Examining the independent and joint effects of molecular genetic liability and environmental exposures in schizophrenia: results from the EUGEI study

dc.contributor.authorAtbaşoglu, Cem
dc.contributor.departmentTıp Fakültesitr_TR
dc.date.accessioned2020-11-13T06:11:15Z
dc.date.available2020-11-13T06:11:15Z
dc.date.issued2019
dc.description.abstractSchizophrenia is a heritable complex phenotype associated with a background risk involving multiple common genetic variants of small effect and a multitude of environmental exposures. Early twin and family studies using proxy-genetic liability measures suggest gene-environment interaction in the etiology of schizophrenia spectrum disorders, but the molecular evidence is scarce. Here, by analyzing the main and joint associations of polygenic risk score for schizophrenia (PRS-SCZ) and environmental exposures in 1,699 patients with a diagnosis of schizophrenia spectrum disorders and 1,542 unrelated controls with no lifetime history of a diagnosis of those disorders, we provide further evidence for gene-environment interaction in schizophrenia. Evidence was found for additive interaction of molecular genetic risk state for schizophrenia (binary mode of PRS-SCZ above 75% of the control distribution) with the presence of lifetime regular cannabis use and exposure to early-life adversities (sexual abuse, emotional abuse, emotional neglect, and bullying), but not with the presence of hearing impairment, season of birth (winter birth), and exposure to physical abuse or physical neglect in childhood. The sensitivity analyses replacing the a priori PRS-SCZ at 75% with alternative cut-points (50% and 25%) confirmed the additive interaction. Our results suggest that the etiopathogenesis of schizophrenia involves genetic underpinnings that act by making individuals more sensitive to the effects of some environmental exposures.tr_TR
dc.description.indexpubmed
dc.identifier.endpage182tr_TR
dc.identifier.issue2tr_TR
dc.identifier.startpage173tr_TR
dc.identifier.urihttps://doi.org/10.1002/wps.20629tr_TR
dc.identifier.urihttp://hdl.handle.net/20.500.12575/72356
dc.identifier.volume18tr_TR
dc.language.isoentr_TR
dc.relation.isversionof10.1002/wps.20629tr_TR
dc.relation.journalWorld Psychiatrytr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıtr_TR
dc.subjectSchizophreniatr_TR
dc.subjectcannabistr_TR
dc.subjectbullyingtr_TR
dc.titleExamining the independent and joint effects of molecular genetic liability and environmental exposures in schizophrenia: results from the EUGEI studytr_TR
dc.typeArticletr_TR

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