Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth

Abstract Background Increased expression of the complement component 4A (C4A) gene is associated with a greater lifetime risk of schizophrenia. In the brain, C4A is involved in synaptic pruning; yet, it remains unclear the extent to which upregulation of C4A alters brain development or is associated...

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Main Authors: Leanna M. Hernandez, Minsoo Kim, Pan Zhang, Richard A. I. Bethlehem, Gil Hoftman, Robert Loughnan, Diana Smith, Susan Y. Bookheimer, Chun Chieh Fan, Carrie E. Bearden, Wesley K. Thompson, Michael J. Gandal
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Genome Biology
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Online Access:https://doi.org/10.1186/s13059-023-02878-0
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author Leanna M. Hernandez
Minsoo Kim
Pan Zhang
Richard A. I. Bethlehem
Gil Hoftman
Robert Loughnan
Diana Smith
Susan Y. Bookheimer
Chun Chieh Fan
Carrie E. Bearden
Wesley K. Thompson
Michael J. Gandal
author_facet Leanna M. Hernandez
Minsoo Kim
Pan Zhang
Richard A. I. Bethlehem
Gil Hoftman
Robert Loughnan
Diana Smith
Susan Y. Bookheimer
Chun Chieh Fan
Carrie E. Bearden
Wesley K. Thompson
Michael J. Gandal
author_sort Leanna M. Hernandez
collection DOAJ
description Abstract Background Increased expression of the complement component 4A (C4A) gene is associated with a greater lifetime risk of schizophrenia. In the brain, C4A is involved in synaptic pruning; yet, it remains unclear the extent to which upregulation of C4A alters brain development or is associated with the risk for psychotic symptoms in childhood. Here, we perform a multi-ancestry phenome-wide association study in 7789 children aged 9–12 years to examine the relationship between genetically regulated expression (GREx) of C4A, childhood brain structure, cognition, and psychiatric symptoms. Results While C4A GREx is not related to childhood psychotic experiences, cognition, or global measures of brain structure, it is associated with a localized reduction in regional surface area (SA) of the entorhinal cortex. Furthermore, we show that reduced entorhinal cortex SA at 9–10 years predicts a greater number and severity of psychosis-like events at 1-year and 2-year follow-up time points. We also demonstrate that the effects of C4A on the entorhinal cortex are independent of genome-wide polygenic risk for schizophrenia. Conclusions Our results suggest neurodevelopmental effects of C4A on childhood medial temporal lobe structure, which may serve as a biomarker for schizophrenia risk prior to symptom onset.
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spelling doaj.art-3265b006624a49fb975cf0256fe1af0e2023-03-22T11:22:19ZengBMCGenome Biology1474-760X2023-03-0124111910.1186/s13059-023-02878-0Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youthLeanna M. Hernandez0Minsoo Kim1Pan Zhang2Richard A. I. Bethlehem3Gil Hoftman4Robert Loughnan5Diana Smith6Susan Y. Bookheimer7Chun Chieh Fan8Carrie E. Bearden9Wesley K. Thompson10Michael J. Gandal11Department of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesUniversity of Cambridge, Department of Psychiatry, Cambridge Biomedical CampusDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesPopulation Neuroscience and Genetics Lab, University of California, San DiegoPopulation Neuroscience and Genetics Lab, University of California, San DiegoDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesPopulation Neuroscience and Genetics Lab, University of California, San DiegoDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesPopulation Neuroscience and Genetics Lab, University of California, San DiegoDepartment of Psychiatry, Semel Institute, David Geffen School of Medicine, University of California, Los AngelesAbstract Background Increased expression of the complement component 4A (C4A) gene is associated with a greater lifetime risk of schizophrenia. In the brain, C4A is involved in synaptic pruning; yet, it remains unclear the extent to which upregulation of C4A alters brain development or is associated with the risk for psychotic symptoms in childhood. Here, we perform a multi-ancestry phenome-wide association study in 7789 children aged 9–12 years to examine the relationship between genetically regulated expression (GREx) of C4A, childhood brain structure, cognition, and psychiatric symptoms. Results While C4A GREx is not related to childhood psychotic experiences, cognition, or global measures of brain structure, it is associated with a localized reduction in regional surface area (SA) of the entorhinal cortex. Furthermore, we show that reduced entorhinal cortex SA at 9–10 years predicts a greater number and severity of psychosis-like events at 1-year and 2-year follow-up time points. We also demonstrate that the effects of C4A on the entorhinal cortex are independent of genome-wide polygenic risk for schizophrenia. Conclusions Our results suggest neurodevelopmental effects of C4A on childhood medial temporal lobe structure, which may serve as a biomarker for schizophrenia risk prior to symptom onset.https://doi.org/10.1186/s13059-023-02878-0SchizophreniaPsychosisNeuroimagingGeneticsGene expressionComplement
spellingShingle Leanna M. Hernandez
Minsoo Kim
Pan Zhang
Richard A. I. Bethlehem
Gil Hoftman
Robert Loughnan
Diana Smith
Susan Y. Bookheimer
Chun Chieh Fan
Carrie E. Bearden
Wesley K. Thompson
Michael J. Gandal
Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
Genome Biology
Schizophrenia
Psychosis
Neuroimaging
Genetics
Gene expression
Complement
title Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
title_full Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
title_fullStr Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
title_full_unstemmed Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
title_short Multi-ancestry phenome-wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
title_sort multi ancestry phenome wide association of complement component 4 variation with psychiatric and brain phenotypes in youth
topic Schizophrenia
Psychosis
Neuroimaging
Genetics
Gene expression
Complement
url https://doi.org/10.1186/s13059-023-02878-0
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