NORMENT Centre, Institute of Clinical Medicine, University of Oslo and Division of Mental Health and Addiction, Oslo University Hospital, 0407, Oslo, Norway.
Université de Paris Cité, INSERM UMR-S1144, F-75006, Paris, France.
Neuropsychopharmacology. 2022 Oct;47(11):1883-1891. doi: 10.1038/s41386-022-01401-6. Epub 2022 Aug 11.
Alcohol use disorder (AUD) is a pervasive and devastating mental illness with high comorbidity rates with other mental disorders. Understanding the genetic architecture of this comorbidity could be improved by focusing on intermediate traits that show positive genetic correlation with the disorders. Thus, we aimed to characterize the shared vs. unique polygenicity of AUD, alcohol consumption (AC) and mood instability (MOOD) -beyond genetic correlation, and boost discovery for jointly-associated loci. Summary statistics for MOOD (a binary measure of the tendency to report frequent mood swings), AC (number of standard drinks over a typical consumption week) and AUD GWASs (Ns > 200,000) were analyzed to characterize the cross-phenotype associations between MOOD and AC, MOOD and AUD and AC and AUD. To do so, we used a newly established pipeline that combines (i) the bivariate causal mixture model (MiXeR) to quantify polygenic overlap and (ii) the conjunctional false discovery rate (conjFDR) to discover specific jointly associated genomic loci, which were mapped to genes and biological functions. MOOD was highly polygenic (10.4k single nucleotide polymorphisms, SNPs, SD = 2k) compared to AC (4.9k SNPs, SD = 0.6k) and AUD (4.3k SNPs, SD = 2k). The polygenic overlap of MOOD and AC was twice that of MOOD and AUD (98% vs. 49%), with opposite genetic correlation (-0.2 vs. 0.23), as confirmed in independent samples. MOOD&AUD associated SNPs were significantly enriched for brain genes, conversely to MOOD&AC. Among 38 jointly associated loci, fifteen were novel for MOOD, AC and AUD. MOOD, AC and AUD were also strongly associated at the phenotypic level. Overall, using multilevel polygenic quantification, joint loci discovery and functional annotation methods, we evidenced that the polygenic overlap between MOOD and AC/AUD implicated partly shared biological underpinnings, yet, clearly distinct functional patterns between MOOD&AC and MOOD&AUD, suggesting new mechanisms for the comorbidity of AUD with mood disorders.
酒精使用障碍(AUD)是一种普遍且严重的精神疾病,与其他精神障碍的共病率很高。通过关注与这些疾病呈正遗传相关的中间特征,可以更好地了解这种共病的遗传结构。因此,我们旨在描述 AUD、饮酒(AC)和情绪不稳定(MOOD)之间的共同和独特的多基因性——超越遗传相关性,并促进共同相关基因座的发现。MOOD(报告频繁情绪波动倾向的二分测量)、AC(典型消费周内的标准饮料数量)和 AUD GWAS 的汇总统计数据(N>200,000)被用于分析 MOOD 和 AC、MOOD 和 AUD 以及 AC 和 AUD 之间的跨表型关联。为此,我们使用了一种新建立的管道,该管道结合了(i)双变量因果混合模型(MiXeR)来量化多基因重叠,以及(ii)联合假发现率(conjFDR)来发现特定的共同相关基因组座,这些座标被映射到基因和生物学功能上。MOOD 比 AC(4.9k SNPs,SD=0.6k)和 AUD(4.3k SNPs,SD=2k)的多基因性更高(10.4k 单核苷酸多态性,SD=2k)。MOOD 和 AC 的多基因重叠是 MOOD 和 AUD 的两倍(98%比 49%),遗传相关性相反(-0.2 比 0.23),这在独立样本中得到了证实。MOOD&AUD 相关 SNP 显著富集在大脑基因中,与 MOOD&AC 相反。在 38 个共同相关基因座中,有 15 个是 MOOD、AC 和 AUD 的新基因座。MOOD、AC 和 AUD 在表型水平上也有很强的关联。总的来说,使用多层次多基因量化、联合基因座发现和功能注释方法,我们证明了 MOOD 和 AC/AUD 之间的多基因重叠部分涉及共同的生物学基础,但 MOOD&AC 和 MOOD&AUD 之间的功能模式明显不同,这表明 AUD 与情绪障碍共病的新机制。