374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies

OBJECTIVES/GOALS: 22q.11 deletion syndrome (22q11DS) is a genomic syndrome that elevates risk for psychosis >20-fold. We used a battery of cognitive and psychophysiological psychosis-risk biomarkers in 22q11DS patients and healthy subjects in order to identify biomarkers of psychosis in 22q11DS t...

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Main Authors: David Parker, Sid Imes, Gabrielle Ruben, Bruce Cuthbert, Brett Hershey, Elaine Walker, Opal Ousley, Joseph Cubells, Erica Duncan
Format: Article
Language:English
Published: Cambridge University Press 2023-04-01
Series:Journal of Clinical and Translational Science
Online Access:https://www.cambridge.org/core/product/identifier/S2059866123004120/type/journal_article
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author David Parker
Sid Imes
Gabrielle Ruben
Bruce Cuthbert
Brett Hershey
Elaine Walker
Opal Ousley
Joseph Cubells
Erica Duncan
author_facet David Parker
Sid Imes
Gabrielle Ruben
Bruce Cuthbert
Brett Hershey
Elaine Walker
Opal Ousley
Joseph Cubells
Erica Duncan
author_sort David Parker
collection DOAJ
description OBJECTIVES/GOALS: 22q.11 deletion syndrome (22q11DS) is a genomic syndrome that elevates risk for psychosis >20-fold. We used a battery of cognitive and psychophysiological psychosis-risk biomarkers in 22q11DS patients and healthy subjects in order to identify biomarkers of psychosis in 22q11DS that could be used as translational targets in intervention studies. METHODS/STUDY POPULATION: We recruited 15 22q11DS individuals (Mean age=30, M/F=9/6) and 19 healthy controls (HCs; Mean age=34, M/F=5/14). Each individual completed the MATRICS Consensus Cognitive Battery (MCCB), the Wechsler Abbreviated Scale of Intelligence, Second edition (WASI-II) Verbal IQ subtests, and the computerized Wisconsin Card Sorting Task (WCST). To examine auditory EEG responses, each participant completed the 'Double-Deviant' target detection paradigm, which presents a pseudorandom sequence of frequent standard tones and infrequent deviant tones. Mismatch negativity (MMN) metrics were generated from this assessment. Welch's t-tests were completed for neurocognitive variables. One-Way ANOVAs were completed to examine EEG results, with sex entered as a separate factor and age entered as a covariate. RESULTS/ANTICIPATED RESULTS: Significant group differences were found in 8 of the 9 neurocognitive measurements (FDR-adjusted p's< 0.02, average Cohen's d=1.62, average observed power= 0.91) indicating widespread cognitive deficits in 22q11DS subjects across multiple domains. The Double-Deviant MMN ERP response was significantly smaller in absolute magnitude in the 22q11DS group (FDR-adjusted p=0.048, Cohen’s d= -0.864, observed power= 0.58). The MMN ERPs for the frequency and duration deviants were not significantly different (FDR-adjusted p's> 0.33). No group by sex interactions were observed in any of the measures. Neurocognitive variables were associated with psychosis positive, negative, general, and disorganized symptom scales. DISCUSSION/SIGNIFICANCE: Our results identify potential psychosis-risk biomarkers in 22q11DS. If replicated, these biomarkers could provide important translational targets for future clinical trials for individuals with 22q11DS and other individuals at-risk for psychosis syndromes.
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spelling doaj.art-a9db72abecb1414882c3ce03cea455c12023-04-24T05:55:57ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-04-01711111110.1017/cts.2023.412374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studiesDavid Parker0Sid Imes1Gabrielle Ruben2Bruce Cuthbert3Brett Hershey4Elaine Walker5Opal Ousley6Joseph Cubells7Erica Duncan8Emory University School of MedicineEmory UniversityEmory UniversityEmory UniversityEmory UniversityEmory UniversityEmory University School of MedicineEmory University School of MedicineEmory University School of Medicine / Atlanta Veterans Affairs Health Care SystemOBJECTIVES/GOALS: 22q.11 deletion syndrome (22q11DS) is a genomic syndrome that elevates risk for psychosis >20-fold. We used a battery of cognitive and psychophysiological psychosis-risk biomarkers in 22q11DS patients and healthy subjects in order to identify biomarkers of psychosis in 22q11DS that could be used as translational targets in intervention studies. METHODS/STUDY POPULATION: We recruited 15 22q11DS individuals (Mean age=30, M/F=9/6) and 19 healthy controls (HCs; Mean age=34, M/F=5/14). Each individual completed the MATRICS Consensus Cognitive Battery (MCCB), the Wechsler Abbreviated Scale of Intelligence, Second edition (WASI-II) Verbal IQ subtests, and the computerized Wisconsin Card Sorting Task (WCST). To examine auditory EEG responses, each participant completed the 'Double-Deviant' target detection paradigm, which presents a pseudorandom sequence of frequent standard tones and infrequent deviant tones. Mismatch negativity (MMN) metrics were generated from this assessment. Welch's t-tests were completed for neurocognitive variables. One-Way ANOVAs were completed to examine EEG results, with sex entered as a separate factor and age entered as a covariate. RESULTS/ANTICIPATED RESULTS: Significant group differences were found in 8 of the 9 neurocognitive measurements (FDR-adjusted p's< 0.02, average Cohen's d=1.62, average observed power= 0.91) indicating widespread cognitive deficits in 22q11DS subjects across multiple domains. The Double-Deviant MMN ERP response was significantly smaller in absolute magnitude in the 22q11DS group (FDR-adjusted p=0.048, Cohen’s d= -0.864, observed power= 0.58). The MMN ERPs for the frequency and duration deviants were not significantly different (FDR-adjusted p's> 0.33). No group by sex interactions were observed in any of the measures. Neurocognitive variables were associated with psychosis positive, negative, general, and disorganized symptom scales. DISCUSSION/SIGNIFICANCE: Our results identify potential psychosis-risk biomarkers in 22q11DS. If replicated, these biomarkers could provide important translational targets for future clinical trials for individuals with 22q11DS and other individuals at-risk for psychosis syndromes.https://www.cambridge.org/core/product/identifier/S2059866123004120/type/journal_article
spellingShingle David Parker
Sid Imes
Gabrielle Ruben
Bruce Cuthbert
Brett Hershey
Elaine Walker
Opal Ousley
Joseph Cubells
Erica Duncan
374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
Journal of Clinical and Translational Science
title 374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
title_full 374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
title_fullStr 374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
title_full_unstemmed 374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
title_short 374 Identification of Psychosis Risk Biomarkers in 22q11DS for future translational studies
title_sort 374 identification of psychosis risk biomarkers in 22q11ds for future translational studies
url https://www.cambridge.org/core/product/identifier/S2059866123004120/type/journal_article
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