Abstract

Anxiety disorders (ADs) are common mental disorders caused by a combination of genetic and environmental factors. Since ADs are highly comorbid with each other, partially due to shared genetic basis, studying AD phenotypes in a coordinated manner may be a powerful strategy for identifying potential genetic loci for ADs. To detect these loci, we performed genome-wide association studies (GWAS) of ADs. In addition, as a complementary approach to single-locus analysis, we also conducted gene- and pathway-based analyses. GWAS data were derived from the control sample of the Molecular Genetics of Schizophrenia (MGS) project (2,540 European American and 849 African American subjects) genotyped on the Affymetrix GeneChip 6.0 array. We applied two phenotypic approaches: (1) categorical case-control comparisons (CC) based upon psychiatric diagnoses, and (2) quantitative phenotypic factor scores (FS) derived from a multivariate analysis combining information across the clinical phenotypes. Linear and logistic models were used to analyse the association with ADs using FS and CC traits, respectively. At the single locus level, no genome-wide significant association was found. A trans-population gene-based meta-analysis across both ethnic subsamples using FS identified three genes (MFAP3L on 4q32.3, NDUFAB1 and PALB2 on 16p12) with genome-wide significance (false discovery rate (FDR] <5%). At the pathway level, several terms such as transcription regulation, cytokine binding, and developmental process were significantly enriched in ADs (FDR <5%). Our approaches studying ADs as quantitative traits and utilizing the full GWAS data may be useful in identifying susceptibility genes and pathways for ADs.

Highlights

  • Anxiety disorders (ADs) are common mental disorders characterized by excessive, prolonged, and debilitating levels of anxiety, with substantial lifetime prevalence [1]. They are subdivided into clinical diagnostic categories such as generalized anxiety disorder (GAD), panic disorder (PD), posttraumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD) and phobias, based on their onset, symptoms, and course

  • The aim of this study is to conduct Genome-wide association studies (GWAS) of ADs as quantitative traits as well as categorical traits in unselected population samples from the United States consisting of 2540 European American (EA) and 849 African American (AA) subjects

  • Among top findings in the same analysis was single nucleotide polymorphisms (SNP) rs2170820, located in TMEM132D (12q24.3), a gene which has been reported to be associated with PD in a European Caucasian sample [4]

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Summary

Introduction

Anxiety disorders (ADs) are common mental disorders characterized by excessive, prolonged, and debilitating levels of anxiety, with substantial lifetime prevalence [1]. They are subdivided into clinical diagnostic categories such as generalized anxiety disorder (GAD), panic disorder (PD), posttraumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD) and phobias, based on their onset, symptoms, and course. The most intensively studied candidate genes are related to neurotransmitter systems involved in the regulation of anxiety, neuropeptides, and stress response [3]. Most of these studies have produced inconsistent or negative results. One of the reasons for inconsistency between studies may be due to Type I error from poorly-chosen candidates or Type II error due to small sample size underpowered to detect individual susceptibility variants of small effect

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