Genome-Wide Association Study of Circadian Rhythmicity in 71,500 UK Biobank Participants and Polygenic Association with Mood Instability
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Abstract
Abstract Background Circadian rhythms are fundamental to health and are particularly important for mental wellbeing. Disrupted rhythms of rest and activity are recognised as risk factors for major depressive disorder and bipolar disorder. Methods We conducted a genome-wide association study (GWAS) of low relative amplitude (RA), an objective measure of circadian rhythmicity derived from the accelerometer data of 71 500 UK Biobank participants. Polygenic risk scores (PRS) for low RA were used to investigate potential associations with psychiatric phenotypes. Outcomes Two independent genetic loci were associated with low RA, within genomic regions for Neurofascin ( NFASC ) and Solute Carrier Family 25 Member 17 ( SLC25A17 ). A secondary GWAS of RA as a continuous measure identified a locus within Meis Homeobox 1 ( MEIS1 ). There were no significant genetic correlations between low RA and any of the psychiatric phenotypes assessed. However, PRS for low RA was significantly associated with mood instability across multiple PRS thresholds (at PRS threshold 0·05: OR=1·02, 95% CI=1·01-1·02, p=9·6×10 −5 ), and with major depressive disorder (at PRS threshold 0·1: OR=1·03, 95% CI=1·01-1·05, p=0·025) and neuroticism (at PRS threshold 0·5: Beta=0·02, 95% CI=0·007-0·04, p=0·021). Interpretation Overall, our findings contribute new knowledge on the complex genetic architecture of circadian rhythmicity and suggest a putative biological link between disrupted circadian function and mood disorder phenotypes, particularly mood instability, but also major depressive disorder and neuroticism.
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A comprehensive phenome-wide approach to disrupted rest-activity cycles from accelerometry in the UK Biobank has not yet been established.
“Although a few disease-specific studies, limited to patients with mood disorders7,8, have measured the degree of disrupted rest-activity cycles from accelerometry in the UKBB, a comprehensive phenome-wide approach has not yet been established.”
From Diurnal rhythms of wrist temperature are associated with future disease risk in the UK Biobank (2023) · cites this paper as [7]
A total of 92,325 participants passed quality control after exclusions based on failed calibration, insufficient data, or crossing over daylight savings time.
“A total of 92,325 participants passed quality control after exclusions based on failed calibration (n = 2826), insufficient data (n = 4258) or crossing over daylight savings time (n = 4279), following prior experiments7,8,20.”
From Diurnal rhythms of wrist temperature are associated with future disease risk in the UK Biobank (2023) · cites this paper as [7]
Quantum dots have also been used to model the mechanism by which anti-acetylcholine receptor antibodies contribute to the neuromuscular disorder myasthenia gravis.
“They have also been used to model the mechanism by which anti-acetylcholine receptor antibodies contribute to the neuromuscular disorder myasthenia gravis 210 .”
From Quantum effects in the brain: A review (2020) · cites this paper as [210]
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Navigating Challenges and Opportunities in Multi-Omics Integration for Personalized Healthcare
Mohr, A. E., Ortega-Santos, C. P., Whisner, C. M., Klein-Seetharaman, J., & Jasbi, P. (2024) · Biomedicines · doi:10.3390/biomedicines12071496 · Cited by 311 · see citing works
Genome-wide association study of multisite chronic pain in UK Biobank
Johnston, K. J. A., Adams, M. J., Nicholl, B. I., Ward, J., Strawbridge, R. J., Ferguson, A., McIntosh, A. M., Bailey, M. E. S., & Smıth, D. J. (2019) · PLoS Genetics · doi:10.1371/journal.pgen.1008164 · Cited by 263 · see citing works
Self-citationGenetics of circadian rhythms and sleep in human health and disease
Lane, J. M., Qian, J., Mignot, E., Redline, S., Scheer, F. A. J. L., & Saxena, R. (2023) · Nature Reviews Genetics · doi:10.1038/s41576-022-00519-z · Cited by 236 · see citing works
The sleep–circadian interface: A window into mental disorders
Meyer, N., Lok, R., Schmidt, C., Kyle, S. D., McClung, C. A., Cajochen, C., Scheer, F. A. J. L., Jones, M. W., & Chellappa, S. L. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2214756121 · Cited by 173 · see citing works
McCarthy, M. J., Gottlieb, J. F., Gonzalez, R., McClung, C. A., Alloy, L. B., Cain, S., Dulcis, D., Etain, B., Frey, B. N., Garbazza, C., et al. (2022) · Bipolar Disorders · doi:10.1111/bdi.13165 · Cited by 136 · see citing works
Circadian depression: A mood disorder phenotype
Carpenter, J. S., Crouse, J. J., Scott, E. M., Naismith, S. L., Wilson, C., Scott, J., Merikangas, K. R., & Hickie, I. B. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.02.045 · Cited by 114 · see citing works
Feng, H., Yang, L., Ai, S., Liu, Y., Zhang, W., Lei, B., Chen, J., Liu, Y., Chan, J. W. Y., Chan, N. Y., et al. (2023) · The Lancet Healthy Longevity · doi:10.1016/s2666-7568(23)00056-9 · Cited by 88 · see citing works
The role of sleep and wakefulness in myelin plasticity
de Vivo, L., & Bellesi, M. (2019) · Glia · doi:10.1002/glia.23667 · Cited by 80 · see citing works
pyActigraphy: Open-source python package for actigraphy data visualization and analysis
Hammad, G. H., Reyt, M., Beliy, N., Baillet, M., Deantoni, M., Lesoinne, A., Muto, V., & Schmidt, C. (2021) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1009514 · Cited by 78 · see citing works
Longitudinal change of sleep timing: association between chronotype and longevity in older adults
Didikoğlu, A., Maharani, A., Payton, A., Pendleton, N., & Canal, M. M. (2019) · Chronobiology International · doi:10.1080/07420528.2019.1641111 · Cited by 77 · see citing works
Quantum effects in the brain: A review
Adams, B., & Petruccione, F. (2020) · AVS Quantum Science · doi:10.1116/1.5135170 · Cited by 80 · see citing works
Wainberg, M., Jones, S. E., Beaupre, L. M., Hill, S. L., Felsky, D., Rivas, M. A., Lim, A. S. P., Ollila, H. M., & Tripathy, S. J. (2021) · PLOS Medicine · doi:10.1371/journal.pmed.1003782 · Cited by 64 · see citing works
Rapid-acting antidepressants and the circadian clock
Sato, S., Bunney, B. G., Mendoza-Viveros, L., Bunney, W. E., Borrelli, E., Sassone‐Corsi, P., & Orozco-Solís, R. (2021) · Neuropsychopharmacology · doi:10.1038/s41386-021-01241-w · Cited by 65 · see citing works
Diurnal rhythms of wrist temperature are associated with future disease risk in the UK Biobank
Brooks, T. G., Lahens, N. F., Grant, G. R., Sheline, Y. I., FitzGerald, G. A., & Skarke, C. (2023) · Nature Communications · doi:10.1038/s41467-023-40977-5 · Cited by 57 · see citing works
Mishra, H. K., Ying, N. M., Luis, A., Wei, H., Nguyen, M., Nakhla, T. S., Vandenburgh, S. A., Alda, M., Berrettini, W. H., Brennand, K., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01048-7 · Cited by 51 · see citing works
Sexual dimorphism in the response to chronic circadian misalignment on a high-fat diet
Anderson, S. T., Meng, H., Brooks, T. G., Tang, S. Y., Lordan, R., Sengupta, A., Nayak, S., Mřela, A., Sarantopoulou, D., Lahens, N. F., et al. (2023) · Science Translational Medicine · doi:10.1126/scitranslmed.abo2022 · Cited by 48 · see citing works
McCarthy, M. J. (2018) · Psychiatric Genetics · doi:10.1097/ypg.0000000000000215 · Cited by 47 · see citing works
Vitaterna, M. H., Shimomura, K., & Jiang, P. (2019) · Neurologic Clinics · doi:10.1016/j.ncl.2019.05.002 · Cited by 36 · see citing works
Role of MEIS1 in restless legs syndrome: From GWAS to functional studies in mice
Salminen, A. V., Lam, D. D., & Winkelmann, J. (2019) · Advances in pharmacology · doi:10.1016/bs.apha.2019.03.003 · Cited by 33 · see citing works
Statistical mechanics of clock gene networks underlying circadian rhythms
Sun, L., Dong, A., Griffin, C. H., & Wu, R. (2021) · Applied Physics Reviews · doi:10.1063/5.0029993 · Cited by 26 · see citing works
The impact of lithium on circadian rhythms and implications for bipolar disorder pharmacotherapy
Rohr, K. E., & McCarthy, M. J. (2022) · Neuroscience Letters · doi:10.1016/j.neulet.2022.136772 · Cited by 27 · see citing works
Genomic perspectives on the circadian clock hypothesis of psychiatric disorders
von Schantz, M., Leocádio-Miguel, M. A., McCarthy, M. J., Papiol, S., & Landgraf, D. (2020) · Advances in genetics · doi:10.1016/bs.adgen.2020.11.005 · Cited by 25 · see citing works
Ho, A. M., Winham, S. J., Armasu, S. M., Blacker, C. J., Millischer, V., Lavebratt, C., Overholser, J. C., Jurjus, G., Dieter, L., Mahajan, G., et al. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.05.030 · Cited by 26 · see citing works
Significant role of gene–gene interactions of clock genes in mood disorder
Park, M., Kim, S. A., Yee, J., Shin, J., Lee, K. Y., & Joo, E.-J. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.06.056 · Cited by 23 · see citing works
Federoff, M., McCarthy, M. J., Anand, A., Berrettini, W. H., Bertram, H. S., Bhattacharjee, A. K., Calkin, C. V., Conroy, C. M., Coryell, W. H., D’Arcangelo, N., et al. (2021) · Bipolar Disorders · doi:10.1111/bdi.13162 · Cited by 23 · see citing works
24-h Activity Rhythms and Health in Older Adults
de Feijter, M., Lysen, T., & Luik, A. (2020) · Current Sleep Medicine Reports · doi:10.1007/s40675-020-00170-2 · Cited by 22 · see citing works
Chu, X., Liu, L., Wen, Y. F., Li, P., Cheng, B., Cheng, S., Zhang, L., Ma, M., Qi, X., Liang, C., et al. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2020.02.012 · Cited by 21 · see citing works
Stronger Associations Between Sleep and Mental Health in Adults with Autism: A UK Biobank Study
Henderson, L. M., Clair, M. S., Knowland, V. C. P., van Rijn, E., Walker, S., & Gaskell, M. G. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05382-1 · Cited by 21 · see citing works
Selection of genetic instruments in Mendelian randomisation studies of sleep traits
Paz, V., Dashti, H. S., Burgess, S., & Garfield, V. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.10.036 · Cited by 23 · see citing works
CARE as a wearable derived feature linking circadian amplitude to human cognitive functions
Cui, S., Lin, Q., Gui, Y., Zhang, Y., Lu, H. J., Zhao, H., Wang, X., Li, X., & Jiang, F. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00865-0 · Cited by 19 · see citing works
Using Chronobiological Phenotypes to Address Heterogeneity in Bipolar Disorder
Gonzalez, R., Gonzalez, S., & McCarthy, M. J. (2019) · Complex Psychiatry · doi:10.1159/000506636 · Cited by 17 · see citing works
Hickie, I. B., Merikangas, K. R., Carpenter, J. S., Iorfino, F., Scott, E. M., Scott, J. L., & Crouse, J. J. (2023) · Bipolar Disorders · doi:10.1111/bdi.13304 · Cited by 16 · see citing works
Huang, Y., Liu, Y., Wu, Y., Tang, Y., Liu, S., Xiao, L., Zhang, M., Tao, S., Xie, M., Dai, M., et al. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.956265 · Cited by 14 · see citing works
Multiscale neurobiological correlates of human neuroticism
Xu, Q., Liu, F., Qin, W., Jiang, T., & Yu, C. (2020) · Human Brain Mapping · doi:10.1002/hbm.25153 · Cited by 11 · see citing works
Sirignano, L., Streit, F., Frank, J., Zillich, L., Witt, S. H., Rietschel, M., & Foo, J. C. (2022) · Scientific Reports · doi:10.1038/s41598-022-19720-5 · Cited by 10 · see citing works
Kreuzer, K., Birkl-Toeglhofer, A. M., Haybaeck, J., Reiter, A., Dalkner, N., Fellendorf, F. T., Maget, A., Platzer, M., Seidl, M., Mendel, L.-M., et al. (2024) · Neuropsychobiology · doi:10.1159/000538781 · Cited by 9 · see citing works
MENG, Q., Cui, E., Leroux, A., Mowry, E. M., Lindquist, M. A., & Crainiceanu, C. M. (2023) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003260 · Cited by 9 · see citing works
The solute carrier SLC25A17 sustains peroxisomal redox homeostasis in diverse mammalian cell lines
Costa, C. F., Lismont, C., Chornyi, S., Koster, J., Li, H., Hussein, M. A. F., Veldhoven, P. P. V., Waterham, H. R., & Fransen, M. (2023) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2023.12.035 · Cited by 6 · see citing works
Weng, B., Chen, H., Chen, H., Wang, N., Feng, H., Yang, K., & Tan, X. (2026) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2026.101414 · Cited by 5 · see citing works
Polygenic score for neuroticism is related to sleep difficulties
Stéphan, Y., Sutin, A. R., Luchetti, M., & Terracciano, A. (2020) · Genes Brain & Behavior · doi:10.1111/gbb.12644 · Cited by 5 · see citing works
Data-driven modelling approach to circadian temperature rhythm profiles in free-living conditions
Lipsanen, J. O., Kuula, L., Elovainio, M. J., Partonen, T., & Pesonen, A. (2021) · Scientific Reports · doi:10.1038/s41598-021-94522-9 · Cited by 5 · see citing works
pyActigraphy: open-source python package for actigraphy data visualisation and analysisPreprint
Hammad, G. H., Reyt, M., Beliy, N., Baillet, M., Deantoni, M., Lesoinne, A., Muto, V., & Schmidt, C. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.12.03.400226 · Cited by 5 · see citing works
The Interplay Between Sleep and Mental Health: A Genetic Perspective
Kozhemiako, N., Mita, C., Panagiotaropoulou, G., Lewis, K. S., Sofer, T., & Purcell, S. (2025) · Biological Psychiatry · doi:10.1016/j.biopsych.2025.06.024 · Cited by 4 · see citing works
Palmu, R., Koskinen, S. V. P., & Partonen, T. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.03.048 · Cited by 4 · see citing works
Landvreugd, A., Pool, R., Nivard, M. G., & Bartels, M. (2024) · Journal of Biological Rhythms · doi:10.1177/07487304241230577 · Cited by 4 · see citing works
Polygenic Risk Scores and Bipolar Disorder
Bengesser, S., & Reininghaus, E. Z. (2018) · Journal of Psychiatry and Brain Science · doi:10.20900/jpbs.20180013 · Cited by 3 · see citing works
Shim, J., & Onnela, J.-P. “. (2026) · BMC Digital Health · doi:10.1186/s44247-026-00256-x · Cited by 2 · see citing works
Wang, X.-L., & Serchov, T. (2026) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2026.106700 · Cited by 2 · see citing works
Liu, P. Z., Raizen, D. M., Skarke, C., Brooks, T. G., & Anafi, R. C. (2024) · SLEEP · doi:10.1093/sleep/zsae243 · Cited by 2 · see citing works
Relationship between Polygenic Risk Score and the Hypnotics in Bipolar I Disorder
Lee, H. W., Lee, B.-H., Shekhtman, T., Park, Y., & Kelsoe, J. R. (2024) · Clinical Psychopharmacology and Neuroscience · doi:10.9758/cpn.23.1152 · Cited by 1 · see citing works
Wie körpernahe und implantierte Systeme die Medizin und die Gesundheitsversorgung verändern
Marschollek, M., & Wolf, K.-H. (2021) · Springer eBooks · doi:10.1007/978-3-658-30882-7_7 · Cited by 1 · see citing works
Ferreira, F. P., & Daly, A. (2022) · Proceedings - IEEE Symposium on Computer-Based Medical Systems · doi:10.1109/cbms55023.2022.00046 · Cited by 1 · see citing works
Circadian rhythm and host genetics
Odriozola, A., González, A., Álvarez‐Herms, J., & Corbi, F. (2024) · Advances in genetics · doi:10.1016/bs.adgen.2024.02.001 · Cited by 1 · see citing works
Ju, P., Yu, F., Xiang, S., Wang, W., Sun, Y., Wang, W., Ding, Y., Luo, C., Jiang, P., & Chen, J. (2025) · BMC Biology · doi:10.1186/s12915-025-02333-5 · Cited by 1 · see citing works
Circadian Rhythms in Bipolar Disorder Patient-Derived Neurons Predict Lithium Response
Mishra, H. K., Ying, N. M., Luis, A., Wei, H., Nguyen, M., Nakhla, T. S., Vandenburgh, S., Alda, M., Berrettini, W. H., Brennand, K., et al. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.02.193 · Cited by 1 · see citing works
CARE: a novel wearable-derived feature linking circadian amplitude to human cognitive functionsPreprint
Cui, S., Lin, Q., Gui, Y., Zhang, Y., Lu, H., Zhao, H., Wang, X., Li, X., & Jiang, F. (2023) · medRxiv · doi:10.1101/2023.04.06.23288232 · Cited by 1 · see citing works
Sirignano, L., Streit, F., Frank, J., Zillich, L., Witt, S. H., Rietschel, M., & Foo, J. C. (2021) · Research Square · doi:10.21203/rs.3.rs-763448/v1
Circadian Rhythm and Polygenic Risk Scores
Park, Y. (2022) · Chronobiology in Medicine · doi:10.33069/cim.2022.0007
Lung cancer prediction and analysis by regression models
Yu, X. (2023) · International Conference on Mechatronic Engineering and Artificial Intelligence (MEAI) · doi:10.1117/12.2672648
Mania and Bipolar Spectrum Disorders
Gruber, J., Cosgrove, V. E., Dodd, A., Dutra, S. J., Hinshaw, S. P., Ibonie, S. G., Kahawage, P. N., Meyer, T. D., Murray, G., Nusslock, R., et al. (2023) · Oxford University Press eBooks · doi:10.1093/med-psych/9780197542521.003.0010
Sleep regulation and host genetics
Odriozola, A., González, A., Álvarez‐Herms, J., & Corbi, F. (2024) · Advances in genetics · doi:10.1016/bs.adgen.2024.02.002
Penichet, D. (2025) · Journal of Biological Rhythms · doi:10.1177/07487304241308633
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Multi ancestry genome wide association meta analysis of urinary aMT6s levels
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- Authors
- Ferguson, A., Lyall, L. M., Ward, J., Strawbridge, R. J., Cullen, B., Graham, N., Niedzwiedz, C. L., Johnston, K. J. A., MacKay, D., Biello, S. M., Pell, J. P., Cavanagh, J., McIntosh, A. M., Doherty, A., Bailey, M. E. S., Lyall, D. M., Wyse, C. A., & Smith, D. J.
- Affiliations
- University of Glasgow (GB)
- Karolinska Institutet (SE)
- University of Edinburgh (GB)
- University of Oxford (GB)
- Royal College of Surgeons in Ireland (IE)
- Corresponding author
- Ferguson, Amy
- ORCID
- Venue
- EBioMedicine
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 35
- Pages
- 279-287
- ISSN
- 2352-3964 (ISSN-L)
- PMC
- PMC6154782
- OpenAlex
- W2809445594
- Cited by
- 70
- References
- 89
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 7 · 2021: 12 · 2020: 8 · 2019: 8 · 2018: 2
- FWCI
- 4.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- EBioMedicine (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Oxford University Research Archive (ORA) (University of Oxford) (submittedVersion, cc-by)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Funders
- British Heart Foundation
- Brain and Behavior Research Foundation (173096)
- Department of Health and Social Care
- Pfizer
- University of Glasgow (MR/K501335/1)
- Janssen Biotech (MR/R024774/1)
- Sackler Trust
- Medical Research Council
- Scottish Government
- H. Lundbeck A/S
- Royal College of Physicians of Edinburgh (173558)
- NIHR Oxford Biomedical Research Centre
- UK Research and Innovation (MR/S003061/1)
- GlaxoSmithKline foundation
- Pfizer UK
- Northwest Regional Development Agency
- Wellcome Trust
- BHF Centre of Research Excellence, Oxford
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- circadian rhythmicity, rest-activity rhythm, relative amplitude, mood instability, major depressive disorder, bipolar disorder, polygenic risk score, neurofascin, MEIS1, neuroticism, genetic architecture, accelerometer-measured activity
- MeSH terms
- Adult, Aged, Mental Disorders, Circadian Rhythm, Humans, Middle Aged, Phenotype, Biological Specimen Banks, Mood Disorders, Multifactorial Inheritance, Polymorphism, Single Nucleotide, Quantitative Trait Loci, Genome-Wide Association Study
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