Abstract

Schizophrenia and bipolar disorder are highly heritable psychiatric disorders. Associated genetic and gene expression changes have been identified, but many have not been replicated and have unknown functions. We identified groups of genes whose expressions varied together, i.e. co-expression modules, then tested them for association with schizophrenia. Using Weighted Gene Co-expression Network Analysis, we show that two modules were differentially expressed in patients versus controls. One, up-regulated in cerebral cortex, was enriched with neuron differentiation and neuron development genes, as well as disease GWAS genetic signals; the second, altered in cerebral cortex and cerebellum, was enriched with genes involved in neuron protection functions. The findings were preserved in five expression data sets, including sets from three brain regions, from a different microarray platform, and from bipolar disorder patients. From those observations, we propose neuron differentiation and development pathways may be involved in etiologies of both schizophrenia and bipolar disorder, and neuron protection function participates in pathological process of the diseases.

Highlights

  • Schizophrenia (SCZ) and bipolar disorder (BD) are psychiatric disorders with world-wide lifetime prevalences of around 1%.1–4 These disorders have been shown to be highly heritable by monozygotic and dizygotic twin studies and by adoption studies: the heritability estimates for SCZ range from 70 to 85% and, for BD, from 60 to 85%.5 Over the past 2 decades, genetic studies of thousands of samples have identified hundreds of candidate genes.[6,7,8] Most of these findings have not been supported by genome-wide studies

  • We first confirmed that the M1A and M3A in parietal cortex (PCX) were well-preserved in the BD case– control data sets (Table 1; Supplementary Figures 6 and 7), we tested whether NOTCH2 and MT1X gene expression were associated with BD

  • We looked for case–control differences at the level of gene coexpression regulation, rather than the level of individual genes

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Summary

Introduction

Schizophrenia (SCZ) and bipolar disorder (BD) are psychiatric disorders with world-wide lifetime prevalences of around 1%.1–4 These disorders have been shown to be highly heritable by monozygotic and dizygotic twin studies and by adoption studies: the heritability estimates for SCZ range from 70 to 85% and, for BD, from 60 to 85%.5 Over the past 2 decades, genetic studies of thousands of samples have identified hundreds of candidate genes.[6,7,8] Most of these findings have not been supported by genome-wide studies. The method was first applied to a psychiatric disease by Torkamani et al.,[19] who detected SCZ-associated gene coexpression modules in one microarray data analysis, and found that aging affected gene expression in normal controls, but not in SCZ patients.

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