Evidence map›Paper›PMID 23453885›Full record

ArticleLancet (London, England)2013

Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis.

Cross-Disorder Group of the Psychiatric Genomics Consortium

Erratum issued 2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Lancet (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 1,492 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,492citing papers in PubMed, 11 pooled it
256.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02415647 completednot on this mapstarted 2014, after this paper: background citation

Longitudinal Family/Molecular Genetic Study to Validate Research Domain Criteria

TypeobservationalSponsorState University of New York - Upstate Medical UniversityRan2014 to 2020Enrolled2,806ConditionsMental Disorders, Psychological Disorders, Psychiatric, Diagnosis, Mental Disorders Diagnosed in Childhood
NCT03299569 recruitingnot on this mapstarted 2016, after this paper: background citation

Establishing the Incidence of Tako-tsubo Cardiomyopathy in Scotland - the STARR Study

Typeobservational_patient_registrySponsorUniversity of AberdeenRan2016 to 2028Enrolled800ConditionsTakotsubo Cardiomyopathy, Myocardial Infarction
3 · Its place in the literature

Who cites it

1,492 citing papers in PubMed, 11 syntheses or guidelines pooled it, 3,085 citations in OpenAlex.

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  5. Genetics of catatonia: a systematic review of case reports and a gene pathway analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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1,432 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Cross-Disorder Group of the Psychiatric Genomics Consortium
Harvard University · US

Funding

Autism Genetics, Phase II: Increasing Representation of Human DiversityR01MH100027 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GESCHWIND, DANIEL H · 2013 to 2024
$31.7M
Identification of Genes Involved in Major Mood DisordersZIAMH002843 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI MCMAHON, FRANCIS J · 2009 to 2025
$24.5M
A Large-Scale Schizophrenia Association Study in SwedenR01MH077139 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2007 to 2018
$9.9M
Psychiatric Genomics Consortium for PTSDR01MH106595 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KARESTAN C KOENEN, Caroline M Nievergelt · 2016 to 2026
$8.4M
A genome-wide association study of schizophrenia in IrelandR01MH083094 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI RILEY, BRIEN P · 2008 to 2011
$3.5M
1/4 Psychiatric GWAS Consortium: Genomic Follow-up Next-Gen Sequencing & GenotypiU01MH094421 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2012 to 2015
$1.9M
GENE-ENVIRONMENT INTERPLAY IN ALCOHOLISMK05AA017688 · NIAAA · WASHINGTON UNIVERSITY · PI HEATH, ANDREW C. · 2008 to 2017
$1.9M
1/3 - Sequencing Autism Spectrum Disorder Extended PedigreesR01MH094400 · NIMH · UNIVERSITY OF UTAH · PI COON, HILARY · 2012 to 2016
$1.5M
Research and Mentoring on Integrating Psychiatric Genetics and NeuroscienceK24MH094614 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SMOLLER, JORDAN W · 2012 to 2016
$925k
1/5-The Psychiatric GWAS Consortium: Integrated & Coordinated GWAS Meta-AnalysesU01MH085520 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2008 to 2008
$642k
Neuroimaging genetics to study social cognitive deficits in ASD and schizophreniaK99MH101367 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, PHIL H. · 2014 to 2015
$237k
Medical Research Council G0701420Medical Research Council G1000632Medical Research Council G1000708Medical Research Council G1000718NIAAA NIH HHS K05 AA017688NIMH NIH HHS K24 MH094614NIMH NIH HHS K99 MH101367NIMH NIH HHS R01 MH077139NIMH NIH HHS R01 MH083094NIMH NIH HHS R01 MH094400NIMH NIH HHS R01 MH100027NIMH NIH HHS R01 MH106595NIMH NIH HHS U01 MH085520NIMH NIH HHS U01 MH094421
6 · The paper itself

Abstract

backgroundFindings from family and twin studies suggest that genetic contributions to psychiatric disorders do not in all cases map to present diagnostic categories. We aimed to identify specific variants underlying genetic effects shared between the five disorders in the Psychiatric Genomics Consortium: autism spectrum disorder, attention deficit-hyperactivity disorder, bipolar disorder, major depressive disorder, and schizophrenia.

methodsWe analysed genome-wide single-nucleotide polymorphism (SNP) data for the five disorders in 33,332 cases and 27,888 controls of European ancestory. To characterise allelic effects on each disorder, we applied a multinomial logistic regression procedure with model selection to identify the best-fitting model of relations between genotype and phenotype. We examined cross-disorder effects of genome-wide significant loci previously identified for bipolar disorder and schizophrenia, and used polygenic risk-score analysis to examine such effects from a broader set of common variants. We undertook pathway analyses to establish the biological associations underlying genetic overlap for the five disorders. We used enrichment analysis of expression quantitative trait loci (eQTL) data to assess whether SNPs with cross-disorder association were enriched for regulatory SNPs in post-mortem brain-tissue samples.

findingsSNPs at four loci surpassed the cutoff for genome-wide significance (p<5×10(-8)) in the primary analysis: regions on chromosomes 3p21 and 10q24, and SNPs within two L-type voltage-gated calcium channel subunits, CACNA1C and CACNB2. Model selection analysis supported effects of these loci for several disorders. Loci previously associated with bipolar disorder or schizophrenia had variable diagnostic specificity. Polygenic risk scores showed cross-disorder associations, notably between adult-onset disorders. Pathway analysis supported a role for calcium channel signalling genes for all five disorders. Finally, SNPs with evidence of cross-disorder association were enriched for brain eQTL markers.

interpretationOur findings show that specific SNPs are associated with a range of psychiatric disorders of childhood onset or adult onset. In particular, variation in calcium-channel activity genes seems to have pleiotropic effects on psychopathology. These results provide evidence relevant to the goal of moving beyond descriptive syndromes in psychiatry, and towards a nosology informed by disease cause.

fundingNational Institute of Mental Health.

Indexed as

Genome-Wide Association StudyAdultAge of OnsetAttention Deficit Disorder with HyperactivityBipolar DisorderCalcium Channels, L-TypeChildChild Development Disorders, PervasiveGenetic LociHumansLogistic ModelsMajor Depressive DisorderPolymorphism, Single NucleotideSchizophreniaCACNA1C protein, humanCACNB2 protein, humanCalcium Channels, L-Type

Identifiers

PMID23453885
PMCPMC3714010
OpenAlexW2139852368

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.