Examining the independent and joint effects of molecular genetic liability and environmental exposures in schizophrenia: results from the EUGEI study. Issue 2 (6th May 2019)

• Record Type: Journal Article
• Authors: Guloksuz, Sinan; Pries, Lotta‐Katrin; Delespaul, Philippe; Kenis, Gunter; Luykx, Jurjen J.; Lin, Bochao D.; Richards, Alexander L.; Akdede, Berna; Binbay, Tolga; Altınyazar, Vesile; Yalınçetin, Berna; Gümüş‐Akay, Güvem; Cihan, Burçin; Soygür, Haldun; Ulaş, Halis; Cankurtaran, EylemŞahin; Kaymak, Semra Ulusoy; Mihaljevic, Marina M.; Petrovic, Sanja Andric; Mirjanic, Tijana; Bernardo, Miguel; Cabrera, Bibiana; Bobes, Julio; Saiz, Pilar A.; García‐Portilla, María Paz; Sanjuan, Julio; Aguilar, Eduardo J.; Santos, José Luis; Jiménez‐López, Estela; Arrojo, Manuel; Carracedo, Angel; López, Gonzalo; González‐Peñas, Javier; Parellada, Mara; Maric, Nadja P.; Atbaşog˘lu, Cem; Ucok, Alp; Alptekin, Köksal; Saka, Meram Can; Arango, Celso; O'Donovan, Michael; Rutten, Bart P.F.; van Os, Jim;
• Other Names: Alizadeh Behrooz Z. investigator.; van Amelsvoort Therese investigator.; van Beveren Nico J. investigator.; Bruggeman Richard investigator.; Cahn Wiepke investigator.; de Haan Lieuwe investigator.; Delespaul Philippe investigator.; Luykx Jurjen J. investigator.; Myin‐Germeys Inez investigator.; van Winkel Ruud investigator.; van Os Jim investigator.
• Is Part Of: World psychiatry. Volume 18:Issue 2(2019)
• Page Start: 173
• Page End: 182
• Publication Date: 2019-05-06
• Subjects: Schizophrenia -- psychosis -- genetics -- environment -- gene‐environment interaction -- polygenic risk -- childhood trauma -- cannabis -- bullying; Psychiatry -- Periodicals; Mental illness -- Periodicals; 616.89005
• DOI: 10.1002/wps.20629
• Languages: English
• ISSNs: 1723-8617

Abstract

Abstract : Schizophrenia is a heritable complex phenotype associated with a background risk involving multiple common genetic variants of small effect and a multitude of environmental exposures. Early twin and family studies using proxy‐genetic liability measures suggest gene‐environment interaction in the etiology of schizophrenia spectrum disorders, but the molecular evidence is scarce. Here, by analyzing the main and joint associations of polygenic risk score for schizophrenia (PRS‐SCZ) and environmental exposures in 1, 699 patients with a diagnosis of schizophrenia spectrum disorders and 1, 542 unrelated controls with no lifetime history of a diagnosis of those disorders, we provide further evidence for gene‐environment interaction in schizophrenia. Evidence was found for additive interaction of molecular genetic risk state for schizophrenia (binary mode of PRS‐SCZ above 75% of the control distribution) with the presence of lifetime regular cannabis use and exposure to early‐life adversities (sexual abuse, emotional abuse, emotional neglect, and bullying), but not with the presence of hearing impairment, season of birth (winter birth), and exposure to physical abuse or physical neglect in childhood. The sensitivity analyses replacing the a priori PRS‐SCZ at 75% with alternative cut‐points (50% and 25%) confirmed the additive interaction. Our results suggest that the etiopathogenesis of schizophrenia involves genetic underpinnings that act by making individuals more sensitive to the effects of some environmental exposures.