Several Psychiatric Disorders Share The Same Root Cause, Study Reveals
Researchers recently discovered that eight different psychiatric conditions share a common genetic basis.
A new study has now honed in on some of those shared genetic variants to understand their properties. They found many are active for longer during brain development and potentially impact multiple stages, suggesting they could be new targets to treat multiple conditions.
"The proteins produced by these genes are also highly connected to other proteins," explains University of North Carolina geneticist Hyejung Won. "Changes to these proteins in particular could ripple through the network, potentially causing widespread effects on the brain."
In 2019 an international team of researchers identified 109 genes that were associated in different combinations with eight different psychiatric disorders, including autism, ADHD, schizophrenia, bipolar disorder, major depressive disorder, Tourette syndrome, obsessive-compulsive disorder, and anorexia.
This may explain why so many of these conditions present with similar symptoms or turn up together, like the link between autism and ADHD. Up to 70 percent of people who have one have the other too, and they often both show up in the same families.
Each of these eight conditions also has gene differences that are unique to them individually, so Won and team compared the unique genes with those shared between the disorders.
They took almost 18,000 variations of the shared and unique genes involved and put them into the precursor cells that become our neurons to see how they could impact gene expression in these cells during human development.
This allowed the researchers to identify 683 genetic variants that impacted gene regulation and to further explore them in neurons from developing mice.
Genetic variants behind multiple seemingly unrelated traits, or in this case conditions, are called pleiotropic. The pleiotropic variants were involved in many more protein-to-protein interactions than the gene variants unique to specific psychological conditions, and they were active across more types of brain cells.
Pleiotropic variants were also involved in regulatory mechanisms that impact multiple stages of brain development. The ability of these genes to impact cascades and networks of processes, such as gene regulation, could explain why the same variants can contribute to different conditions.
"Pleiotropy was traditionally viewed as a challenge because it complicates the classification of psychiatric disorders," says Won.
"However, if we can understand the genetic basis of pleiotropy, it might allow us to develop treatments targeting these shared genetic factors, which could then help treat multiple psychiatric disorders with a common therapy."
This would be a very useful strategy given the World Health Organization estimates 1 in 8 people (almost 1 billion in total) live with some form of psychiatric condition.
This research was published in Cell.
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