Genome-wide association study identifies 30 obsessive-compulsive disorder associated loci
Author:
Strom Nora I.ORCID, Gerring Zachary F.ORCID, Galimberti MarcoORCID, Yu DongmeiORCID, Halvorsen Matthew W.ORCID, Abdellaoui AbdelORCID, Rodriguez-Fontenla CristinaORCID, Sealock Julia M.ORCID, Bigdeli TimORCID, Coleman Jonathan R.ORCID, Mahjani BehrangORCID, Thorp Jackson G.ORCID, Bey KatharinaORCID, Burton Christie L.ORCID, Luykx Jurjen J.ORCID, Zai GwynethORCID, Alemany SilviaORCID, Andre Christine, Askland Kathleen D.ORCID, Banaj NerisaORCID, Barlassina CristinaORCID, Becker Nissen JudithORCID, Bienvenu O. JosephORCID, Black DonaldORCID, Bloch Michael H.ORCID, Boberg JuliaORCID, Børte SigridORCID, Bosch RosaORCID, Breen Michael, Brennan Brian P.ORCID, Brentani HelenaORCID, Buxbaum Joseph D.ORCID, Bybjerg-Grauholm JonasORCID, Byrne Enda M.ORCID, Cabana-Dominguez JuditORCID, Camarena Beatriz, Camarena AdrianORCID, Cappi CarolinaORCID, Carracedo AngelORCID, Casas MiguelORCID, Cavallini Maria CristinaORCID, Ciullo ValentinaORCID, Cook Edwin H.ORCID, Crosby Jesse, Cullen Bernadette A.ORCID, De Schipper Elles J.ORCID, Delorme RichardORCID, Djurovic SrdjanORCID, Elias Jason A., Estivill XavierORCID, Falkenstein Martha J.ORCID, Fundin Bengt T.ORCID, Garner Lauryn, German Chris, Gironda Christina, Goes Fernando S.ORCID, Grados Marco A.ORCID, Grove JakobORCID, Guo WeiORCID, Haavik JanORCID, Hagen KristenORCID, Harrington KellyORCID, Havdahl AlexandraORCID, Höffler Kira D.ORCID, Hounie Ana G.ORCID, Hucks DonaldORCID, Hultman ChristinaORCID, Janecka MagdalenaORCID, Jenike Eric, Karlsson Elinor K.ORCID, Kelley Kara, Klawohn JuliaORCID, Krasnow Janice E.ORCID, Krebs KristiORCID, Lange Christoph, Lanzagorta NuriaORCID, Levey DanielORCID, Lindblad-Toh KerstinORCID, Macciardi FabioORCID, Maher BrionORCID, Mathes Brittany, McArthur EvonneORCID, McGregor NathanielORCID, McLaughlin Nicole C.ORCID, Meier SandraORCID, Miguel Euripedes C.ORCID, Mulhern MaureenORCID, Nestadt Paul S., Nurmi Erika L.ORCID, O’Connell Kevin S.ORCID, Osiecki LisaORCID, Ousdal Olga ThereseORCID, Palviainen TeemuORCID, Pedersen Nancy L.ORCID, Piras Fabrizio, Piras FedericaORCID, Potluri SriramyaORCID, Rabionet RaquelORCID, Ramirez AlfredoORCID, Rauch ScottORCID, Reichenberg AbrahamORCID, Riddle Mark A.ORCID, Ripke StephanORCID, Rosário Maria C.ORCID, Sampaio Aline S.ORCID, Schiele Miriam A.ORCID, Skogholt Anne HeidiORCID, Sloofman Laura G Sloofman G.ORCID, Smit Jan, Soler Artigas MaríaORCID, Thomas Laurent F.ORCID, Tifft EricORCID, Vallada HomeroORCID, van Kirk NathanialORCID, Veenstra-VanderWeele JeremyORCID, Vulink Nienke N.ORCID, Walker Christopher P.ORCID, Wang Ying, Wendland Jens R.ORCID, Winsvold Bendik S.ORCID, Yao YinORCID, Zhou HangORCID, , , , , , , , Agrawal ArpanaORCID, Alonso PinoORCID, Berberich GötzORCID, Bucholz Kathleen K.ORCID, Bulik Cynthia M.ORCID, Cath DanielleORCID, Denys DamiaanORCID, Eapen ValsammaORCID, Edenberg HowardORCID, Falkai PeterORCID, Fernandez Thomas V.ORCID, Fyer Abby J.ORCID, Gaziano J M.ORCID, Geller Dan A.ORCID, Grabe Hans J.ORCID, Greenberg Benjamin D.ORCID, Hanna Gregory L.ORCID, Hickie Ian B.ORCID, Hougaard David M.ORCID, Kathmann NorbertORCID, Kennedy JamesORCID, Lai DongbingORCID, Landén MikaelORCID, Le Hellard StéphanieORCID, Leboyer MarionORCID, Lochner ChristineORCID, McCracken James T.ORCID, Medland Sarah E.ORCID, Mortensen Preben B.ORCID, Neale Benjamin M.ORCID, Nicolini HumbertoORCID, Nordentoft MereteORCID, Pato Michele, Pato CarlosORCID, Pauls David L.ORCID, Piacentini JohnORCID, Pittenger ChristopherORCID, Posthuma DanielleORCID, Ramos-Quiroga Josep AntoniORCID, Rasmussen Steven A.ORCID, Richter Margaret A.ORCID, Rosenberg David R.ORCID, Ruhrmann StephanORCID, Samuels Jack F.ORCID, Sandin SvenORCID, Sandor PaulORCID, Spalletta GianfrancoORCID, Stein Dan J., Stewart S. EvelynORCID, Storch Eric A.ORCID, Stranger Barbara E.ORCID, Turiel MaurizioORCID, Werge ThomasORCID, Andreassen Ole A.ORCID, Børglum Anders D.ORCID, Walitza SusanneORCID, Hveem KristianORCID, Hansen Bjarne K.ORCID, Rück Christian P.ORCID, Martin Nicholas G.ORCID, Milani LiliORCID, Mors OleORCID, Reichborn-Kjennerud TedORCID, Ribasés MartaORCID, Kvale GerdORCID, Mataix-Cols DavidORCID, Domschke KatharinaORCID, Grünblatt EdnaORCID, Wagner MichaelORCID, Zwart John-AnkerORCID, Breen GeromeORCID, Nestadt GeraldORCID, Kaprio JaakkoORCID, Arnold Paul D.ORCID, Grice Dorothy E.ORCID, Knowles James A.ORCID, Ask HelgaORCID, Verweij Karin J.ORCID, Davis Lea K.ORCID, Smit Dirk J.ORCID, Crowley James J.ORCID, Scharf Jeremiah M.ORCID, Stein Murray B.ORCID, Gelernter JoelORCID, Mathews Carol A.ORCID, Derks Eske M.ORCID, Mattheisen ManuelORCID
Abstract
AbstractObsessive-compulsive disorder (OCD) affects ∼1% of the population and exhibits a high SNP-heritability, yet previous genome-wide association studies (GWAS) have provided limited information on the genetic etiology and underlying biological mechanisms of the disorder. We conducted a GWAS meta-analysis combining 53,660 OCD cases and 2,044,417 controls from 28 European-ancestry cohorts revealing 30 independent genome-wide significant SNPs and a SNP-based heritability of 6.7%. Separate GWAS for clinical, biobank, comorbid, and self-report sub-groups found no evidence of sample ascertainment impacting our results. Functional and positional QTL gene-based approaches identified 249 significant candidate risk genes for OCD, of which 25 were identified as putatively causal, highlightingWDR6, DALRD3, CTNND1and genes in the MHC region. Tissue and single-cell enrichment analyses highlighted hippocampal and cortical excitatory neurons, along with D1- and D2-type dopamine receptor-containing medium spiny neurons, as playing a role in OCD risk. OCD displayed significant genetic correlations with 65 out of 112 examined phenotypes. Notably, it showed positive genetic correlations with all included psychiatric phenotypes, in particular anxiety, depression, anorexia nervosa, and Tourette syndrome, and negative correlations with a subset of the included autoimmune disorders, educational attainment, and body mass index.. This study marks a significant step toward unraveling its genetic landscape and advances understanding of OCD genetics, providing a foundation for future interventions to address this debilitating disorder.
Publisher
Cold Spring Harbor Laboratory
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