Original Article - click here for text.
Molecular Psychiatry advance online publication 24 November 2009; doi: 10.1038/mp.2009.118
R J Delahanty1,8, J Q Kang2,8, C W Brune3, E O Kistner4, E Courchesne5, N J Cox6, E H Cook Jr4, R L Macdonald2 and J S Sutcliffe1,7
- 1Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN, USA
- 2Department of Neurology, Vanderbilt University, Nashville, TN, USA
- 3Department of Psychiatry, Institute for Juvenile Research, University of Illinois at Chicago, Chicago, IL, USA
- 4Department of Health Studies, The University of Chicago, Chicago, IL, USA
- 5Department of Neurosciences, University of California San Diego, La Jolla, CA, USA
- 6Department of Medicine, The University of Chicago, Chicago, IL, USA
- 7Department of Psychiatry, Vanderbilt University, Nashville, TN, USA
Correspondence: Dr JS Sutcliffe, Center for Molecular Neuroscience, Departments of Molecular Physiology and Biophysics and Psychiatry, Vanderbilt University, Nashville, TN 37232-8548, USA. E-mail:jim.sutcliffe@vanderbilt.edu
8These two authors contributed equally to this work.
Received 7 July 2009; Revised 10 September 2009; Accepted 22 September 2009; Published online 24 November 2009.
Maternal 15q11-q13 duplication is the most common copy number variant in autism, accounting for
1–3% of cases. The 15q11-q13 region is subject to epigenetic regulation, and genomic copy number losses and gains cause genomic disorders in a parent-of-origin-specific manner. One 15q11-q13 locus encodes the GABAA receptor
3 subunit gene (GABRB3), which has been implicated by several studies in both autism and absence epilepsy, and the co-morbidity of epilepsy in autism is well established. We report that maternal transmission of a GABRB3 signal peptide variant (P11S), previously implicated in childhood absence epilepsy, is associated with autism. An analysis of wild-type and mutant
3 subunit-containing
1
3
2 or
3
3
2 GABAA receptors shows reduced whole-cell current and decreased
3 subunit protein on the cell surface due to impaired intracellular
3 subunit processing. We thus provide the first evidence of an association between a specific GABAA receptor defect and autism, direct evidence that this defect causes synaptic dysfunction that is autism relevant and the first maternal risk effect in the 15q11-q13 autism duplication region that is linked to a coding variant.
region interactions for baseline NAA (P=0.074) and Gln/Glu (P=0.028): schizophrenia subjects had lower NAA (P=0.045) and higher Gln/Glu (P=0.006) in the AC before treatment. In addition, AC Gln/Glu was inversely related to AC NAA in the schizophrenia (P=0.0009) but not in the control group (P=0.92). Following antipsychotic treatment, there were no further changes in NAA, Gln/Glu or any of the other metabolites in any of the regions studied. We conclude that early in the illness, schizophrenia patients already show abnormalities in glutamatergic metabolism and reductions in NAA consistent with glutamate-related excitotoxicity.
0.0001. Of those, a total of 204 novel SNPs were identified, corresponding to 49% of all previously reported SNPs in those genes: 72 were in untranslated regions, 19 were in coding sequences of which 7 were non-synonymous, 86 were intronic and 27 were in upstream/downstream regions. Several SNPs or haplotypes in ABCB1, SLC6A2, SLC6A3, SLC6A4, CREB1 and NTRK2 were associated with MDD, and in ABCB1, SLC6A2 and NTRK2 with antidepressant response. After controlling for age, gender and baseline 21-item Hamilton Depression Rating Scale (HAM-D21) score, as well as correcting for multiple testing, the relative reduction of HAM-D21 score remained significantly associated with two NTRK2-coding SNPs (rs2289657 and rs56142442) and the haplotype CAG at rs2289658 (splice site), rs2289657 and rs2289656. Further studies in larger independent samples will be needed to confirm these associations. Our data indicate that extensive assessment of sequence variability may contribute to increase understanding of disease susceptibility and drug response. Moreover, these results highlight the importance of direct re-sequencing of key candidate genes in ethnic minority groups in order to discover novel genetic variants that cannot be simply inferred from existing databases.
