Genetics and Development Division, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada.
Program in Neuroscience and Mental Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Genes Brain Behav. 2020 Jul;19(6):e12648. doi: 10.1111/gbb.12648. Epub 2020 Mar 27.
Reading disabilities (RD) are the most common neurocognitive disorder, affecting 5% to 17% of children in North America. These children often have comorbid neurodevelopmental/psychiatric disorders, such as attention deficit/hyperactivity disorder (ADHD). The genetics of RD and their overlap with other disorders is incompletely understood. To contribute to this, we performed a genome-wide association study (GWAS) for word reading. Then, using summary statistics from neurodevelopmental/psychiatric disorders, we computed polygenic risk scores (PRS) and used them to predict reading ability in our samples. This enabled us to test the shared aetiology between RD and other disorders. The GWAS consisted of 5.3 million single nucleotide polymorphisms (SNPs) and two samples; a family-based sample recruited for reading difficulties in Toronto (n = 624) and a population-based sample recruited in Philadelphia [Philadelphia Neurodevelopmental Cohort (PNC)] (n = 4430). The Toronto sample SNP-based analysis identified suggestive SNPs (P ~ 5 × 10 ) in the ARHGAP23 gene, which is implicated in neuronal migration/axon pathfinding. The PNC gene-based analysis identified significant associations (P < 2.72 × 10 ) for LINC00935 and CCNT1, located in the region of the KANSL2/CCNT1/LINC00935/SNORA2B/SNORA34/MIR4701/ADCY6 genes on chromosome 12q, with near significant SNP-based analysis. PRS identified significant overlap between word reading and intelligence (R = 0.18, P = 7.25 × 10 ), word reading and educational attainment (R = 0.07, P = 4.91 × 10 ) and word reading and ADHD (R = 0.02, P = 8.70 × 10 ; threshold for significance = 7.14 × 10 ). Overlap was also found between RD and autism spectrum disorder (ASD) as top-ranked genes were previously implicated in autism by rare and copy number variant analyses. These findings support shared risk between word reading, cognitive measures, educational outcomes and neurodevelopmental disorders, including ASD.
阅读障碍(RD)是最常见的神经认知障碍,影响北美 5%至 17%的儿童。这些儿童通常伴有共患的神经发育/精神疾病,如注意缺陷/多动障碍(ADHD)。RD 的遗传学及其与其他疾病的重叠尚未完全了解。为了对此做出贡献,我们对单词阅读进行了全基因组关联研究(GWAS)。然后,我们使用神经发育/精神疾病的汇总统计数据,计算了多基因风险评分(PRS),并将其用于预测我们样本中的阅读能力。这使我们能够测试 RD 和其他疾病之间的共同病因。GWAS 包括 530 万个单核苷酸多态性(SNP)和两个样本;一个是为多伦多的阅读困难招募的基于家庭的样本(n = 624),另一个是在费城招募的基于人群的样本[费城神经发育队列(PNC)](n = 4430)。多伦多样本的 SNP 分析确定了 ARHGAP23 基因中的提示性 SNP(P~5×10),该基因参与神经元迁移/轴突寻径。PNC 基因分析确定了 LINC00935 和 CCNT1 显著相关(P<2.72×10),它们位于染色体 12q 上的 KANSL2/CCNT1/LINC00935/SNORA2B/SNORA34/MIR4701/ADCY6 基因区域,接近显著 SNP 分析。PRS 确定了单词阅读与智力(R=0.18,P=7.25×10)、单词阅读与教育程度(R=0.07,P=4.91×10)和单词阅读与 ADHD(R=0.02,P=8.70×10;显著阈值=7.14×10)之间存在显著重叠。RD 与自闭症谱系障碍(ASD)之间也发现了重叠,因为排名靠前的基因先前通过罕见和拷贝数变异分析与自闭症有关。这些发现支持单词阅读、认知测量、教育成果和神经发育障碍(包括 ASD)之间的共同风险。