RT Journal Article
SR Electronic
T1 Genome-wide association studies suggest limited immune gene enrichment in schizophrenia compared to five autoimmune diseases
JF bioRxiv
FD Cold Spring Harbor Laboratory
SP 030411
DO 10.1101/030411
A1 Jennie G. Pouget
A1 Vanessa F. Gonçalves
A1 Schizophrenia Working Group of the Psychiatric Genomics Consortium
A1 Sarah L. Spain
A1 Hilary K. Finucane
A1 Soumya Raychaudhuri
A1 James L. Kennedy
A1 Jo Knight
YR 2016
UL http://biorxiv.org/content/early/2016/04/12/030411.abstract
AB There has been intense debate over the immunological basis of schizophrenia, and the potential utility of adjunct immunotherapies. The major histocompatibility complex is consistently the most powerful region of association in genome-wide association studies (GWASs) of schizophrenia, and has been interpreted as strong genetic evidence supporting the immune hypothesis. However, global pathway analyses provide inconsistent evidence of immune involvement in schizophrenia, and it remains unclear whether genetic data support an immune etiology per se. Here we empirically test the hypothesis that variation in immune genes contributes to schizophrenia. We show that there is no enrichment of immune loci outside of the MHC region in the largest genetic study of schizophrenia conducted to date, in contrast to five diseases of known immune origin. Among 108 regions of the genome previously associated with schizophrenia, we identify six immune candidates (DPP4, HSPD1, EGR1, CLU, ESAM, NFATC3) encoding proteins with alternative, nonimmune roles in the brain. While our findings do not refute evidence that has accumulated in support of the immune hypothesis, they suggest that genetically mediated alterations in immune function may not play a major role in schizophrenia susceptibility. Instead, there may be a role for pleiotropic effects of a small number of immune genes that also regulate brain development and plasticity. Whether immune alterations drive schizophrenia progression is an important question to be addressed by future research, especially in light of the growing interest in applying immunotherapies in schizophrenia.