Evidence map›Paper›PMID 31771860›Full record

ArticleBiological psychiatry2020

De Novo Damaging DNA Coding Mutations Are Associated With Obsessive-Compulsive Disorder and Overlap With Tourette's Disorder and Autism.

Carolina Cappi, Melody E Oliphant, Zsanett Péter, Gwyneth Zai, Maria Conceição do Rosário, Catherine A W Sullivan, Abha R Gupta, Ellen J Hoffman, Manmeet Virdee, Emily Olfson and 7 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
11.4field-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.

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

74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. An updated catalog ofFrontiers in molecular neuroscience · 2023
    Pooled it
  5. Article
  6. Review
  7. Article
  8. Rare protein-disrupting variants inmedRxiv : the preprint server for health sciences · 2026
    Article
  9. Black EquaLity in OCD NeuroGenomics (BELONG): Study Protocol.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2026
    Article
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

Carolina CappiDepartment of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil.
Melody E OliphantYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
Zsanett PéterYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
Gwyneth ZaiNeurogenetics Section, Molecular Brain Science Department, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Maria Conceição do RosárioDepartment of Psychiatry, Federal University of São Paulo, São Paulo, Brazil.
Catherine A W SullivanDepartment of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Abha R GuptaYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut; Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
Ellen J HoffmanYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
Manmeet VirdeeYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
Emily OlfsonYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
Sarah B AbdallahYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut.
A Jeremy WillseyDepartment of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California.
Roseli G ShavittDepartment of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil.
Euripedes C MiguelDepartment of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil.
James L KennedyNeurogenetics Section, Molecular Brain Science Department, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Margaret A RichterDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada; Frederick W. Thompson Anxiety Disorders Centre, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Thomas V FernandezYale Child Study Center, Yale University School of Medicine, New Haven, Connecticut; Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut. Electronic address: thomas.fernandez@yale.edu.
Yale University · USUniversidade de São Paulo · BRCentre for Addiction and Mental Health · CASunnybrook Health Science Centre · CAUniversidade Federal de São Paulo · BRUniversity of California, San Francisco · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
Neurogenetic Investigations of Obsessive-Compulsive DisorderR01MH114927 · NIMH · YALE UNIVERSITY · PI FERNANDEZ, THOMAS V · 2018 to 2022
$2.8M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH114927NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

backgroundObsessive-compulsive disorder (OCD) is a debilitating neuropsychiatric disorder with a genetic risk component, yet identification of high-confidence risk genes has been challenging. In recent years, risk gene discovery in other complex psychiatric disorders has been achieved by studying rare de novo (DN) coding variants.

methodsWe performed whole-exome sequencing in 222 OCD parent-child trios (184 trios after quality control), comparing DN variant frequencies with 777 previously sequenced unaffected trios. We estimated the contribution of DN mutations to OCD risk and the number of genes involved. Finally, we looked for gene enrichment in other datasets and canonical pathways.

resultsDN likely gene disrupting and predicted damaging missense variants are enriched in OCD probands (rate ratio, 1.52; p = .0005) and contribute to risk. We identified 2 high-confidence risk genes, each containing 2 DN damaging variants in unrelated probands: CHD8 and SCUBE1. We estimate that 34% of DN damaging variants in OCD contribute to risk and that DN damaging variants in approximately 335 genes contribute to risk in 22% of OCD cases. Furthermore, genes harboring DN damaging variants in OCD are enriched for those reported in neurodevelopmental disorders, particularly Tourette's disorder and autism spectrum disorder. An exploratory network analysis reveals significant functional connectivity and enrichment in canonical pathways, biological processes, and disease networks.

conclusionsOur findings show a pathway toward systematic gene discovery in OCD via identification of DN damaging variants. Sequencing larger cohorts of OCD parent-child trios will reveal more OCD risk genes and will provide needed insights into underlying disease biology.

Indexed as

Autism Spectrum DisorderAutistic DisorderObsessive-Compulsive DisorderTourette SyndromeCalcium-Binding ProteinsChildDNADNA-Binding ProteinsHumansMutationTranscription FactorsCalcium-Binding ProteinsCHD8 protein, humanDNADNA-Binding ProteinsSCUBE1 protein, humanTranscription FactorsAutismCHD8Obsessive-compulsive disorderSCUBE1TouretteWhole-exome sequencing

Identifiers

PMID31771860
PMCPMC7160031
OpenAlexW2980865433

What OpenQuestion holds

Textmetadata
LicenceTDM
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.