Evidence map›Paper›PMID 39189429›Full record

ArticleNeuropsychopharmacology reports2024

Treatment-resistant schizophrenia with 22q11.2 deletion and additional genetic defects.

Sawako Furukawa, Shusei Arafuka, Hidekazu Kato, Tomoo Ogi, Norio Ozaki, Masashi Ikeda, Itaru Kushima

Abstract readCase Reports
In one paragraph

Article in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Sawako FurukawaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0003-2558-5853
Shusei ArafukaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hidekazu KatoDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Tomoo OgiDepartment of Genetics, Research Institute of Environmental Medicine (RIeM), Nagoya University, Nagoya, Japan.
Norio OzakiPathophysiology of Mental Disorders, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Masashi IkedaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Itaru KushimaDepartment of Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID 0000-0002-0018-5178

Funding

Japan Agency for Medical Research and Development JP20dk0307081Japan Agency for Medical Research and Development JP20dm0107087Japan Agency for Medical Research and Development JP21ak0101113Japan Agency for Medical Research and Development JP21dk0307075Japan Agency for Medical Research and Development JP21dk0307103Japan Agency for Medical Research and Development JP21dm0207075Japan Agency for Medical Research and Development JP21ek0109411Japan Agency for Medical Research and Development JP21ek0109488Japan Agency for Medical Research and Development JP21km0405216Japan Agency for Medical Research and Development JP21wm0425007Japan Agency for Medical Research and Development JP22tm0424222Japan Agency for Medical Research and Development JP23ek0109678Japan Society for the Promotion of Science 15K19720Japan Society for the Promotion of Science 17H05090Japan Society for the Promotion of Science 18H04040Japan Society for the Promotion of Science 18K07590Japan Society for the Promotion of Science 21H00194Japan Society for the Promotion of Science 21H04815Japan Society for the Promotion of Science 21K07543Japan Society for the Promotion of Science 23KJ1112Ministry of Education, Culture, Sports, Science and TechnologySENSHIN Medical Research Foundation
6 · The paper itself

Abstract

We report a case of a 61-year-old female with 22q11.2 deletion syndrome (22q11.2DS) and a novel heterozygous nonsense variant in MAP1A, identified through whole-genome sequencing (WGS). The patient presented with intellectual developmental disorder, treatment-resistant schizophrenia (SCZ), and multiple congenital anomalies. Despite aggressive pharmacotherapy, she experienced persistent auditory hallucinations and negative symptoms. WGS revealed a 3 Mb deletion at 22q11.2 and a nonsense variant in MAP1A (c.4652T>G, p.Leu1551*). MAP1A, encoding microtubule-associated protein 1A, is crucial for axon and dendrite development and has been implicated in autism spectrum disorder and SCZ. The MAP1A variant may contribute to the severe psychiatric phenotype, as it is thought to influence synaptic plasticity, a process also affected by 22q11.2 deletion. This case highlights the importance of WGS in identifying additional pathogenic variants that may explain phenotypic variability in 22q11.2DS. Thus, WGS can lead to a better understanding of the genetic architecture of 22q11.2DS. However, further studies are needed to elucidate the role of secondary genetic contributors in the diverse clinical presentations of 22q11.2DS.

Indexed as

DiGeorge SyndromeSchizophrenia, Treatment-ResistantFemaleHumansIntellectual DisabilityMiddle AgedSchizophrenia22q11.2 deletion syndromegenetics: Humanschizophrenia: Clinicaltreatment‐resistant schizophreniawhole‐genome sequencing

Identifiers

PMID39189429
PMCPMC11609749

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