RT Journal Article SR Electronic T1 Comprehensive pathway analyses of schizophrenia risk loci point to dysfunctional postsynaptic signaling JF bioRxiv FD Cold Spring Harbor Laboratory SP 117481 DO 10.1101/117481 A1 Dick Schijven A1 Daniel Kofink A1 Vinicius Tragante A1 Marloes Verkerke A1 Sara L. Pulit A1 René S. Kahn A1 Jan H. Veldink A1 Christiaan H. Vinkers A1 Marco P. Boks A1 Jurjen J. Luykx YR 2017 UL http://biorxiv.org/content/early/2017/03/17/117481.abstract AB Large-scale genome-wide association studies (GWAS) have implicated many low-penetrance loci in schizophrenia, but have yielded limited insight into disease pathophysiology. This limited understanding of the etiology of schizophrenia hampers the development of novel pharmacological treatments. Pathway and gene set analyses may provide biological context to genome-wide data and carry the potential to generate hypotheses about disease mechanisms and leads for novel drug discovery. We aimed to examine which neurobiological processes are likely candidates to underlie schizophrenia by integrating genetic data with existing pathway analysis tools in a comprehensive bioinformatics pipeline. Using unbiased pathway analysis methods to weigh the role of biological processes in schizophrenia, we demonstrate enrichment of schizophrenia-associated single-nucleotide polymorphisms (SNPs) in pathways and gene sets associated with synaptic functioning. We subsequently performed targeted analyses of neurotransmitter gene sets, through which we detected enrichment of gene sets representing the dopaminergic synapse, cholinergic synapse and long-term potentiation. We furthermore highlight that enrichment is mostly located in postsynaptic membrane and postsynaptic signaling components. We thus provide the strongest genetics-informed evidence to date that dysfunctional postsynaptic pathways are implicated in schizophrenia. Future studies in both preclinical and clinical settings may further disentangle these systems to allow the development of new treatment options to target core symptoms in schizophrenia.