Rautiainen M-R, Paunio T, Repo-Tiihonen E, Virkkunen M, Ollila H M, Sulkava S, Jolanki O, Palotie A, Tiihonen J
National Institute for Health and Welfare, Department of Health, Helsinki, Finland.
Department of Forensic Psychiatry, Niuvanniemi Hospital, University of Eastern Finland, Kuopio, Finland.
Transl Psychiatry. 2016 Sep 6;6(9):e883. doi: 10.1038/tp.2016.155.
The pathophysiology of antisocial personality disorder (ASPD) remains unclear. Although the most consistent biological finding is reduced grey matter volume in the frontal cortex, about 50% of the total liability to developing ASPD has been attributed to genetic factors. The contributing genes remain largely unknown. Therefore, we sought to study the genetic background of ASPD. We conducted a genome-wide association study (GWAS) and a replication analysis of Finnish criminal offenders fulfilling DSM-IV criteria for ASPD (N=370, N=5850 for controls, GWAS; N=173, N=3766 for controls and replication sample). The GWAS resulted in suggestive associations of two clusters of single-nucleotide polymorphisms at 6p21.2 and at 6p21.32 at the human leukocyte antigen (HLA) region. Imputation of HLA alleles revealed an independent association with DRB1*01:01 (odds ratio (OR)=2.19 (1.53-3.14), P=1.9 × 10(-5)). Two polymorphisms at 6p21.2 LINC00951-LRFN2 gene region were replicated in a separate data set, and rs4714329 reached genome-wide significance (OR=1.59 (1.37-1.85), P=1.6 × 10(-9)) in the meta-analysis. The risk allele also associated with antisocial features in the general population conditioned for severe problems in childhood family (β=0.68, P=0.012). Functional analysis in brain tissue in open access GTEx and Braineac databases revealed eQTL associations of rs4714329 with LINC00951 and LRFN2 in cerebellum. In humans, LINC00951 and LRFN2 are both expressed in the brain, especially in the frontal cortex, which is intriguing considering the role of the frontal cortex in behavior and the neuroanatomical findings of reduced gray matter volume in ASPD. To our knowledge, this is the first study showing genome-wide significant and replicable findings on genetic variants associated with any personality disorder.
反社会人格障碍(ASPD)的病理生理学仍不清楚。尽管最一致的生物学发现是额叶皮质灰质体积减少,但约50%的ASPD发病总易感性归因于遗传因素。其中起作用的基因在很大程度上仍不为人知。因此,我们试图研究ASPD的遗传背景。我们对符合ASPD的DSM-IV标准的芬兰罪犯进行了全基因组关联研究(GWAS)及重复分析(GWAS中ASPD组N = 370,对照组N = 5850;重复样本中ASPD组N = 173,对照组N = 3766)。GWAS结果显示,在人类白细胞抗原(HLA)区域的6p21.2和6p21.32处有两个单核苷酸多态性簇存在提示性关联。HLA等位基因的推断显示与DRB1*01:01存在独立关联(优势比(OR)= 2.19(1.53 - 3.14),P = 1.9×10⁻⁵)。6p21.2的LINC00951 - LRFN2基因区域的两个多态性在另一个数据集中得到重复,并且在荟萃分析中rs4714329达到全基因组显著性(OR = 1.59(1.37 - 1.85),P = 1.6×10⁻⁹)。该风险等位基因在以童年家庭严重问题为条件的普通人群中也与反社会特征相关(β = 0.68,P = 0.012)。在开放获取的GTEx和Braineac数据库中对脑组织进行的功能分析显示,rs4714329在小脑中与LINC00951和LRFN2存在表达数量性状基因座(eQTL)关联。在人类中,LINC00951和LRFN2均在大脑中表达,尤其是在额叶皮质,鉴于额叶皮质在行为中的作用以及ASPD中灰质体积减少的神经解剖学发现,这一点很有趣。据我们所知,这是第一项显示与任何人格障碍相关的遗传变异具有全基因组显著性和可重复发现的研究。