
Cognitive Sciences
Neurology & Neurosurgery
Language
Abstract
Protein-coding de novo mutations (DNMs) are significant risk factors in many neurodevelopmental disorders, whereas schizophrenia (SCZ) risk associated with DNMs has thus far been shown to be modest. We analyzed DNMs from 1,695 SCZ-affected trios and 1,077 published SCZ-affected trios to better understand the contribution to SCZ risk. Among 2,772 SCZ probands, exome-wide DNM burden remained modest. Gene set analyses revealed that SCZ DNMs were significantly concentrated in genes that were highly expressed in the brain, that were under strong evolutionary constraint and/or overlapped with genes identified in other neurodevelopmental disorders. No single gene surpassed exome-wide significance; however, 16 genes were recurrently hit by protein-truncating DNMs, corresponding to a 3.15-fold higher rate than the mutation model expectation (permuted 95% confidence interval: 1-10 genes; permuted P = 3 × 10-5). Overall, DNMs explain a small fraction of SCZ risk, and larger samples are needed to identify individual risk genes, as coding variation across many genes confers risk for SCZ in the population.