Abstract

BackgroundCircadian rhythms are fundamental to health and are particularly important for mental wellbeing. Disrupted rhythms of rest and activity are recognised as risk factors for major depressive disorder and bipolar disorder.MethodsWe conducted a genome-wide association study (GWAS) of low relative amplitude (RA), an objective measure of rest-activity cycles derived from the accelerometer data of 71,500 UK Biobank participants. Polygenic risk scores (PRS) for low RA were used to investigate potential associations with psychiatric phenotypes.OutcomesTwo independent genetic loci were associated with low RA, within genomic regions for Neurofascin (NFASC) and Solute Carrier Family 25 Member 17 (SLC25A17). A secondary GWAS of RA as a continuous measure identified a locus within Meis Homeobox 1 (MEIS1). There were no significant genetic correlations between low RA and any of the psychiatric phenotypes assessed. However, PRS for low RA was significantly associated with mood instability across multiple PRS thresholds (at PRS threshold 0·05: OR = 1·02, 95% CI = 1·01–1·02, p = 9·6 × 10−5), and with major depressive disorder (at PRS threshold 0·1: OR = 1·03, 95% CI = 1·01–1·05, p = 0·025) and neuroticism (at PRS threshold 0·5: Beta = 0·02, 95% CI = 0·007–0·04, p = 0·021).InterpretationOverall, our findings contribute new knowledge on the complex genetic architecture of circadian rhythmicity and suggest a putative biological link between disrupted circadian function and mood disorder phenotypes, particularly mood instability, but also major depressive disorder and neuroticism.FundingMedical Research Council (MR/K501335/1).

Highlights

  • Circadian rhythms are variations in physiology and behaviour that recur approximately every 24 h [1]

  • We extend this work by conducting a genome-wide association study (GWAS) of low relative amplitude (RA) in the largest sample known to date from United Kingdom (UK) Biobank

  • The GWAS data showed only a slight deviation in test statistics compared to the null; this deviation may be due to the polygenic architecture of low relative amplitude

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Summary

Introduction

Circadian rhythms are variations in physiology and behaviour that recur approximately every 24 h [1] They include rhythms of body temperature, hormone release, activity, concentration, mood, eating and sleeping [2]. Disruption to circadian rhythmicity is associated with a range of adverse health outcomes, including cardiovascular disease, obesity, diabetes and some cancers [4,5,6], as well as increased risk for major depressive disorder (MDD) and bipolar disorder (BD) [7,8,9]. Disrupted rhythms of rest and activity are recognised as risk factors for major depressive disorder and bipolar disorder. Interpretation: Overall, our findings contribute new knowledge on the complex genetic architecture of circadian rhythmicity and suggest a putative biological link between disrupted circadian function and mood disorder phenotypes, mood instability, and major depressive disorder and neuroticism.

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