ArticleBiological psychiatry global open science2026
Convergent and Divergent Cerebellar Alterations in 22q11.2 Copy Number Variants.
Article in Biological psychiatry global open science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The Cerebellum's Role in Mental Illness: New Insights From Genetic Studies.Biological psychiatry global open science · 2026Article
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11 authors.
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Abstract
Background: Copy number variants (CNVs) at 22q11.2 confer substantial risk for neurodevelopmental and psychiatric disorders. Both the 22q11.2 deletion (22qDel) and 22q11.2 duplication (22qDup) are associated with increased risk for autism spectrum disorder and intellectual disability. In contrast, while 22qDel markedly increases risk for schizophrenia, 22qDup may be protective. Prior neuroimaging work has focused primarily on the cerebrum, leaving cerebellar contributions understudied, despite growing evidence for their relevance to cognition and psychopathology. Here, we characterized regional cerebellar structure and examined multivariate cerebellar-behavior associations in individuals with reciprocal 22q11.2 CNVs. Methods: We analyzed 514 structural magnetic resonance imaging scans from 315 participants (mean age = 16.4 ± 8.8 years; 52% female), comprising 22qDel carriers ( Results: Relative to TD control participants, 22qDel carriers showed widespread cerebellar volume reductions, whereas alterations in 22qDup were milder and regionally selective. Vermis VII was reduced in both 22q11.2 CNVs, indicating a shared site of anatomical vulnerability. PLSC identified domain-specific cerebellar patterns, with posterior regions-most prominently bilateral lobule VIIIA-associated with cognitive and social functioning and bilateral crus II and medial regions associated with psychosis-risk symptoms. Conclusions: Reciprocal 22q11.2 CNVs showed shared and divergent cerebellar alterations, with distinct subregions contributing to different behavioral domains, underscoring the cerebellum's multifaceted role in neurodevelopment and psychiatric disease risk.
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