Genome-wide Burden of Rare Short Deletions Is Enriched in Major Depressive Disorder in Four Cohorts.
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Zhang Xianglong, Abdellaoui Abdel, Rucker James, de Jong Simone, Potash James B, Weissman Myrna M, Shi Jianxin, Knowles James A, Pato Carlos, Pato Michele, Sobell Janet, Smit Johannes H, Hottenga Jouke-Jan, de Geus Eco J C, Lewis Cathryn M, Buttenschøn Henriette N, Craddock Nick, Jones Ian, Jones Lisa, McGuffin Peter, Mors Ole, Owen Michael J, Preisig Martin, Rietschel Marcella, Rice John P, Rivera Margarita, Uher Rudolf, Gejman Pablo V, Sanders Alan R, Boomsma Dorret, Penninx Brenda W J H, Breen Gerome, Levinson Douglas F
Аннотация
METHODS: In this meta-analysis of four cohorts (5780 patients and 6626 control subjects), we analyzed the association of MDD to 1) genome-wide burden of rare deletions and duplications, partitioned by length (<100 kb or >100 kb) and other characteristics, and 2) individual rare exonic CNVs and CNV regions.
RESULTS: Patients with MDD carried significantly more short deletions than control subjects (p = .0059) but not long deletions or short or long duplications. The confidence interval for long deletions overlapped with that for short deletions, but long deletions were 70% less frequent genome-wide, reducing the power to detect increased burden. The increased burden of short deletions was primarily in intergenic regions. Short deletions in cases were also modestly enriched for high-confidence enhancer regions. No individual CNV achieved thresholds for suggestive or significant association after genome-wide correction. p values < .01 were observed for 15q11.2 duplications (TUBGCP5, CYFIP1, NIPA1, and NIPA2), deletions in or near PRKN or MSR1, and exonic duplications of ATG5.
CONCLUSIONS: The increased burden of short deletions in patients with MDD suggests that rare CNVs increase the risk of MDD by disrupting regulatory regions. Results for longer deletions were less clear, but no large effects were observed for long multigenic CNVs (as seen in schizophrenia and autism). Further studies with larger sample sizes are warranted.