Shared molecular neuropathology across major psychiatric disorders parallels polygenic overlap

摘要

The predisposition to neuropsychiatric disease involves a complex, polygenic, and pleiotropic genetic architecture. However, little is known about how genetic variants impart brain dysfunction or pathology. We use transcriptomic profiling as a quantitative readout of molecular brain-based phenotypes across 5 major psychiatric disorders, including autism (ASD), schizophrenia (SCZ), bipolar disorder (BD), depression (MDD), and alcoholism (AAD), compared with matched controls. We identify patterns of shared and distinct gene-expression perturbations across these conditions. Notably, the degree of sharing of transcriptional dysregulation is related to polygenic (SNP-based) overlap across disorders, suggesting a significant causal genetic component. This comprehensive systems-level view of the neurobiological architecture of major neuropsychiatric illness demonstrates pathways of molecular convergence and specificity.