Schizophrenia has a heritability of 60-80%1, much of which is attributable to common risk alleles. Here, in a two-stage genome-wide association study of up to 76,755 individuals with schizophrenia and 243,649 control individuals, we report common variant associations at 287 distinct genomic loci. Associations were concentrated in genes that are expressed in excitatory and inhibitory neurons of the central nervous system, but not in other tissues or cell types. Using fine-mapping and functional genomic data, we identify 120 genes (106 protein-coding) that are likely to underpin associations at some of these loci, including 16 genes with credible causal non-synonymous or untranslated region variation. We also implicate fundamental processes related to neuronal function, including synaptic organization, differentiation and transmission. Fine-mapped candidates were enriched for genes associated with rare disruptive coding variants in people with schizophrenia, including the glutamate receptor subunit GRIN2A and transcription factor SP4, and were also enriched for genes implicated by such variants in neurodevelopmental disorders. We identify biological processes relevant to schizophrenia pathophysiology; show convergence of common and rare variant associations in schizophrenia and neurodevelopmental disorders; and provide a resource of prioritized genes and variants to advance mechanistic studies.
- MeSH
- alely MeSH
- celogenomová asociační studie * MeSH
- genetická predispozice k nemoci genetika MeSH
- genomika MeSH
- jednonukleotidový polymorfismus genetika MeSH
- lidé MeSH
- schizofrenie * genetika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
Background: Patients with schizophrenia who, prior to inclusion in placebo-controlled trials, experience the most severe and/or unstable symptoms might be more likely to manifest symptomatic worsening upon antipsychotic discontinuation. Methods: This retrospective analysis included all randomized patients assigned to placebo (n=83) in a 12-week, double-blind, placebo-controlled outpatient trial of MIN-101 (roluperidone) for the treatment of negative symptoms in schizophrenia. The following risk factors were defined for exacerbation: instability between screening and baseline defined operationally as patients with the highest 10 percent of absolute change from the screening visit to baseline in the Positive and Negative Syndrome Scale (PANSS) total or one of the five PANSS Marder factors; screening or baseline severity in PANSS total or one of the five PANSS Marder factors; and gender and age. We used two operational criteria of relapse and the odds ratios of meeting the relapse criteria were calculated for each risk factor. Results: The odds of meeting one of the operational thresholds for relapse after antipsychotic discontinuation were not statistically significantly increased in the subjects who were unstable on the PANSS total or on one of the five PANSS Marder factors before antipsychotic discontinuation. Further, the severity of PANSS total and Marder factor scores at screening and baseline were not statistically significantly associated with odds of relapse. Neither age nor gender had any effect on relapse rates. Conclusion: Mild to moderate symptomatic variations in the severity of symptoms during screening and more severe symptomology at baseline as measured by the PANSS were not predictive of increased risk of subsequent relapse in schizophrenic patients.
- Publikační typ
- časopisecké články MeSH
American journal of cardiology, ISSN 0002-9149 vol. 104, no. 10, suppl. 10A, November 16, 2009
57 s. : il., tab. ; 27 cm
- MeSH
- lipoproteiny HDL terapeutické užití MeSH
- nemoci koronárních tepen terapie MeSH
- zohlednění rizika MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
- angiologie
American journal of cardiology, ISSN 0002-9149 vol. 101, no. 12, suppl. 12A, June 16, 2008
57 s. : il., tab. ; 28 cm
- MeSH
- 1-alkyl-2-acetylglycerofosfocholinesterasa MeSH
- fosfolipasy A2 MeSH
- koronární nemoc MeSH
- rizikové faktory MeSH
- ruptura aorty MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
American journal of cardiology, ISSN 0002-9149 vol. 101, no. 8, suppl. 8A, April 17, 2008
62 s. : il., tab. ; 28 cm
- MeSH
- dyslipidemie terapie MeSH
- HDL-cholesterol MeSH
- kardiovaskulární nemoci prevence a kontrola terapie MeSH
- kombinovaná farmakoterapie MeSH
- niacin aplikace a dávkování farmakokinetika terapeutické užití MeSH
- statiny MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
- angiologie
- vnitřní lékařství
American journal of cardiology, ISSN 0002-9149 vol. 100, no. 11, suppl. 11A, December 3, 2007
67 s. : il., tab. ; 28 cm
- MeSH
- HDL-cholesterol MeSH
- kardiovaskulární nemoci krev metabolismus MeSH
- lipoproteiny HDL MeSH
- nemoci srdce prevence a kontrola MeSH
- nikotinové receptory terapeutické užití MeSH
- proliferátory peroxizomů MeSH
- Publikační typ
- kongresy MeSH
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- vnitřní lékařství
- kardiologie
American journal of cardiology, ISSN 0002-9149 vol. 99, no. 4, suppl. 4A, February 19, 2007
140 s. : il., tab. ; 28 cm
- MeSH
- diabetes mellitus 2. typu komplikace MeSH
- kardiovaskulární nemoci etiologie metabolismus MeSH
- krevní glukóza MeSH
- monitorování fyziologických funkcí MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
- angiologie
- diabetologie
- MeSH
- arteria carotis communis patofyziologie účinky léků MeSH
- diabetes mellitus 2. typu farmakoterapie komplikace terapie MeSH
- farmakoterapie metody využití MeSH
- finanční podpora výzkumu jako téma MeSH
- interpretace statistických dat MeSH
- lidé MeSH
- stenóza arteria carotis farmakoterapie komplikace metabolismus MeSH
- sulfonylmočovinové sloučeniny aplikace a dávkování terapeutické užití MeSH
- thiazolidindiony aplikace a dávkování terapeutické užití MeSH
- ultrasonografie kontraindikace statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- srovnávací studie MeSH
American journal of cardiology, ISSN 0002-9149 vol. 98, no. 4, suppl. 4A, August 2006
76 s. : il., tab. ; 28 cm
- MeSH
- kardiovaskulární nemoci prevence a kontrola MeSH
- koronární nemoc prevence a kontrola MeSH
- kyseliny mastné omega-6 metabolismus farmakologie MeSH
- omega-3 mastné kyseliny metabolismus farmakologie MeSH
- rybí oleje terapeutické užití MeSH
- srdeční arytmie psychologie MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
- angiologie
American journal of cardiology, ISSN 0002-9149 vol. 96, suppl. 9A, November 2005
70 s. : il., tab. ; 28 cm
- MeSH
- hyperlipidemie farmakoterapie MeSH
- kardiovaskulární nemoci MeSH
- kombinovaná terapie MeSH
- metabolický syndrom farmakoterapie MeSH
- rizikové faktory MeSH
- Publikační typ
- kongresy MeSH
- sborníky MeSH
- Konspekt
- Patologie. Klinická medicína
- NLK Obory
- kardiologie
- vnitřní lékařství
- farmacie a farmakologie