論文

国際誌
2021年7月23日

Polygenic Risk Scores Differentiating Schizophrenia From Bipolar Disorder Are Associated With Premorbid Intelligence in Schizophrenia Patients and Healthy Subjects.

The international journal of neuropsychopharmacology
  • Kazutaka Ohi
  • Daisuke Nishizawa
  • Shunsuke Sugiyama
  • Kentaro Takai
  • Ayumi Kuramitsu
  • Junko Hasegawa
  • Midori Soda
  • Kiyoyuki Kitaichi
  • Ryota Hashimoto
  • Kazutaka Ikeda
  • Toshiki Shioiri
  • 全て表示

24
7
開始ページ
562
終了ページ
569
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/ijnp/pyab014

BACKGROUND: Impairments in intelligence are more severe in patients with schizophrenia (SCZ) than in patients with bipolar disorder (BD) despite clinical and genetic similarities between the disorders. Genetic loci differentiating SCZ from BD, that is, SCZ-specific risk, have been identified. Polygenetic [risk] scores (PGSs) for SCZ-specific risk are higher in SCZ patients than in healthy controls (HCs). However, the influence of genetic risk on impaired intelligence is poorly understood. Here, we investigated whether SCZ-specific risk could predict impairments in intelligence in SCZ patients and HCs. METHODS: Large-scale genome-wide association study datasets related to SCZ vs BD, childhood intelligence (CHI), and adulthood intelligence (n = 12 441-282 014) were utilized to compute PGSs. PGSs derived from the genome-wide association studies were calculated for 130 patients with SCZ and 146 HCs. Premorbid and current intelligence and the decline were measured in SCZ patients and HCs. Correlations between PGSs and intelligence functions were investigated. RESULTS: High PGSs for SCZ-specific risk were correlated with low premorbid intelligence in SCZ patients and HCs (β = -0.17, P = 4.12 × 10-3). The correlation was still significant after adjusting for diagnostic status (β = -0.13, P = .024). There were no significant correlations between PGSs for SCZ-specific risk and current intelligence or intelligence decline (P > .05). PGSs for CHI were lower in SCZ patients than in HCs (R2 = 0.025, P = .025), while the PGSs for CHI were not significantly correlated with premorbid and current intelligence, the decline, or the PGSs for SCZ-specific risk (P > .05). CONCLUSIONS: These findings suggest that genetic factors differentiating SCZ from BD might affect the pathogenesis of SCZ and/or pathological differences between SCZ and BD via the impairment of premorbid intelligence, that is, crystallized intelligence, while genetic factors for CHI might affect the pathogenesis of SCZ but not via impairments in intelligence.

リンク情報
DOI
https://doi.org/10.1093/ijnp/pyab014
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33738471
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299820
ID情報
  • DOI : 10.1093/ijnp/pyab014
  • PubMed ID : 33738471
  • PubMed Central 記事ID : PMC8299820

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