State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Department of Cardiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Aging (Albany NY). 2020 Feb 3;12(3):2169-2225. doi: 10.18632/aging.102735.
The prevalence of smoking is significantly higher in persons with schizophrenia (SCZ) than in the general population. However, the biological mechanisms of the comorbidity of smoking and SCZ are largely unknown. This study aimed to reveal shared biological pathways for the two diseases by analyzing data from two genome-wide association studies with a total sample size of 153,898. With pathway-based analysis, we first discovered 18 significantly enriched pathways shared by SCZ and smoking, which were classified into five groups: postsynaptic density, cadherin binding, dendritic spine, long-term depression, and axon guidance. Then, by using an integrative analysis of genetic, epigenetic, and expression data, we found not only 34 critical genes (e.g., , , and ) but also various risk-associated SNPs in these genes, which convey susceptibility to the comorbidity of the two disorders. Finally, using both and data, we demonstrated that the expression profiles of the 34 genes were significantly altered by multiple psychotropic drugs. Together, this multi-omics study not only reveals target genes for new drugs to treat SCZ but also reveals new insights into the shared genetic vulnerabilities of SCZ and smoking behaviors.
精神分裂症(SCZ)患者的吸烟率明显高于普通人群。然而,吸烟和 SCZ 共病的生物学机制在很大程度上尚不清楚。本研究旨在通过分析来自两项全基因组关联研究的数据,来揭示这两种疾病的共有生物学途径,这两项研究的总样本量为 153898 人。通过基于途径的分析,我们首先发现了 18 个与 SCZ 和吸烟显著相关的途径,这些途径被分为五个组:突触后密度、钙黏蛋白结合、树突棘、长时程抑制和轴突导向。然后,通过对遗传、表观遗传和表达数据的综合分析,我们不仅发现了 34 个关键基因(例如,,和),而且还发现了这些基因中的多种与风险相关的 SNP,这些 SNP 会导致这两种疾病共病的易感性。最后,我们使用和数据,证明了这 34 个基因的表达谱受到多种精神药物的显著改变。总之,这项多组学研究不仅揭示了治疗 SCZ 的新药的靶基因,还揭示了 SCZ 和吸烟行为的共同遗传易感性的新见解。
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