Cited by 128Genomic variations and chromosomal abnormalitiesAttention Deficit Hyperactivity DisorderGenetics and Neurodevelopmental Disorders

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Attention-deficit hyperactivity disorder shares copy number variant risk with schizophrenia and autism spectrum disorder

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Gudmundsson, Olafur O., Walters, G. Bragi, Ingason, Andres, Johansson, Stefan, Zayats, Tetyana, Athanasiu, Lavinia, Sonderby, Ida Elken, Gustafsson, Omar, Nawaz, Muhammad S., Jonsson, Gudbjorn F., Jonsson, Lina, Knappskog, Per-Morten, Ingvarsdottir, Ester, Davidsdottir, Katrin, Djurovic, Srdjan, Knudsen, Gun Peggy Strømstad, Askeland, Ragna Bugge, Haraldsdottir, Gyda S., Baldursson, Gisli, Magnusson, Pall, Sigurdsson, Engilbert, Gudbjartsson, Daniel F., Stefansson, Hreinn, Andreassen, Ole A., Haavik, Jan, Reichborn-Kjennerud, Ted, Stefansson, Kari·2019·Translational Psychiatry

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a highly heritable common childhood-onset neurodevelopmental disorder. Some rare copy number variations (CNVs) affect multiple neurodevelopmental disorders such as intellectual disability, autism spectrum disorders (ASD), schizophrenia and ADHD. The aim of this study is to determine to what extent ADHD shares high risk CNV alleles with schizophrenia and ASD. We compiled 19 neuropsychiatric CNVs and test 14, with sufficient power, for association with ADHD in Icelandic and Norwegian samples. Eight associate with ADHD; deletions at 2p16.3 (NRXN1), 15q11.2, 15q13.3 (BP4 & BP4.5–BP5) and 22q11.21, and duplications at 1q21.1 distal, 16p11.2 proximal, 16p13.11 and 22q11.21. Six of the CNVs have not been associated with ADHD before. As a group, the 19 CNVs associate with ADHD (OR = 2.43, P = 1.6 × 10−21), even when comorbid ASD and schizophrenia are excluded from the sample. These results highlight the pleiotropic effect of the neuropsychiatric CNVs and add evidence for ADHD, ASD and schizophrenia being related neurodevelopmental disorders rather than distinct entities.

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Fig. 1 Neuropsychiatric CNV association with ADHD in Icelandic and Norwegian samples. The affected and control carrier frequencies were calculated from the combined number of CNV carriers divided by the number of genotyped individuals in the Icelandic and Norwegian sample combined, before adjusting the counts for relatedness. For Icelandic and Norwegian population frequency separately, see Supplementary Table 3. To estimate OR and P values, the Icelandic and Norwegian affected and control, carrier and non-carrier counts, were adjusted for relatedness with a correction factor (1.187 in Iceland and 1.033 in Norway) using the intercept from LD score regression41, rounded to the nearest integer, and then combined using the Cochran–Mantel–Haenszel χ2 test for count data. The P values were further adjusted by false discovery rate (FDR). Neuropsychiatric CNVs below the horizontal, dashed, gray line were not tested as their population carrier frequency was below 0.018% (vertical, dashed, gray line) required for the 80% power to detect CNVs with an OR 3.9
Fig. 1 Neuropsychiatric CNV association with ADHD in Icelandic and Norwegian samples. The affected and control carrier frequencies were calculated from the combined number of CNV carriers divided by the number of genotyped individuals in the Icelandic and Norwegian sample combined, before adjusting the counts for relatedness. For Icelandic and Norwegian population frequency separately, see Supplementary Table 3. To estimate OR and P values, the Icelandic and Norwegian affected and control, carrier and non-carrier counts, were adjusted for relatedness with a correction factor (1.187 in Iceland and 1.033 in Norway) using the intercept from LD score regression41, rounded to the nearest integer, and then combined using the Cochran–Mantel–Haenszel χ2 test for count data. The P values were further adjusted by false discovery rate (FDR). Neuropsychiatric CNVs below the horizontal, dashed, gray line were not tested as their population carrier frequency was below 0.018% (vertical, dashed, gray line) required for the 80% power to detect CNVs with an OR 3.9CC BY · PubMed Central

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Metadata

Authors
Gudmundsson, O. O., Walters, G. B., Ingason, A., Johansson, S., Zayats, T., Athanasiu, L., Sonderby, I. E., Gustafsson, O., Nawaz, M. S., Jonsson, G. F., Jonsson, L., Knappskog, P.-M., Ingvarsdottir, E., Davidsdottir, K., Djurovic, S., Knudsen, G. P. S., Askeland, R. B., Haraldsdottir, G. S., Baldursson, G., Magnusson, P., Sigurdsson, E., Gudbjartsson, D. F., Stefansson, H., Andreassen, O. A., Haavik, J., Reichborn-Kjennerud, T., & Stefansson, K.
Affiliations
  • deCODE Genetics (Iceland) (IS)
  • Haukeland University Hospital (NO)
  • University of Bergen (NO)
  • Oslo University Hospital (NO)
  • Norwegian Institute of Public Health (NO)
Venue
Translational Psychiatry
Published
2019-10-17
Volume
9
Issue
1
Pages
258-258
ISSN
2158-3188 (ISSN-L)
OpenAlex
W2980448813
Cited by
128
References
51
Citations by year
2026: 11 · 2025: 18 · 2024: 17 · 2023: 22 · 2022: 20 · 2021: 25 · 2020: 15
FWCI
9.01
Type
journal article
Language
en
Open access
Locations
  • Translational Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • Opin vísindi (Opin vísindi) (submittedVersion, cc-by)
  • Hirsla (Landspítali University Hospital) (submittedVersion, other-oa)
Funders
  • European Federation of Pharmaceutical Industries and Associations (FP7/20072013)
  • European Commission (EU-FP7, 602450, 2007–2013, 226971, FP7 2007-2013, 115300, 286213, FP7/2007, 248778, 115008)
  • Norges Forskningsråd (226971, 229129, 223273, #213694, 248778, SKGJ-MED-008)
  • Innovative Medicines Initiative (FP7/2007‐2013, 115008, 115300)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
attention deficit hyperactivity disorder, copy number variation, schizophrenia, autism spectrum disorder, pleiotropy, neurodevelopmental disorders, 15q11.2, 15q13.3, 16p11.2, genetic risk, comorbidities
MeSH terms
Autism Spectrum Disorder, Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Iceland, Male, Norway, Schizophrenia, Case-Control Studies, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Genome-Wide Association Study, DNA Copy Number Variations

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