Genome-wide association study of depression phenotypes in UK Biobank identifies variants in excitatory synaptic pathways
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Abstract
Depression is a polygenic trait that causes extensive periods of disability. Previous genetic studies have identified common risk variants which have progressively increased in number with increasing sample sizes of the respective studies. Here, we conduct a genome-wide association study in 322,580 UK Biobank participants for three depression-related phenotypes: broad depression, probable major depressive disorder (MDD), and International Classification of Diseases (ICD, version 9 or 10)-coded MDD. We identify 17 independent loci that are significantly associated ( P < 5 × 10 −8 ) across the three phenotypes. The direction of effect of these loci is consistently replicated in an independent sample, with 14 loci likely representing novel findings. Gene sets are enriched in excitatory neurotransmission, mechanosensory behaviour, post synapse, neuron spine and dendrite functions. Our findings suggest that broad depression is the most tractable UK Biobank phenotype for discovering genes and gene sets that further our understanding of the biological pathways underlying depression.
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DRD2 appeared in all 14 GO gene-sets and in prior depression studies.
“DRD2 was included in all 14 of the putative Gene Ontology Consortium gene-sets identified (but not the somatosensory pyramidal neurons gene-set) and has been identified in previous studies of depression5, 9, 22.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
The consistent direction of all 102 variants across contributing studies and replication suggests they are robust depression associations.
“All of the 102 variants associated with depression had an equivalent direction of allelic effect across the three studies5, 8, 9 that contributed to the meta-analysis and the replication sample (Supplementary Table 1), suggesting that these variants represent robust associations with depression.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
Howard and colleagues' UK Biobank GWAS found 17 variants associated across three depression phenotypes (maximum n = 322,580).
“More recently, a genome-wide association analysis of UK Biobank by Howard, et al. 5 identified 17 variants associated across three depression phenotypes (maximum total n = 322,580; 113,769 cases and 208,811 controls).”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
Howard and colleagues reported a strong genetic correlation (rG = 0.86, s.e. = 0.05) between broader self-declared depression and hospital-diagnosed MDD.
“The results of Howard, et al. 5 showed that there is a strong genetic correlation (rG = 0.86, s.e. = 0.05) between broader self-declared definitions of depression and clinically diagnosed major depressive disorder (MDD) within a hospital setting.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
Several genetic correlations matched earlier reports by Wray and Howard, including age at menarche (rG = −0.12).
“Many of these genetic correlations are similar to those reported by Wray, et al. 9 and Howard, et al. 5, including earlier age at menarche (rG = -0.12, s.e = 0.02).”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
Sample sizes were not pre-determined statistically, though they resemble those in earlier reports.
“No statistical methods were used to pre-determine sample sizes but our sample sizes are similar to those reported in previous publications 5, 8, 9.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
The TCF4 coding region contained two independent depression-associated variants and has been reported in earlier depression studies.
“The TCF4 gene coding region (Supplementary Figure 12) is also noteworthy as it contained two independently-associated variants for depression and has been identified in previous studies of depression 5, 9, 29.”
From Genome-wide meta-analysis of depression identifies 102 independent variants and highlights the importance of the prefrontal brain regions (2019) · cites this paper as [5]
CELF4 was the top finding for convergence between functional variant prioritization and multi-tissue TWAS results.
“The CUGBP Elav-Like Family Member 4 (CELF4) gene has been highlighted recently in an earlier precursor to this meta-analysis,8 and was our top finding for convergence between functional variant prioritization and multi-tissue TWAS results”
From Bi-ancestral depression GWAS in the Million Veteran Program and meta-analysis in >1.2 million individuals highlight new therapeutic directions (2021) · cites this paper as [8]
No statistical methods were used to pre-determine sample sizes, but the sample sizes were similar to those in previous publications.
“No statistical methods were used to pre-determine sample sizes but our sample sizes are similar to those reported in previous publications. 8,10”
From Bi-ancestral depression GWAS in the Million Veteran Program and meta-analysis in >1.2 million individuals highlight new therapeutic directions (2021) · cites this paper as [8]
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- Authors
- Howard, D. M., Adams, M. J., Shirali, M., Clarke, T.-K., Marioni, R. E., Davies, G., Coleman, J. R. I., Alloza, C., Shen, X., Barbu, M. C., Wigmore, E. M., Gibson, J., 23andMe Research Team, Agee, M., Alipanahi, B., Auton, A., Bell, R. K., Bryc, K., Elson, S. L., Fontanillas, P., Furlotte, N. A., Hinds, D. A., Huber, K. E., Kleinman, A., Litterman, N. K., McCreight, J. C., McIntyre, M. H., Mountain, J. L., Noblin, E. S., Northover, C. A. M., Pitts, S. J., Sathirapongsasuti, J. F., Sazonova, O. V., Shelton, J. F., Shringarpure, S., Tian, C., Tung, J. Y., Vacic, V., Wilson, C. H., Hagenaars, S. P., Lewis, C. M., Ward, J., Smith, D. J., Sullivan, P. F., Haley, C. S., Breen, G., Deary, I. J., & McIntosh, A. M.
- Affiliations
- University of Edinburgh (GB)
- King's College London (GB)
- 23andMe (United States) (US)
- University of Glasgow (GB)
- University of North Carolina at Chapel Hill (US)
- Institute of Genetics and Cancer (GB)
- Corresponding author
- Howard, David M.
- ORCID
- Howard, David M.
- Adams, Mark J.
- Shirali, Masoud
- Clarke, Toni-Kim
- Marioni, Riccardo E.
- Davies, Gail
- Coleman, Jonathan R. I.
- Alloza, Clara
- Shen, Xueyi
- Barbu, Miruna C.
- Wigmore, Eleanor M.
- Gibson, Jude
- Alipanahi, Babak
- Auton, Adam
- Bryc, Katarzyna
- Elson, Sarah L.
- Fontanillas, Pierre
- Furlotte, Nicholas A.
- Hinds, David A.
- Litterman, Nadia K.
- McIntyre, Matthew H.
- Mountain, Joanna L.
- Pitts, Steven J.
- Sathirapongsasuti, J. Fah
- Shringarpure, Suyash
- Tung, Joyce Y.
- Vacic, Vladimir
- Wilson, Catherine H.
- Hagenaars, Saskia P.
- Lewis, Cathryn M.
- Ward, Joey
- Smith, Daniel J.
- Sullivan, Patrick F.
- Haley, Chris S.
- Breen, Gerome
- Deary, Ian J.
- McIntosh, Andrew M.
- Venue
- Nature Communications
- Published
- 2018-04-16
- Volume
- 9
- Issue
- 1
- Pages
- 1470-1470
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC5902628
- OpenAlex
- W2798099314
- Cited by
- 612
- References
- 43
- Citations by year
- 2026: 29 · 2025: 84 · 2024: 86 · 2023: 102 · 2022: 66 · 2021: 82 · 2020: 80 · 2019: 63 · 2018: 18 · 2017: 2
- FWCI
- 37.33
- Type
- journal article
- Language
- en
- Update notices
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by)
- Funders
- South London and Maudsley NHS Foundation Trust
- Wellcome Trust (104036/Z/14/Z, 104036, 2016-2021)
- National Institute for Health and Care Research
- King's College London
- Lister Institute of Preventive Medicine
- Dr Mortimer and Theresa Sackler Foundation
- Centre for Cognitive Ageing and Cognitive Epidemiology (MR/K026992/1)
- Directorate for Biological Sciences
- Medical Research Council (MR/K026992/1, 104036/Z/14/Z, 11/NW/0382, MR/S015132/1, MC_PC_17228, MC_UU_00007/10)
- Biotechnology and Biological Sciences Research Council (MR/K026992/1)
- National Institute of Mental Health (U01MH109528)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- depression, major depressive disorder, genetic susceptibility loci, excitatory neurotransmission, postsynaptic function, polygenic traits, UK Biobank
- MeSH terms
- Depression, Depressive Disorder, Major, Major Depressive Disorder, Gene Expression Regulation, United Kingdom, Humans, Nerve Tissue Proteins, Synaptic Transmission, Phenotype, Synapses, Cohort Studies, Biomarkers, Linkage Disequilibrium, Biological Specimen Banks, Genetic Predisposition to Disease, International Classification of Diseases, Mechanotransduction, Cellular, Genome-Wide Association Study, Genetic Loci
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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