학술논문

Significant Locus and Metabolic Genetic Correlations Revealed in Genome-Wide Association Study of Anorexia Nervosa
Document Type
article
Author
Duncan, LaramieYilmaz, ZeynepGaspar, HelenaWalters, RaymondGoldstein, JackieAnttila, VerneriBulik-Sullivan, BrendanRipke, StephanThornton, LauraHinney, AnkeDaly, MarkSullivan, Patrick FZeggini, EleftheriaBreen, GeromeBulik, Cynthia MGaspar, HélénaAdan, RogerAlfredsson, LarsAndo, TetsuyaAndreassen, OleAschauer, HaraldBaker, JessicaBarrett, JeffreyBencko, VladimirBergen, AndrewBerrettini, WadeBirgegård, AndreasBoni, ClaudettePerica, Vesna BoraskaBrandt, HarryBurghardt, RolandCarlberg, LauraCassina, MatteoCesta, CarolynCichon, SvenClementi, MaurizioCohen-Woods, SarahColeman, JoniCone, RogerCourtet, PhilippeCrawford, StevenCrow, ScottCrowley, JimDanner, UnnaDavis, Oliverde Zwaan, MartinaDedoussis, GeorgeDegortes, DanielaDeSocio, JanieceDick, DanielleDikeos, DimitrisDina, ChristianDing, BoDmitrzak-Weglarz, MonikaDocampo, ElisaEgberts, KarinEhrlich, StefanEscaramís, GeòrgiaEsko, TõnuEspeseth, ThomasEstivill, XavierFavaro, AngelaFernández-Aranda, FernandoFichter, ManfredFinan, ChrisFischer, KristaFloyd, JamesFöcker, ManuelForetova, LenkaForzan, MonicaFox, CarolineFranklin, ChristopherGaborieau, ValerieGallinger, StevenGambaro, GiovanniGiegling, InaGonidakis, FragiskosGorwood, PhilipGratacos, MonicaGuillaume, SébastienGuo, YiranHakonarson, HakonHalmi, KatherineHarrison, RebeccaHatzikotoulas, KonstantinosHauser, JoannaHebebrand, JohannesHelder, SietskeHendriks, JudithHerms, StefanHerpertz-Dahlmann, BeateHerzog, WolfgangHilliard, Christopher
Source
American Journal of Psychiatry. 174(9)
Subject
Serious Mental Illness
Mental Health
Anorexia
Eating Disorders
Brain Disorders
Nutrition
Human Genome
Genetics
Prevention
Pediatric
Mental health
Anorexia Nervosa
Case-Control Studies
Genetic Predisposition to Disease
Genome-Wide Association Study
Humans
Linkage Disequilibrium
Phenotype
Polymorphism
Single Nucleotide
Eating Disorders Working Group of the Psychiatric Genomics Consortium
Diabetes
GWAS
Metabolism
Medical and Health Sciences
Psychology and Cognitive Sciences
Psychiatry
Language
Abstract
ObjectiveThe authors conducted a genome-wide association study of anorexia nervosa and calculated genetic correlations with a series of psychiatric, educational, and metabolic phenotypes.MethodFollowing uniform quality control and imputation procedures using the 1000 Genomes Project (phase 3) in 12 case-control cohorts comprising 3,495 anorexia nervosa cases and 10,982 controls, the authors performed standard association analysis followed by a meta-analysis across cohorts. Linkage disequilibrium score regression was used to calculate genome-wide common variant heritability (single-nucleotide polymorphism [SNP]-based heritability [h2SNP]), partitioned heritability, and genetic correlations (rg) between anorexia nervosa and 159 other phenotypes.ResultsResults were obtained for 10,641,224 SNPs and insertion-deletion variants with minor allele frequencies >1% and imputation quality scores >0.6. The h2SNP of anorexia nervosa was 0.20 (SE=0.02), suggesting that a substantial fraction of the twin-based heritability arises from common genetic variation. The authors identified one genome-wide significant locus on chromosome 12 (rs4622308) in a region harboring a previously reported type 1 diabetes and autoimmune disorder locus. Significant positive genetic correlations were observed between anorexia nervosa and schizophrenia, neuroticism, educational attainment, and high-density lipoprotein cholesterol, and significant negative genetic correlations were observed between anorexia nervosa and body mass index, insulin, glucose, and lipid phenotypes.ConclusionsAnorexia nervosa is a complex heritable phenotype for which this study has uncovered the first genome-wide significant locus. Anorexia nervosa also has large and significant genetic correlations with both psychiatric phenotypes and metabolic traits. The study results encourage a reconceptualization of this frequently lethal disorder as one with both psychiatric and metabolic etiology.