Genome-wide association study of major anxiety disorders in 122,341 European-ancestry cases identifies 58 loci and highlights GABAergic signaling.

Journal: medRxiv : the preprint server for health sciences

Volume: 

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychology, Humboldt-Universität zu Berlin, Berlin, Germany. Psychiatry and Behavioral Sciences, Texas A&M University, College Station, Texas, USA. Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA. PROMENTA Centre, Department of Psychology, University of Oslo, Oslo, Norway. Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Institute for Genomics in Health, Department of Psychiatry and Behavioral Sciences, State University of New York Downstate Health Sciences University, Brooklyn, New York, USA. Brain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia. Bristol Medical School, Population Health Sciences, MRC Integrative Epidemiology Unit, University of Bristol, Bristol, UK. Division of Medicine, Human Genetics, Vanderbilt University, Nashville, Tennessee, USA. Division of Genetic Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Estonian Genome Centre, Institute of Genomics, University of Tartu, Tartu, Estonia. Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany. Center for Human Genetics, University of Marburg, Marburg, Germany. Dept. of Psychiatry and Psychotherapy, Charité - Universitätsmedizin, Berlin, Germany. Helsinki Institute of Life Science, Institute for Molecular Medicine Finland - FIMM, University of Helsinki, Helsinki, Finland. Faculty of Medicine, Department of Psychology and Logopedics, SleepWell Research Program, University of Helsinki, Helsinki, Finland. School of Medicine, Department of Psychiatry, University of Utah, Salt Lake City, Utah, USA. Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. College of Medicine and Veterinary Medicine, Institute of Genetics and Cancer; Centre for Genomic and Experimental Medicine, University of Edinburgh, Edinburgh, UK. Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway. Division of Clinical Neuroscience, Department of Research and Innovation, Oslo University Hospital, Oslo, Norway. Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway. Division of Clinical Neuroscience, Department of Research and Innovation; Musculoskeletal Health, Oslo University Hospital, Oslo, Norway. Human and Molecular Genetics, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, Virginia, USA. Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada. PsychGen Centre for Genetic Epidemiology and Mental Health, Norwegian Institute of Public Health, Oslo, Norway. Nic Waals Institute, Lovisenberg Diaconal Hospital, Oslo, Norway. Department of Psychiatry, Division of Human Genetics, Yale University School of Medicine, New Haven, Connecticut, USA. Department of Genes and Environment, Max-Planck Institute of Psychiatry, Munich, Germany. Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Würzburg, Würzburg, Germany. Psychiatry, Center for Precision Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA. Psychiatric Epidemiology and Psychopathology Research Center, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Prilly, Switzerland. Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany. Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. Department of Statistics, Miami University, Oxford, Ohio, USA. Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Faculty of Nursing and Health Science, Nord University, Levanger, Norway. Department of Psychiatry, Hospital Namsos, Nord-Trøndelag Health Trustt, Namsos, Norway. Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. Department of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil. Tanenbaum Centre for Pharmacogenetics, Molecular Brain Sciences Department, Campbell Family Mental Health Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany. Pathology and Biomedical Science, University of Otago, Christchurch, New Zealand. Psychological Medicine, University of Otago, Christchurch, New Zealand. Child Health Research Centre, University of Queensland, Brisbane, Queensland, Australia. National Institute of Mental Health, Human Genetics Branch, National Institutes of Health, Bethesda, Maryland, USA. National Institute of Mental Health, Genetic Basis of Mood and Anxiety Disorders, National Institutes of Health, Bethesda, Maryland, USA. Department of Psychology, Zentrum für Psychotherapie, Humboldt-Universität zu Berlin, Berlin, Germany. Department of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany. Social and Behavioral Science, T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts, USA. SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa. Population Health Program, QIMR Berghofer Medical Research Institute, Brisbane, Australia. andMe, Sunnyvale, CA, USA. Institute for Molecular Bioscience, University of Queensland, Brisbane, Queensland, Australia. UCL Division of Psychiatry, University College London, London, UK. Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UK. Brain and Mind Centre, University of Sydney, Sydney, Australia. Department of Neuroscience, Laboratory of Neural Plasticity, University of Copenhagen, Copenhagen, Denmark. Faculty of Medicine, Department of Psychology and Logopedics and SleepWell Research Program, University of Helsinki, Helsinki, Finland. UVM Medical Center, Department of Psychiatry, University of Vermont, Burlington, Vermont, USA. NORMENT Centre, University of Oslo, Oslo, Norway. Department of Psychiatry, Psychosis Research Unit, Aarhus University Hospital, Aarhus, Denmark. Department of Biomedicine, Aarhus University, Aarhus, Denmark. The National Centre for Register-based Research, Aarhus University, Aarhus, Denmark. Faculty of Medicine, School of Public Health, University of Queensland, Herston, Queensland, Australia. Psychiatry, University of California San Diego, La Jolla, CA, USA. Amsterdam Neuroscience; Amsterdam Public Health, Amsterdam University Medical Center, Amsterdam, Netherlands. Twin Register and Department of Complex Trait Genetics, Center for Neurogenomics and Cognitive Research, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. Psychiatry, University of Tartu, Tartu, Estonia. Department of Psychiatry, University of Marburg, Marburg, Germany. Psychology, Clinical Psychology, Experimental Psychopathology and Psychotherapy, University of Marburg, Marburg, Germany. School of Social Sciences, Department of Psychology, University of Mannheim, Mannheim, Germany. Department of Mental Health, Institute for Translational Psychiatry, University of Muenster, Muenster, Germany. Department of Psychiatry and Psychotherapy, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany. Psychiatry, Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA. Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands. Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt - Goethe University, Frankfurt, Germany. Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. School of Medicine, Psychiatry, University of Utah, Salt Lake City, Utah, USA. Department of Psychosomatic Medicine and Psychotherapy, University Hospital Münster, Münster, Germany. Department of Psychiatry, Psychosomatics and Psychotherapy, University Hospital Würzburg, Würzburg, Germany. Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada. Psychiatry and Behavioral Sciences, Texas A&M University, Bryan, Texas, USA.

Abstract summary 

The major anxiety disorders (ANX; including generalized anxiety disorder, panic disorder, and phobias) are highly prevalent, often onset early, persist throughout life, and cause substantial global disability. Although distinct in their clinical presentations, they likely represent differential expressions of a dysregulated threat-response system. Here we present a genome-wide association meta-analysis comprising 122,341 European ancestry ANX cases and 729,881 controls. We identified 58 independent genome-wide significant ANX risk variants and 66 genes with robust biological support. In an independent sample of 1,175,012 self-report ANX cases and 1,956,379 controls, 51 of the 58 associated variants were replicated. As predicted by twin studies, we found substantial genetic correlation between ANX and depression, neuroticism, and other internalizing phenotypes. Follow-up analyses demonstrated enrichment in all major brain regions and highlighted GABAergic signaling as one potential mechanism underlying ANX genetic risk. These results advance our understanding of the genetic architecture of ANX and prioritize genes for functional follow-up studies.

Authors & Co-authors:  Strom Nora I NI Verhulst Brad B Bacanu Silviu-Alin SA Cheesman Rosa R Purves Kirstin L KL Gedik Hüseyin H Mitchell Brittany L BL Kwong Alex S AS Faucon Annika B AB Singh Kritika K Medland Sarah S Colodro-Conde Lucia L Krebs Kristi K Hoffmann Per P Herms Stefan S Gehlen Jan J Ripke Stephan S Awasthi Swapnil S Palviainen Teemu T Tasanko Elisa M EM Peterson Roseann E RE Adkins Daniel E DE Shabalin Andrey A AA Adams Mark J MJ Iveson Matthew H MH Campbell Archie A Thomas Laurent F LF Winsvold Bendik S BS Drange Ole Kristian OK Børte Sigrid S Ter Kuile Abigail R AR Nguyen Tan-Hoang TH Meier Sandra M SM Corfield Elizabeth C EC Hannigan Laurie L Levey Daniel F DF Czamara Darina D Weber Heike H Choi Karmel W KW Pistis Giorgio G Couvy-Duchesne Baptiste B Van der Auwera Sandra S Teumer Alexander A Karlsson Robert R Garcia-Argibay Miguel M Lee Donghyung D Wang Rujia R Bjerkeset Ottar O Stordal Eystein E Bäckmann Julia J Salum Giovanni A GA Zai Clement C CC Kennedy James L JL Zai Gwyneth G Tiwari Arun K AK Heilmann-Heimbach Stefanie S Schmidt Börge B Kaprio Jaakko J Kennedy Martin M MM Boden Joseph J Havdahl Alexandra A Middeldorp Christel M CM Lopes Fabiana L FL Akula Nirmala N McMahon Francis J FJ Binder Elisabeth B EB Fehm Lydia L Ströhle Andreas A Castelao Enrique E Tiemeier Henning H Stein Dan J DJ Whiteman David D Olsen Catherine C Fuller Zachary Z Wang Xin X Wray Naomi R NR Byrne Enda M EM Lewis Glyn G Timpson Nicholas J NJ Davis Lea K LK Hickie Ian B IB Gillespie Nathan A NA Milani Lili L Schumacher Johannes J Woldbye David P DP Forstner Andreas J AJ Nöthen Markus M MM Hovatta Iiris I Horwood John J Copeland William E WE Maes Hermine H HH McIntosh Andrew M AM Andreassen Ole A OA Zwart John-Anker JA Mors Ole O Børglum Anders D AD Mortensen Preben B PB Ask Helga H Reichborn-Kjennerud Ted T Najman Jackob M JM Stein Murray B MB Gelernter Joel J Milaneschi Yuri Y Penninx Brenda W BW Boomsma Dorret I DI Maron Eduard E Erhardt-Lehmann Angelika A Rück Christian C Kircher Tilo T TT Melzig Christiane A CA Alpers Georg W GW Arolt Volker V Domschke Katharina K Smoller Jordan W JW Preisig Martin M Martin Nicholas G NG Lupton Michelle K MK Luik Annemarie I AI Reif Andreas A Grabe Hans J HJ Larsson Henrik H Magnusson Patrik K PK Oldehinkel Albertine J AJ Hartman Catharina A CA Breen Gerome G Docherty Anna R AR Coon Hilary H Conrad Rupert R Lehto Kelli K Deckert Jürgen J Eley Thalia C TC Mattheisen Manuel M Hettema John M JM

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Bandelow B, Baldwin D, Abelli M, Bolea-Alamanac B, Bourin M, Chamberlain SR, et al. (2017): Biological markers for anxiety disorders, OCD and PTSD: A consensus statement. Part II: Neurochemistry, neurophysiology and neurocognition. World J Biol Psychiatry 18: 162–214.
Authors :  134
Identifiers
Doi : 2024.07.03.24309466
SSN : 
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Study Approach
Country of Study
Publication Country
United States