Evidence map›Paper›PMID 23715299›Full record

ArticleTranslational psychiatry2013

Multiple variants aggregate in the neuregulin signaling pathway in a subset of schizophrenia patients.

A Hatzimanolis, J A McGrath, R Wang, T Li, P C Wong, G Nestadt, P S Wolyniec, D Valle, A E Pulver, D Avramopoulos

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.9field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
  2. Genetic Influences on Cognitive Dysfunction in Schizophrenia.Current topics in behavioral neurosciences · 2023
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Neuregulin 3 and its roles in schizophrenia risk and presentation.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Recent genetic findings in schizophrenia and their therapeutic relevance.Journal of psychopharmacology (Oxford, England) · 2015
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

A HatzimanolisDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
J A McGrath
R Wang
T Li
P C Wong
G Nestadt
P S Wolyniec
D Valle
A E Pulver
D Avramopoulos
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

Project 3P50MH094268 · NIMH · JOHNS HOPKINS UNIVERSITY · PI SAWA, AKIRA · 2011 to 2020
$19.9M
A Genome Wide SNP Association Study: SchizophreniaR01MH068406 · NIMH · JOHNS HOPKINS UNIVERSITY · PI PULVER, ANN E · 2004 to 2007
$3.7M
Identification of genetic determinants of schizophrenia related phenotypesR01MH085018 · NIMH · JOHNS HOPKINS UNIVERSITY · PI AVRAMOPOULOS, DIMITRIOS · 2010 to 2013
$2.5M
HETEROGENEITY OF SCHIZOPHRENIAR01MH057314 · NIMH · JOHNS HOPKINS UNIVERSITY · PI PULVER, ANN E · 1998 to 2001
$1.6M
1/2 Schizophrenia Heterogeneity and Toxoplasma ExposureR01MH092515 · NIMH · JOHNS HOPKINS UNIVERSITY · PI AVRAMOPOULOS, DIMITRIOS · 2011 to 2013
$1.0M
NIMH NIH HHS P50 MH094268NIMH NIH HHS R01MH057314NIMH NIH HHS R01 MH068406NIMH NIH HHS R01MH068406NIMH NIH HHS R01 MH085018NIMH NIH HHS R01MH085018NIMH NIH HHS R01 MH092515NIMH NIH HHS R01MH092515
6 · The paper itself

Abstract

Despite the strongly held view that schizophrenia (SZ) shows substantial genetic heterogeneity, pathway heterogeneity, as seen in cancer where different pathways are affected in similar tumors, has not been explored. We explore this possibility in a case-only study of the neuregulin signaling pathway (NSP), which has been prominently implicated in SZ and for which there is detailed knowledge on the ligand- and receptor-processing steps through β- and γ-secretase cleavage. We hypothesize that more than one damaging variants in the NSP genes might be necessary to cause disease, leading to an apparent clustering of such variants in only the few patients with affected NSP. We analyze linkage and next-generation sequencing results for the genes encoding components of the pathway, including NRG1, NRG3, ERBB4, β-secretase and the γ-secretase complex. We find multiple independent examples of supporting evidence for this hypothesis: (i) increased linkage scores over NSP genes, (ii) multiple positive interlocus correlations of linkage scores across families suggesting each family is linked to either many or none of the genes, (iii) aggregation of predicted damaging variants in a subset of individuals and (iv) significant phenotypic differences of the subset of patients carrying such variants. Collectively, our data strongly support the hypothesis that the NSP is affected by multiple damaging variants in a subset of phenotypically distinct patients. On the basis of this, we propose a general model of pathway heterogeneity in SZ, which, in part, may explain its phenotypic variability and genetic complexity.

Indexed as

ExonsGenetic LinkageHumansNeuregulinsPedigreePhenotypePolymorphism, Single NucleotideSchizophreniaSignal TransductionNeuregulins

Identifiers

PMID23715299
PMCPMC3669920
OpenAlexW2050771636

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.