Genetics of Schizophrenia and Bipolar Disorder
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Questions and Answers

What percentage of the variance in Schizophrenia risk is explained by the Polygenic Risk Score?

  • 9% (correct)
  • 85%
  • 50%
  • 2%

Which of the following best describes the ability of Polygenic Risk Scores for distinguishing patients from controls?

  • PRS is equally effective for both conditions.
  • PRS is not effective in distinguishing between groups.
  • PRS can be fully used in clinical settings.
  • PRS for Schizophrenia is more effective than for Bipolar Disorder. (correct)

What is the significance level of the group differences in PRS scores for Bipolar Disorder?

  • p=0.05
  • p=6.3x10^-40
  • p=7.3x10^-11 (correct)
  • p=0.001

Why are Polygenic Risk Scores not currently used for clinical screening?

<p>Their accuracy is not sufficient yet. (A)</p> Signup and view all the answers

What is the effect of dataset quality on the Polygenic Risk Score?

<p>The better the dataset, the better the PRS will be. (B)</p> Signup and view all the answers

What is a primary advantage of utilizing GWAS and sequencing in genetic research?

<p>It can identify genetic variants linked to complex diseases. (C)</p> Signup and view all the answers

In the genome wide association study on schizophrenia, how many loci have shown significant associations?

<p>270 (A)</p> Signup and view all the answers

What type of analysis was conducted for gene prioritization in the bipolar disorder GWAS?

<p>Integrative eQTL analyses (C)</p> Signup and view all the answers

Which of the following genes is implicated in both schizophrenia and bipolar disorder?

<p>CACNA1C (D)</p> Signup and view all the answers

What does the red line on the Manhattan plot represent in the GWAS for bipolar disorder?

<p>Genome-wide significance threshold (C)</p> Signup and view all the answers

How many samples were included in the schizophrenia study conducted across 40+ countries?

<p>400,000+ samples (A)</p> Signup and view all the answers

Which gene product is a key target of antipsychotic medications and is associated with schizophrenia?

<p>DRD2 (D)</p> Signup and view all the answers

What does the y-axis of the Manhattan plot in the bipolar disorder GWAS represent?

<p>Statistical significance of genetic variants (A)</p> Signup and view all the answers

What is the estimated heritability of psychosis based on family, twin, and adoption studies?

<p>Around 80% (C)</p> Signup and view all the answers

Which statement best describes the relationship between genetic and environmental factors in psychosis?

<p>Both genetic and environmental factors contribute to the risk. (A)</p> Signup and view all the answers

How do the inheritance patterns of psychotic disorders differ from Mendelian diseases?

<p>Psychotic disorders are complex genetic diseases with many risk factors. (A)</p> Signup and view all the answers

What is the primary purpose of Genome Wide Association Studies (GWAS)?

<p>To identify common and rare genetic variants associated with diseases. (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a complex genetic disease?

<p>Cystic Fibrosis (D)</p> Signup and view all the answers

What is one reason why understanding the genetics of psychosis is challenging?

<p>Psychosis has both common variants with small effects and rare variants with large effects. (B)</p> Signup and view all the answers

What does exome sequencing specifically target in DNA?

<p>Segments of DNA coding for proteins (exons). (B)</p> Signup and view all the answers

What type of genetic variant is particularly associated with large effects in diseases such as psychosis?

<p>Copy Number Variants (CNVs) (B)</p> Signup and view all the answers

What is the primary aim of genetic counselling?

<p>To promote early intervention and detection of genetic disorders (A)</p> Signup and view all the answers

How does genetics influence the effectiveness of antipsychotic treatment?

<p>It influences drug response and potential side effects (C)</p> Signup and view all the answers

What distinguishes genetic counselling from genetic testing?

<p>Genetic counselling does not result in genetic diagnoses (C)</p> Signup and view all the answers

What is a key feature of the pharmacogenetic approach in medication treatment?

<p>It creates a predictable relationship between genetics and drug response (C)</p> Signup and view all the answers

What is a known limitation of psychiatric genetic testing in the UK?

<p>Genetic testing for psychosis is not part of routine clinical practice (C)</p> Signup and view all the answers

What is the significance of Copy Number Variants (CNVs) in relation to schizophrenia?

<p>They substantially increase the risk of developing schizophrenia. (A)</p> Signup and view all the answers

What does the Polygenic Risk Score (PRS) measure?

<p>Genetic predisposition to certain psychiatric disorders. (C)</p> Signup and view all the answers

Which statement accurately describes the findings from the SCHEMA consortium study?

<p>It revealed several ultra-rare protein-coding variants associated with schizophrenia. (A)</p> Signup and view all the answers

What is one of the challenges faced in the genetic study of bipolar disorder compared to schizophrenia?

<p>Less genetic variation has been identified for bipolar disorder. (A)</p> Signup and view all the answers

What recent finding is associated with Single Nucleotide Variants (SNVs) in the study of schizophrenia?

<p>SNVs in 10 genes have significant links to schizophrenia. (A)</p> Signup and view all the answers

What role do rare genetic variants play according to recent studies on schizophrenia?

<p>They can lead to a substantial increase in the risk of developing schizophrenia. (A)</p> Signup and view all the answers

What is one of the outcomes of the large-scale GWAS conducted by international consortia?

<p>Locating genetic variants that slightly increase the risk for schizophrenia and bipolar disorder. (A)</p> Signup and view all the answers

What does the research suggest about the predictability of psychosis development?

<p>Estimates can be made using Polygenic Risk Scores, but precise predictions are not possible. (D)</p> Signup and view all the answers

Which of the following must be true for a trait to serve as a marker of genetic risk?

<p>The trait must be heritable. (C)</p> Signup and view all the answers

What characterizes intermediate/alternative phenotypes?

<p>They are associated with the disease and heritable. (C)</p> Signup and view all the answers

What do polygenic risk scores (PRS) for schizophrenia indicate?

<p>Problems with cognitive development may arise. (B)</p> Signup and view all the answers

What is one of the clinical implications of genetic findings in psychosis?

<p>Certain SNPs confer risk specifically for schizophrenia. (A)</p> Signup and view all the answers

How do CNV carriers compare in terms of cognition?

<p>CNV carriers show poorer spatial awareness and verbal learning. (D)</p> Signup and view all the answers

What does the term 'dimensional view of psychosis' in genetic data imply?

<p>Psychosis can be viewed through varying degrees of symptom severity. (D)</p> Signup and view all the answers

What role do SNPs with small effects play in psychosis-related research?

<p>They can be important targets for drug development in other diseases. (C)</p> Signup and view all the answers

Why is there a discrepancy between genetic findings and clinical classification systems like ICD-10 or DSM-V?

<p>Current systems rely on phenomenology rather than genetics. (B)</p> Signup and view all the answers

What does a high Polygenic Risk Score (PRS) for Schizophrenia indicate?

<p>Increased genetic predisposition to the disorder (A)</p> Signup and view all the answers

Which of the following best describes the variance explained by the Schizophrenia PRS?

<p>9% of the variance (C)</p> Signup and view all the answers

Which statement highlights a limitation of Polygenic Risk Scores in clinical applications?

<p>They require more individual-specific data to improve accuracy. (D)</p> Signup and view all the answers

What is the primary aim of genetic counselling in the context of genetic disorders?

<p>To facilitate communication about genetic risks and options for intervention (C)</p> Signup and view all the answers

How does genetic variation influence pharmacogenetics in antipsychotic treatment?

<p>It affects the drug selection and the dosage required for effective treatment (D)</p> Signup and view all the answers

What is the impact of dataset quality on the accuracy of Polygenic Risk Scores?

<p>Better datasets improve the PRS's predictive capability. (C)</p> Signup and view all the answers

Which of the following statements is true about the significance of Polygenic Risk Scores for Bipolar Disorder?

<p>They demonstrate highly significant group differences in scores. (A)</p> Signup and view all the answers

Which statement best describes the distinction between genetic counselling and genetic testing?

<p>Genetic counselling addresses human issues related to genetic risks without conducting tests (A)</p> Signup and view all the answers

What role does understanding biological mechanisms play in the development of new medications?

<p>It helps identify underlying issues that may lead to better drug targeting (D)</p> Signup and view all the answers

Which of the following is a challenge faced in routine genetic testing for psychosis in the UK?

<p>Currently, routine testing for psychosis is not implemented (B)</p> Signup and view all the answers

What is a significant benefit of using GWAS in genetic research?

<p>It can identify loci for various complex diseases without any initial assumptions. (C)</p> Signup and view all the answers

Which gene is primarily implicated as a target for antipsychotic medications in schizophrenia?

<p>DRD2 (A)</p> Signup and view all the answers

How many samples were used in the bipolar disorder GWAS?

<p>41,900 individuals with bipolar disorder and about 371,500 controls. (A)</p> Signup and view all the answers

In a GWAS, what does the y-axis represent in the Manhattan plot?

<p>Statistical significance indicated by the -log10[P value]. (D)</p> Signup and view all the answers

How many loci showed significant associations with schizophrenia according to recent research?

<p>270 loci. (C)</p> Signup and view all the answers

What does eQTL analysis help prioritize in GWAS findings?

<p>Genes linked to genetic variants associated with diseases. (C)</p> Signup and view all the answers

What does the Major Histocompatibility Complex (MHC) gene associate with?

<p>Both schizophrenia and bipolar disorder, indicating immune involvement. (A)</p> Signup and view all the answers

Which one of the following genes is newly associated with bipolar disorder according to the GWAS findings?

<p>KCNB1 (B)</p> Signup and view all the answers

What percentage of heritability estimates is associated with psychosis?

<p>80% (B)</p> Signup and view all the answers

Which of the following statements is true regarding the genetic risk of psychosis?

<p>Despite genetic similarities, environmental factors also contribute to risk. (C)</p> Signup and view all the answers

What distinguishes psychotic disorders from Mendelian diseases?

<p>Psychotic disorders do not follow Mendelian laws of inheritance. (B)</p> Signup and view all the answers

What is a characteristic of common genetic variants in psychosis?

<p>They are prevalent in the population with small effects. (A)</p> Signup and view all the answers

Which technology is primarily used in GWAS to identify genetic markers?

<p>Microarray Analysis (B)</p> Signup and view all the answers

What is the focus of whole exome sequencing in genetic research?

<p>It analyzes only segments of DNA responsible for coding proteins. (C)</p> Signup and view all the answers

Which of the following is true about the role of genetic and environmental factors in psychosis?

<p>Environmental factors can mitigate genetic risks. (A)</p> Signup and view all the answers

What challenges are presented by the genetics of psychosis?

<p>There is a combination of many genetic and environmental influences. (B)</p> Signup and view all the answers

What type of genetic variant is particularly associated with an increased risk of developing schizophrenia?

<p>Copy Number Variants (CNVs) (A)</p> Signup and view all the answers

Which of the following best describes Polygenic Risk Scores (PRS)?

<p>A cumulative measure of genetic predisposition (A)</p> Signup and view all the answers

How many common genetic loci have been identified that confer subtle increases in risk for schizophrenia or bipolar disorder?

<p>270 (B)</p> Signup and view all the answers

Which study focused on identifying single nucleotide variants associated with schizophrenia?

<p>Schizophrenia Exome Sequencing Meta-Analysis (SCHEMA) (A)</p> Signup and view all the answers

What has recent research suggested about predicting the development of psychosis?

<p>Risk can be estimated using Polygenic Risk Scores. (A)</p> Signup and view all the answers

What is a necessary characteristic for a trait to serve as a marker of genetic risk?

<p>It must also be heritable. (C)</p> Signup and view all the answers

What defines intermediate/alternative phenotypes in the context of genetic findings?

<p>They are heritable and inexpensive measures of brain function. (D)</p> Signup and view all the answers

What is a limitation noted in the research regarding bipolar disorder compared to schizophrenia?

<p>Sample sizes for bipolar disorder studies are smaller. (A)</p> Signup and view all the answers

What is one of the potential benefits of understanding endophenotypes in psychosis?

<p>They facilitate understanding of disease mechanisms. (A)</p> Signup and view all the answers

What role do rare genetic variants play in the risk of developing schizophrenia?

<p>They are associated with substantial increases in risk. (B)</p> Signup and view all the answers

What genetic mechanism is specifically associated with larger structural variations in the genome for schizophrenia?

<p>Copy Number Variants (CNVs) (C)</p> Signup and view all the answers

Which statement accurately reflects the relationship between genetic findings and clinical classification systems?

<p>There is a significant discrepancy between genetic findings and how diseases are classified clinically. (A)</p> Signup and view all the answers

How do CNV carriers compare to non-carrier patients in terms of spatial awareness?

<p>They exhibit poorer spatial awareness than non-carrier patients. (A)</p> Signup and view all the answers

What is the significance of SNPs with small effects in psychiatric genetic research?

<p>They might be important targets for drug development in various diseases. (C)</p> Signup and view all the answers

What is one finding about Polygenic Risk Scores for schizophrenia as indicated in the context?

<p>They indicate potential future cognitive problems. (D)</p> Signup and view all the answers

What does the term 'dimensional view of psychosis' suggest about genetic data?

<p>It supports the notion of a spectrum of psychotic disorders based on genetic influences. (D)</p> Signup and view all the answers

What are the heritability estimates for psychosis?

<p>80%</p> Signup and view all the answers

Studies show that the risk of psychosis increases with genetic relatedness to an affected person.

<p>True (A)</p> Signup and view all the answers

Identical twins have a 100% chance of both developing psychosis if one twin is affected by it.

<p>False (B)</p> Signup and view all the answers

The increased risk of psychosis in families is solely due to sharing the same environment.

<p>False (B)</p> Signup and view all the answers

Who discovered the basic laws of genetics?

<p>Gregor Mendel</p> Signup and view all the answers

What year did Gregor Mendel publish his paper "Experiments in Plant Hybridisation"?

<p>1866</p> Signup and view all the answers

Which of the following diseases are considered "Mendelian" diseases?

<p>Sickle-cell anemia (B), Huntington's disease (C), Cystic fibrosis (E)</p> Signup and view all the answers

Psychotic disorders follow Mendelian laws.

<p>False (B)</p> Signup and view all the answers

Schizophrenia and bipolar disorder are COMPLEX GENETIC DISEASES.

<p>True (A)</p> Signup and view all the answers

Schizophrenia and bipolar disorder are ONLY caused by genetic risk factors.

<p>False (B)</p> Signup and view all the answers

Complex traits/diseases and interactions of genetic and environmental influences do not follow Mendelian patterns.

<p>True (A)</p> Signup and view all the answers

Which of the following is NOT considered a complex trait/disease?

<p>Huntington's disease (E)</p> Signup and view all the answers

Which of the following is NOT a reason why the genetics of psychosis is a tough job?

<p>The inheritance patterns are very predictable (C)</p> Signup and view all the answers

What are the two main technologies used to study genetics?

<p>Arrays and Sequencing</p> Signup and view all the answers

What does GWAS stand for?

<p>Genome Wide Association Studies</p> Signup and view all the answers

GWAS is NOT successful in identifying CNVs.

<p>False (B)</p> Signup and view all the answers

Whole genome sequencing examines only a specific part of the DNA sequence.

<p>False (B)</p> Signup and view all the answers

What does exome sequencing examine?

<p>All segments of the DNA sequence coding for proteins</p> Signup and view all the answers

GWAS and sequencing require a priori hypothesis.

<p>False (B)</p> Signup and view all the answers

GWAS has been successful in identifying loci/genetic variants associated with complex diseases.

<p>True (A)</p> Signup and view all the answers

Genome-wide association study on schizophrenia was conducted only in the United States.

<p>False (B)</p> Signup and view all the answers

Manhattan plot depicts correlations between genes and schizophrenia.

<p>True (A)</p> Signup and view all the answers

Genome-wide association study on schizophrenia has identified more than 270 loci.

<p>True (A)</p> Signup and view all the answers

Genome-wide association study on schizophrenia has identified more than 130 genes that may influence the disease.

<p>True (A)</p> Signup and view all the answers

GWAS for bipolar disorder was first conducted in 2021.

<p>True (A)</p> Signup and view all the answers

Manhattan plot for bipolar disorder depicts correlations between genes and schizophrenia.

<p>False (B)</p> Signup and view all the answers

Genome-wide association study on bipolar disorder included more than 41,900 individuals with bipolar disorder.

<p>True (A)</p> Signup and view all the answers

Genome-wide association study on bipolar disorder included more than 371,500 controls.

<p>True (A)</p> Signup and view all the answers

In a Manhattan plot for bipolar disorder, the x-axis represents:

<p>Genomic position (A)</p> Signup and view all the answers

The genome-wide significance threshold is P < 5 x 10^-8.

<p>True (A)</p> Signup and view all the answers

Genome-wide association studies on bipolar disorder have identified around 30 SNPs.

<p>True (A)</p> Signup and view all the answers

Novel associations with bipolar disorder are represented in yellow in a Manhattan plot.

<p>True (A)</p> Signup and view all the answers

Previous association with bipolar disorder is represented in green in a Manhattan plot.

<p>True (A)</p> Signup and view all the answers

Which gene is a key target of antipsychotic medications?

<p>DRD2 (C)</p> Signup and view all the answers

DRD2 shows significant association with schizophrenia in GWAS.

<p>True (A)</p> Signup and view all the answers

Which gene plays an important role in acquired immunity?

<p>MHC (D)</p> Signup and view all the answers

Which gene is important in neuronal function?

<p>CACNA1C (A)</p> Signup and view all the answers

Which gene is involved in glutamate transmission?

<p>GRIN2A (E)</p> Signup and view all the answers

Which gene is associated with bipolar disorder, but not schizophrenia?

<p>ANK3 (C)</p> Signup and view all the answers

Several thousands of common genetic variants (SNVs) are associated with schizophrenia and/or bipolar disorder.

<p>True (A)</p> Signup and view all the answers

Many individuals carry common genetic variations that influence the risk for schizophrenia and bipolar disorder.

<p>True (A)</p> Signup and view all the answers

The odds ratio for common genetic variants in schizophrenia and bipolar disorder is typically small.

<p>True (A)</p> Signup and view all the answers

Common genetic variants for schizophrenia and bipolar disorder are the sole determinants of the disease.

<p>False (B)</p> Signup and view all the answers

There is no genetic overlap between schizophrenia and bipolar disorder.

<p>False (B)</p> Signup and view all the answers

All genetic variants affecting the risk for both schizophrenia and bipolar disorder are non-specific.

<p>False (B)</p> Signup and view all the answers

Rare genetic variations AKA Copy Number Variants play a role in psychosis.

<p>True (A)</p> Signup and view all the answers

Which CNV is associated with a higher risk of developing schizophrenia?

<p>All of the above (E)</p> Signup and view all the answers

CNVs are necessary and sufficient to cause schizophrenia.

<p>False (B)</p> Signup and view all the answers

Some CNVs can increase risk for a broad range of neurodevelopmental conditions.

<p>True (A)</p> Signup and view all the answers

There is a clear understanding of the role of CNVs in bipolar disorder.

<p>False (B)</p> Signup and view all the answers

All CNVs affecting genomic regions are pathogenic.

<p>False (B)</p> Signup and view all the answers

Pathogenic CNVs are extremely common.

<p>False (B)</p> Signup and view all the answers

CNVs are the strongest known risk factors for schizophrenia.

<p>True (A)</p> Signup and view all the answers

VCFS stands for Velo-Cardio-Facial Syndrome.

<p>True (A)</p> Signup and view all the answers

VCFS affects approximately 1 in 1000 people.

<p>False (B)</p> Signup and view all the answers

Every individual with VCFS will experience all of the same symptoms at varying levels of severity.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT a common feature associated with VCFS?

<p>All of the above (I)</p> Signup and view all the answers

Individuals with VCFS are at an increased risk of developing schizophrenia.

<p>True (A)</p> Signup and view all the answers

The odds ratio for pathogenic CNVs in schizophrenia is usually high.

<p>True (A)</p> Signup and view all the answers

Pathogenic CNVs only increase the risk for schizophrenia.

<p>False (B)</p> Signup and view all the answers

Some CNVs that increase the risk for schizophrenia also increase the risk for epilepsy.

<p>True (A)</p> Signup and view all the answers

The 22q11.2 deletion is the only CNV that can cause VCFS.

<p>True (A)</p> Signup and view all the answers

Individuals with VCFS are at an increased risk of developing schizophrenia and bipolar disorder.

<p>True (A)</p> Signup and view all the answers

Genetic testing for psychosis is a routine practice in the UK.

<p>False (B)</p> Signup and view all the answers

Genetic counseling for psychosis can be done before and/or after genetic testing.

<p>True (A)</p> Signup and view all the answers

Genetic counseling services for psychosis are not available in Canada and the UK.

<p>False (B)</p> Signup and view all the answers

Pharmaco-genetics refers to the study of how genes influence drug response and side effects.

<p>True (A)</p> Signup and view all the answers

Treatment for psychosis relies solely on pharmacological interventions.

<p>False (B)</p> Signup and view all the answers

Genetic variations influence drug response and side effects.

<p>True (A)</p> Signup and view all the answers

Genotype to phenotype refers to the process of how genetic variation influences an individual's physical and clinical characteristics.

<p>True (A)</p> Signup and view all the answers

Flashcards

Heritability of Psychosis

Roughly 80% of psychosis risk is attributed to genetic factors, although environmental influences also play a significant role.

Complex Genetic Disease

Psychosis (e.g., schizophrenia, bipolar disorder) is caused by multiple genetic and environmental factors that interact in complex ways.

Mendelian Inheritance

Predictable inheritance patterns of traits governed by a single gene.

Psychosis vs. Mendelian Traits

Psychosis does NOT follow Mendelian patterns, while some traits like cystic fibrosis do.

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GWAS (Genome Wide Association Studies)

A method to identify associations between genetic markers (Single Nucleotide Polymorphisms or SNPs) and a disease.

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Copy Number Variants

Rare, large-scale genetic changes in DNA (e.g., deletions or duplications), impacting multiple genes. Having a large effect in increasing disease risk in some cases.

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Common Variants

Genetic variations present in a population at relatively high frequencies, but each variant individually has a small effect on increasing disease risk.

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Whole Genome/Exome Sequencing

Method to examine the complete DNA sequence or the protein-coding portion (exons) of the DNA sequence to analyze genetic variations, to support disease diagnosis and treatment.

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Polygenic Risk Score (PRS)

A score that calculates the cumulative effect of many common genetic variations to predict an individual's risk for a disease.

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PRS for Schizophrenia vs. Bipolar Disorder

PRS for Schizophrenia is more accurate than for Bipolar Disorder due to the availability of more data from larger genetic studies.

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PRS: Clinical Use?

While PRS can distinguish patients from controls, it's NOT accurate enough for making individual diagnoses or clinical decisions.

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PRS and Accuracy

PRS accuracy is measured by ROC curves and AUC (area under the curve). A good test should have an AUC above 85-90%.

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PRS and Common Variants

PRS focuses on the combined effect of many common genetic variations, each with a small effect on disease risk.

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GWAS

Genome-Wide Association Study; a method to find genetic variations associated with specific traits or diseases by scanning the whole genome.

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Sequencing

Determining the order of nucleotides (A, C, G, T) in a DNA molecule.

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Manhattan Plot

A graphical representation of GWAS results, displaying the statistical significance of genetic variants for a particular trait.

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Schizophrenia

A severe mental disorder characterized by hallucinations, delusions, and disordered thinking or behavior.

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Bipolar Disorder

A mental disorder with cycles of high and low moods, with distinct manic and depressive episodes.

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SNP (Single Nucleotide Polymorphism)

A variation in a single nucleotide (A, C, G, or T) in a DNA sequence among individuals, used in GWAS.

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Genome-wide significance

A threshold for statistical significance used in GWAS to identify genetic variants strongly linked to a disease, with a very low probability of random chance.

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Loci

Specific locations on the chromosomes where genetic variants (e.g., SNPs) are found that may be linked to a trait or disorder.

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Increased Schizophrenia/Bipolar Risk

Intellectual disabilities are linked to a higher chance of developing schizophrenia or bipolar disorder later in life.

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Rare Genetic Variants (CNVs)

Large structural changes in DNA that significantly raise the risk of schizophrenia.

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Common Genetic Variants (loci)

Multiple spots on chromosomes with common variations that slightly elevate schizophrenia/bipolar disorder risk.

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Single Nucleotide Variants (SNVs)

Variations in single DNA building blocks (nucleotides) that can be strongly associated with schizophrenia risk.

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Exome Sequencing

A method to analyze the protein-coding part of the genome to find genetic variations linked to diseases like schizophrenia or bipolar disorder.

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Schizophrenia Exome Sequencing Meta-Analysis (SCHEMA)

A large study of genomes primarily focused on schizophrenia.

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Genetic Predisposition

Inherited factors increasing the likelihood of developing a specific condition.

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DRD2 Receptor

A dopamine receptor in the brain that is a key target for antipsychotic medications. Understanding its role is crucial for developing new treatments.

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Genetic Counseling

A communication process that helps individuals and families understand genetic conditions, risks, and treatment options. It provides support and advice for informed decision-making.

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Pharmacogenetics

The study of how genes affect a person's response to medications, including effectiveness and side effects.

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Genotype to Phenotype

The process by which genetic variations (genotype) influence how our body works (phenotype). This can predict how we'll respond to medications.

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Why is pharmacogenetics important?

Because different medications have different effects on individuals due to genetic variations. This knowledge helps doctors personalize drug selection and dosage.

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What are endophenotypes?

Endophenotypes are measurable traits associated with a disease, found in both affected individuals and their unaffected relatives. They are heritable and offer insights into the underlying disease mechanisms.

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What are examples of intermediate phenotypes?

Intermediate phenotypes are measurable traits that are associated with a disease, heritable, non-invasive, and relatively inexpensive to measure. They can include things like brain function, structure, or behavior.

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How can endophenotypes help us understand psychosis?

Endophenotypes can help us understand the underlying mechanisms of psychosis by identifying specific genes or brain processes that contribute to the disease. They can also help us improve diagnoses and develop more personalized treatments.

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What is a polygenic risk score (PRS)?

A PRS is a score that estimates a person's genetic risk for a complex disease based on the combined effect of many common genetic variants.

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What are the clinical implications of genetics for disease classification?

Genetic findings suggest a dimensional view of psychosis, meaning disorders like schizophrenia and bipolar disorder may exist on a spectrum rather than being distinct categories. This creates a discrepancy between genetic data and current diagnostic systems.

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Why do small genetic effects matter?

Even though individual genetic variations may have small effects, collectively they can contribute significantly to disease risk. Studying these variations can help us understand disease mechanisms and target drug development.

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What is the connection between CNVs and cognition?

Copy Number Variants (CNVs) can impact cognition, with individuals carrying CNVs often showing poorer spatial awareness and verbal learning compared to those without CNVs.

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How can endophenotypes help to stratify patients?

By identifying specific endophenotypes, we can potentially stratify patients for personalized treatment based on their unique genetic and biological characteristics.

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Mendelian Inheritance vs. Psychosis

Mendelian inheritance refers to simple traits determined by a single gene with predictable patterns of inheritance. Unlike these traits, psychosis doesn't follow clear Mendelian patterns. It's influenced by many genes and environmental factors.

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Rare Variants (CNVs)

Large-scale genetic variations that are relatively rare but have a significant impact on increasing the risk of developing psychosis.

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Genome-Wide Association Studies (GWAS)

A research approach that scans the entire genome for genetic variations associated with a specific disease (like psychosis). It examines millions of genetic markers, aiming to identify the genetic contributors to a disease.

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Whole Genome Sequencing

A technology that analyzes the entire DNA sequence of an individual, including both coding and non-coding regions, to identify all genetic variations.

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Schizophrenia PRS

A score that estimates an individual's genetic risk for schizophrenia based on the combined effect of many common genetic variations.

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Bipolar PRS

A score that estimates an individual's genetic risk for bipolar disorder based on the combined effect of many common genetic variations.

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PRS Accuracy for Diagnosis?

While PRS can distinguish patients from controls, it is NOT accurate enough for making individual diagnoses or clinical decisions.

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What makes the Schizophrenia PRS better?

The Schizophrenia PRS is more accurate than the Bipolar PRS because it's based on a larger sample size in the PGC study, providing more data for analysis.

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PRS: What's it good for?

PRS is a valuable research tool for understanding the genetic basis of mental disorders and identifying individuals at higher risk, even though it's not yet ready for clinical use.

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GWAS & Sequencing

Methods used to find genetic variations associated with diseases without needing a prior hypothesis. They've been successful in identifying loci and variants for complex diseases like diabetes, Crohn's disease, and Parkinson's.

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MHC (Major Histocompatibility Complex)

A group of genes involved in the immune system. Associated with both schizophrenia and bipolar disorder, suggesting immune dysregulation could play a role in these conditions.

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CACNA1C

A gene that codes for a calcium channel crucial for neuronal function. Implicated in both schizophrenia and bipolar disorder, emphasizing its importance for brain activity.

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Dimensionality of Psychosis

Genetic findings suggest a spectrum view of psychosis, where schizophrenia and bipolar disorder may exist on a continuum rather than being distinct categories.

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Common Variants for Psychosis

Many small genetic variations, each with a slight impact, combine to increase the risk of developing schizophrenia or bipolar disorder.

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Rare Variants for Psychosis

Large genetic variations, though less common, strongly elevate the risk of developing schizophrenia.

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SCHEMA Consortium Study

A large-scale genetic study focused on schizophrenia, searching for DNA variations associated with the disorder.

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Copy Number Variants (CNVs)

Large genetic variations, like deletions or duplications, that strongly influence psychosis risk.

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Endophenotypes

Measurable traits associated with a disease, found in both affected individuals and their unaffected relatives. They're heritable and help understand disease mechanisms.

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Intermediate Phenotypes

Measurable traits associated with a disease, heritable, non-invasive, and inexpensive. They provide insight into disease processes.

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CNVs and Cognition

Copy Number Variants (CNVs) can impact cognition, with individuals carrying CNVs often showing poorer spatial awareness and verbal learning compared to those without CNVs.

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Dimensional View of Psychosis

Genetic data suggests that disorders like Schizophrenia and Bipolar Disorder exist on a spectrum rather than being distinct categories.

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Clinical Implications of Genetics

Genetic findings create a discrepancy between current diagnostic systems (based on symptoms) and genetic understanding, highlighting the need to consider a more 'dimensional' view of psychosis.

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Small Effects Matter

Even though individual genetic variations may have small effects, they can contribute significantly to disease risk when combined. This knowledge is important for drug development.

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Endophenotypes for Personalized Treatment

Identifying specific endophenotypes allows for personalized treatment strategies based on individual genetic and biological characteristics.

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Study Notes

Genetics of Schizophrenia and Bipolar Disorder

  • Heritability estimates for psychosis are around 80%
  • Genetic risk increases with relatedness to affected individuals
  • Risk is not entirely genetic; identical twins still only have a 50% chance of developing the condition.
  • Increased risk is due to genetic factors, not shared family environments.

Risk Factors

  • Psychosis is caused by both environmental and genetic factors.

Gregor Mendel

  • Discovered foundational laws of genetics while studying pea plants.
  • Published "Experiments in Plant Hybridisation" in 1866.
  • His work established Mendelian laws of inheritance.
  • Key Mendelian diseases include Huntington's disease, cystic fibrosis, and sickle-cell anaemia. These have predictable inheritance patterns.

Mendelian Laws and Psychosis

  • Schizophrenia, Bipolar disorder, and other psychoses do not follow Mendelian inheritance patterns.
  • Their development is complex, involving multiple genetic risk factors, and environmental factors.

Technology

  • Genome-wide association studies (GWAS) examine over a million genetic markers across the entire genome.
  • Exome sequencing studies segments of DNA coding for proteins.
  • These methods are beneficial in identifying CNVs.

Genome Wide Association Studies (GWAS) and Common Genetic Variation in Psychosis

  • GWAS have identified many loci linked to schizophrenia and bipolar disorder, involving common genetic variations or SNPs.
  • More than 270 loci and 130 genes show statistically significant associations with schizophrenia in large studies.
  • Similar trends have been seen in bipolar disorder studies.

Rare Genetic Variation (CNVs)

  • Rare Copy Number Variations (CNVs) have a higher impact on risk for psychosis.
  • Several loci are associated with CNVs increasing risk for schizophrenia.
  • Some CNVs are found in other conditions, likevelo-cardio-facial syndrome.
  • Some CNVs are capable of increasing the risk of multiple neurodevelopmental conditions.

Key Points about Common Genetic Variations in Psychosis

  • Many thousands of common genetic variations (SNPs) are associated with schizophrenia and bipolar disorder.
  • Common variants have relatively low risk, odds ratio is small (usually 1.1-1.2).
  • There is genetic overlap between the conditions, so several loci increase the risk for both.

Clinical Implications

  • Significant genetic variation is needed for research, but diagnosis still relies on symptoms for psychosis.
  • It is very complex to predict the development of psychosis.
  • Some genetic variants are more strongly linked to specific disorders.

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Description

Explore the complex genetic and environmental factors contributing to schizophrenia and bipolar disorder. This quiz covers heritability, the impact of genetics, and the foundational work of Gregor Mendel in understanding genetic inheritance. Test your knowledge on these crucial topics in psychology and genetics.

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