Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality

Evidence from observational studies indicates that endometriosis and depression often co-occur. However, conflicting evidence exists, and the etiology as well as biological mechanisms underlying their comorbidity remain unknown. Utilizing genome-wide association study (GWAS) data, we comprehensively...

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Main Authors: Adewuyi, Emmanuel, Mehta, D., Sapkota, Y., Yoshihara, K., Nyegaard, M., Steinthorsdottir, V., Morris, A.P., Fassbender, A., Rahmioglu, N., Vivo, I.D., Buring, J.E., Zhang, F., Edwards, T.L., Jones, S., Dorien, Peterse, D., Rexrode, K.M., Ridker, P.M., Schork, A.J., MacGregor, S., Martin, N.G., Becker, C.M., Adachi, S., Enomoto, T., Takahashi, A., Kamatani, Y., Matsuda, K., Kubo, M., Thorleifsson, G., Geirsson, R.T., Thorsteinsdottir, U., Wallace, L.M., Yang, J., Velez Edwards, D.R., Low, S.K., Zondervan, K.T., Missmer, S.A., D’Hooghe, T., Stefansson, K., Tung, J.Y., Montgomery, G.W., Chasman, D.I., Nyholt, D.R., Agee, M., Alipanahi, B., Auton, A., Bell, R.K., Bryc, K., Elson, S.L., Fontanillas, P., Furlotte, N.A., Huber, K.E., Kleinman, A., Litterman, N.K., McIntyre, M.H., Mountain, J.L., Noblin, E.S., Northover, C.A.M., Pitts, S.J., Sathirapongsasuti, J.F., Sazonova, O.V., Auta, A., Wilson, C.H., Griffiths, L.R.
Format: Journal Article
Language:English
Published: 2021
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/97788
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author Adewuyi, Emmanuel
Mehta, D.
Sapkota, Y.
Yoshihara, K.
Nyegaard, M.
Steinthorsdottir, V.
Morris, A.P.
Fassbender, A.
Rahmioglu, N.
Vivo, I.D.
Buring, J.E.
Zhang, F.
Edwards, T.L.
Jones, S.
Dorien,
Peterse, D.
Rexrode, K.M.
Ridker, P.M.
Schork, A.J.
MacGregor, S.
Martin, N.G.
Becker, C.M.
Adachi, S.
Enomoto, T.
Takahashi, A.
Kamatani, Y.
Matsuda, K.
Kubo, M.
Thorleifsson, G.
Geirsson, R.T.
Thorsteinsdottir, U.
Wallace, L.M.
Yang, J.
Velez Edwards, D.R.
Low, S.K.
Zondervan, K.T.
Missmer, S.A.
D’Hooghe, T.
Stefansson, K.
Tung, J.Y.
Montgomery, G.W.
Chasman, D.I.
Nyholt, D.R.
Agee, M.
Alipanahi, B.
Auton, A.
Bell, R.K.
Bryc, K.
Elson, S.L.
Fontanillas, P.
Furlotte, N.A.
Huber, K.E.
Kleinman, A.
Litterman, N.K.
McIntyre, M.H.
Mountain, J.L.
Noblin, E.S.
Northover, C.A.M.
Pitts, S.J.
Sathirapongsasuti, J.F.
Sazonova, O.V.
Auta, A.
Nyegaard, M.
Wilson, C.H.
Griffiths, L.R.
author_facet Adewuyi, Emmanuel
Mehta, D.
Sapkota, Y.
Yoshihara, K.
Nyegaard, M.
Steinthorsdottir, V.
Morris, A.P.
Fassbender, A.
Rahmioglu, N.
Vivo, I.D.
Buring, J.E.
Zhang, F.
Edwards, T.L.
Jones, S.
Dorien,
Peterse, D.
Rexrode, K.M.
Ridker, P.M.
Schork, A.J.
MacGregor, S.
Martin, N.G.
Becker, C.M.
Adachi, S.
Enomoto, T.
Takahashi, A.
Kamatani, Y.
Matsuda, K.
Kubo, M.
Thorleifsson, G.
Geirsson, R.T.
Thorsteinsdottir, U.
Wallace, L.M.
Yang, J.
Velez Edwards, D.R.
Low, S.K.
Zondervan, K.T.
Missmer, S.A.
D’Hooghe, T.
Stefansson, K.
Tung, J.Y.
Montgomery, G.W.
Chasman, D.I.
Nyholt, D.R.
Agee, M.
Alipanahi, B.
Auton, A.
Bell, R.K.
Bryc, K.
Elson, S.L.
Fontanillas, P.
Furlotte, N.A.
Huber, K.E.
Kleinman, A.
Litterman, N.K.
McIntyre, M.H.
Mountain, J.L.
Noblin, E.S.
Northover, C.A.M.
Pitts, S.J.
Sathirapongsasuti, J.F.
Sazonova, O.V.
Auta, A.
Nyegaard, M.
Wilson, C.H.
Griffiths, L.R.
author_sort Adewuyi, Emmanuel
building Curtin Institutional Repository
collection Online Access
description Evidence from observational studies indicates that endometriosis and depression often co-occur. However, conflicting evidence exists, and the etiology as well as biological mechanisms underlying their comorbidity remain unknown. Utilizing genome-wide association study (GWAS) data, we comprehensively assessed the relationship between endometriosis and depression. Single nucleotide polymorphism effect concordance analysis (SECA) found a significant genetic overlap between endometriosis and depression (PFsig-permuted = 9.99 × 10−4). Linkage disequilibrium score regression (LDSC) analysis estimated a positive and highly significant genetic correlation between the two traits (rG = 0.27, P = 8.85 × 10−27). A meta-analysis of endometriosis and depression GWAS (sample size = 709,111), identified 20 independent genome-wide significant loci (P < 5 × 10−8), of which eight are novel. Mendelian randomization analysis (MR) suggests a causal effect of depression on endometriosis. Combining gene-based association results across endometriosis and depression GWAS, we identified 22 genes with a genome-wide significant Fisher’s combined P value (FCPgene < 2.75 × 10−6). Genes with a nominal gene-based association (Pgene < 0.05) were significantly enriched across endometriosis and depression (Pbinomial-test = 2.90 × 10−4). Also, genes overlapping the two traits at Pgene < 0.1 (Pbinomial-test = 1.31 × 10−5) were significantly enriched for the biological pathways ‘cell–cell adhesion’, ‘inositol phosphate metabolism’, ‘Hippo-Merlin signaling dysregulation’ and ‘gastric mucosa abnormality’. These results reveal a shared genetic etiology for endometriosis and depression. Indeed, additional analyses found evidence of a causal association between each of endometriosis and depression and at least one abnormal condition of gastric mucosa. Our study confirms the comorbidity of endometriosis and depression, implicates links with gastric mucosa abnormalities in their causal pathways and reveals potential therapeutic targets for further investigation.
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institution Curtin University Malaysia
institution_category Local University
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publishDate 2021
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spelling curtin-20.500.11937-977882025-05-22T15:09:00Z Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality Adewuyi, Emmanuel Mehta, D. Sapkota, Y. Yoshihara, K. Nyegaard, M. Steinthorsdottir, V. Morris, A.P. Fassbender, A. Rahmioglu, N. Vivo, I.D. Buring, J.E. Zhang, F. Edwards, T.L. Jones, S. Dorien, Peterse, D. Rexrode, K.M. Ridker, P.M. Schork, A.J. MacGregor, S. Martin, N.G. Becker, C.M. Adachi, S. Enomoto, T. Takahashi, A. Kamatani, Y. Matsuda, K. Kubo, M. Thorleifsson, G. Geirsson, R.T. Thorsteinsdottir, U. Wallace, L.M. Yang, J. Velez Edwards, D.R. Low, S.K. Zondervan, K.T. Missmer, S.A. D’Hooghe, T. Stefansson, K. Tung, J.Y. Montgomery, G.W. Chasman, D.I. Nyholt, D.R. Agee, M. Alipanahi, B. Auton, A. Bell, R.K. Bryc, K. Elson, S.L. Fontanillas, P. Furlotte, N.A. Huber, K.E. Kleinman, A. Litterman, N.K. McIntyre, M.H. Mountain, J.L. Noblin, E.S. Northover, C.A.M. Pitts, S.J. Sathirapongsasuti, J.F. Sazonova, O.V. Auta, A. Nyegaard, M. Wilson, C.H. Griffiths, L.R. Depression Endometriosis Female Gastric Mucosa Genetic Predisposition to Disease Genome-Wide Association Study Humans Linkage Disequilibrium Polymorphism, Single Nucleotide International Endogene Consortium 23andMe Research Team Gastric Mucosa Humans Endometriosis Genetic Predisposition to Disease Depression Linkage Disequilibrium Polymorphism, Single Nucleotide Female Genome-Wide Association Study Evidence from observational studies indicates that endometriosis and depression often co-occur. However, conflicting evidence exists, and the etiology as well as biological mechanisms underlying their comorbidity remain unknown. Utilizing genome-wide association study (GWAS) data, we comprehensively assessed the relationship between endometriosis and depression. Single nucleotide polymorphism effect concordance analysis (SECA) found a significant genetic overlap between endometriosis and depression (PFsig-permuted = 9.99 × 10−4). Linkage disequilibrium score regression (LDSC) analysis estimated a positive and highly significant genetic correlation between the two traits (rG = 0.27, P = 8.85 × 10−27). A meta-analysis of endometriosis and depression GWAS (sample size = 709,111), identified 20 independent genome-wide significant loci (P < 5 × 10−8), of which eight are novel. Mendelian randomization analysis (MR) suggests a causal effect of depression on endometriosis. Combining gene-based association results across endometriosis and depression GWAS, we identified 22 genes with a genome-wide significant Fisher’s combined P value (FCPgene < 2.75 × 10−6). Genes with a nominal gene-based association (Pgene < 0.05) were significantly enriched across endometriosis and depression (Pbinomial-test = 2.90 × 10−4). Also, genes overlapping the two traits at Pgene < 0.1 (Pbinomial-test = 1.31 × 10−5) were significantly enriched for the biological pathways ‘cell–cell adhesion’, ‘inositol phosphate metabolism’, ‘Hippo-Merlin signaling dysregulation’ and ‘gastric mucosa abnormality’. These results reveal a shared genetic etiology for endometriosis and depression. Indeed, additional analyses found evidence of a causal association between each of endometriosis and depression and at least one abnormal condition of gastric mucosa. Our study confirms the comorbidity of endometriosis and depression, implicates links with gastric mucosa abnormalities in their causal pathways and reveals potential therapeutic targets for further investigation. 2021 Journal Article http://hdl.handle.net/20.500.11937/97788 10.1007/s00439-020-02223-6 eng unknown
spellingShingle Depression
Endometriosis
Female
Gastric Mucosa
Genetic Predisposition to Disease
Genome-Wide Association Study
Humans
Linkage Disequilibrium
Polymorphism, Single Nucleotide
International Endogene Consortium
23andMe Research Team
Gastric Mucosa
Humans
Endometriosis
Genetic Predisposition to Disease
Depression
Linkage Disequilibrium
Polymorphism, Single Nucleotide
Female
Genome-Wide Association Study
Adewuyi, Emmanuel
Mehta, D.
Sapkota, Y.
Yoshihara, K.
Nyegaard, M.
Steinthorsdottir, V.
Morris, A.P.
Fassbender, A.
Rahmioglu, N.
Vivo, I.D.
Buring, J.E.
Zhang, F.
Edwards, T.L.
Jones, S.
Dorien,
Peterse, D.
Rexrode, K.M.
Ridker, P.M.
Schork, A.J.
MacGregor, S.
Martin, N.G.
Becker, C.M.
Adachi, S.
Enomoto, T.
Takahashi, A.
Kamatani, Y.
Matsuda, K.
Kubo, M.
Thorleifsson, G.
Geirsson, R.T.
Thorsteinsdottir, U.
Wallace, L.M.
Yang, J.
Velez Edwards, D.R.
Low, S.K.
Zondervan, K.T.
Missmer, S.A.
D’Hooghe, T.
Stefansson, K.
Tung, J.Y.
Montgomery, G.W.
Chasman, D.I.
Nyholt, D.R.
Agee, M.
Alipanahi, B.
Auton, A.
Bell, R.K.
Bryc, K.
Elson, S.L.
Fontanillas, P.
Furlotte, N.A.
Huber, K.E.
Kleinman, A.
Litterman, N.K.
McIntyre, M.H.
Mountain, J.L.
Noblin, E.S.
Northover, C.A.M.
Pitts, S.J.
Sathirapongsasuti, J.F.
Sazonova, O.V.
Auta, A.
Nyegaard, M.
Wilson, C.H.
Griffiths, L.R.
Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title_full Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title_fullStr Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title_full_unstemmed Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title_short Genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
title_sort genetic analysis of endometriosis and depression identifies shared loci and implicates causal links with gastric mucosa abnormality
topic Depression
Endometriosis
Female
Gastric Mucosa
Genetic Predisposition to Disease
Genome-Wide Association Study
Humans
Linkage Disequilibrium
Polymorphism, Single Nucleotide
International Endogene Consortium
23andMe Research Team
Gastric Mucosa
Humans
Endometriosis
Genetic Predisposition to Disease
Depression
Linkage Disequilibrium
Polymorphism, Single Nucleotide
Female
Genome-Wide Association Study
url http://hdl.handle.net/20.500.11937/97788