SA MRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Transl Psychiatry. 2020 Jan 27;10(1):38. doi: 10.1038/s41398-020-0706-0.
Childhood maltreatment is highly prevalent and serves as a risk factor for mental and physical disorders. Self-reported childhood maltreatment appears heritable, but the specific genetic influences on this phenotype are largely unknown. The aims of this study were to (1) identify genetic variation associated with self-reported childhood maltreatment, (2) estimate SNP-based heritability (h), (3) assess predictive value of polygenic risk scores (PRS) for childhood maltreatment, and (4) quantify genetic overlap of childhood maltreatment with mental and physical health-related phenotypes, and condition the top hits from our analyses when such overlap is present. Genome-wide association analysis for childhood maltreatment was undertaken, using a discovery sample from the UK Biobank (UKBB) (n = 124,000) and a replication sample from the Psychiatric Genomics Consortium-posttraumatic stress disorder group (PGC-PTSD) (n = 26,290). h for childhood maltreatment and genetic correlations with mental/physical health traits were calculated using linkage disequilibrium score regression. PRS was calculated using PRSice and mtCOJO was used to perform conditional analysis. Two genome-wide significant loci associated with childhood maltreatment (rs142346759, p = 4.35 × 10, FOXP1; rs10262462, p = 3.24 × 10, FOXP2) were identified in the discovery dataset but were not replicated in PGC-PTSD. h for childhood maltreatment was ~6% and the PRS derived from the UKBB was significantly predictive of childhood maltreatment in PGC-PTSD (r = 0.0025; p = 1.8 × 10). The most significant genetic correlation of childhood maltreatment was with depressive symptoms (r = 0.70, p = 4.65 × 10), although we show evidence that our top hits may be specific to childhood maltreatment. This is the first large-scale genetic study to identify specific variants associated with self-reported childhood maltreatment. Speculatively, FOXP genes might influence externalizing traits and so be relevant to childhood maltreatment. Alternatively, these variants may be associated with a greater likelihood of reporting maltreatment. A clearer understanding of the genetic relationships of childhood maltreatment, including particular abuse subtypes, with a range of phenotypes, may ultimately be useful in in developing targeted treatment and prevention strategies.
儿童虐待现象非常普遍,并且是精神和身体障碍的一个风险因素。自我报告的儿童虐待现象似乎具有遗传性,但这种表型的具体遗传影响在很大程度上尚不清楚。本研究的目的是:(1)确定与自我报告的儿童虐待有关的遗传变异;(2)估计基于 SNP 的遗传度(h);(3)评估多基因风险评分(PRS)对儿童虐待的预测价值;(4)量化儿童虐待与精神和身体健康相关表型的遗传重叠,并在存在这种重叠时对我们分析的前几个命中结果进行条件分析。使用来自英国生物银行(UKBB)(n=124000)的发现样本和来自精神疾病基因组学联盟创伤后应激障碍组(PGC-PTSD)(n=26290)的复制样本,对儿童虐待进行全基因组关联分析。使用连锁不平衡得分回归计算儿童虐待的 h 和与精神/身体健康特征的遗传相关性。使用 PRSice 计算 PRS,使用 mtCOJO 执行条件分析。在发现数据集中确定了两个与儿童虐待相关的全基因组显著位点(rs142346759,p=4.35×10,FOXP1;rs10262462,p=3.24×10,FOXP2),但在 PGC-PTSD 中未复制。儿童虐待的 h 约为 6%,并且来自 UKBB 的 PRS 显著预测了 PGC-PTSD 中的儿童虐待(r=0.0025;p=1.8×10)。儿童虐待的最显著遗传相关性是与抑郁症状(r=0.70,p=4.65×10),尽管我们有证据表明,我们的前几个命中结果可能特定于儿童虐待。这是第一项确定与自我报告的儿童虐待相关的特定变体的大规模遗传研究。推测性地,FOXP 基因可能影响外在特质,因此与儿童虐待有关。或者,这些变体可能与更有可能报告虐待有关。更清楚地了解儿童虐待与一系列表型的遗传关系,包括特定的虐待亚型,最终可能有助于制定有针对性的治疗和预防策略。