Rare Copy Number Variants in NRXN1 and CNTN6 Increase Risk for Tourette Syndrome
Huang, Alden Y.; Yu, Dongmei; Davis, Lea K; Sul, Jae Hoon; Tsetsos, Fotis; Ramensky, Vasily; Zelaya, Ivette; Ramos, Eliana Marisa; Osiecki, Lisa; Chen, Jason A.; McGrath, Lauren M; Illmann, Cornelia; Sandor, Paul; Barr, Cathy L; Grados, Marco A; Singer, Harvey S; Nöthen, Markus M.; Hebebrand, Johannes; King, Robert A; Dion, Yves; Rouleau, Guy A; Budman, Cathy L; Depienne, Christel; Worbe, Yulia; Hartmann, Andreas; Müller-Vahl, Kirsten R; Stuhrmann, Manfred; Aschauer, Harald; Stamenkovic, Mara; Schloegelhofer, Monika; Konstantinidis, Anastasios; Lyon, Gholson J; McMahon, William M; Barta, Csaba; Tarnok, Zsanett; Nagy, Peter; Batterson, James R.; Rizzo, Renata; Cath, Danielle C.; Wolanczyk, Tomasz; Berlin, Cheston; Malaty, Irene A.; Okun, Michael S.; Woods, Douglas W.; Rees, Elliott; Pato, Carlos N; Pato, Michele T; Knowles, James A; Posthuma, Danielle; Smit, Jan; The Tourette Syndrome Association International Consortium for Genetics (TSAICG); The Gilles de la Tourette Syndrome GWAS Replication Initiative (GGRI); The Gilles de la Tourette Syndrome GWAS Replication Initiative (GGRI)
(2017) Neuron, volume 94, issue 6, pp. 1101 - 1111.e7
(Article)
Abstract
Tourette syndrome (TS) is a model neuropsychiatric disorder thought to arise from abnormal development and/or maintenance of cortico-striato-thalamo-cortical circuits. TS is highly heritable, but its underlying genetic causes are still elusive, and no genome-wide significant loci have been discovered to date. We analyzed a European ancestry sample of 2,434 TS
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cases and 4,093 ancestry-matched controls for rare (< 1% frequency) copy-number variants (CNVs) using SNP microarray data. We observed an enrichment of global CNV burden that was prominent for large (> 1 Mb), singleton events (OR = 2.28, 95% CI [1.39–3.79], p = 1.2 × 10−3) and known, pathogenic CNVs (OR = 3.03 [1.85–5.07], p = 1.5 × 10−5). We also identified two individual, genome-wide significant loci, each conferring a substantial increase in TS risk (NRXN1 deletions, OR = 20.3, 95% CI [2.6–156.2]; CNTN6 duplications, OR = 10.1, 95% CI [2.3–45.4]). Approximately 1% of TS cases carry one of these CNVs, indicating that rare structural variation contributes significantly to the genetic architecture of TS. Tourette syndrome is highly genetic, but identifying definitive disease susceptibility genes has been challenging. Huang et al. report two genome-wide, significant, recurrent, rare copy-number variants (NRXN1 deletions and CNTN6 duplications), each conferring a substantial increase in TS risk.
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Keywords: CNTN6, copy number variation, genetics, neurodevelopmental disorders, NRXN1, structural variation, tic disorders, Tourette Syndrome, Taverne, General Neuroscience
ISSN: 0896-6273
Publisher: Cell Press
(Peer reviewed)