PMID- 34021155 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210604 IS - 2334-265X (Print) IS - 2334-265X (Electronic) IS - 2334-265X (Linking) VI - 7 IP - 1 DP - 2021 May 21 TI - Downregulation by CNNM2 of ATP5MD expression in the 10q24.32 schizophrenia-associated locus involved in impaired ATP production and neurodevelopment. PG - 27 LID - 10.1038/s41537-021-00159-y [doi] LID - 27 AB - Genome-wide association studies (GWAS) have accelerated the discovery of numerous genetic variants associated with schizophrenia. However, most risk variants show a small effect size (odds ratio (OR) <1.2), suggesting that more functional risk variants remain to be identified. Here, we employed region-based multi-marker analysis of genomic annotation (MAGMA) to identify additional risk loci containing variants with large OR value from Psychiatry Genomics Consortium (PGC2) schizophrenia GWAS data and then employed summary-data-based mendelian randomization (SMR) to prioritize schizophrenia susceptibility genes. The top-ranked susceptibility gene ATP5MD, encoding an ATP synthase membrane subunit, is observed to be downregulated in schizophrenia by the risk allele of CNNM2-rs1926032 in the schizophrenia-associated 10q24.32 locus. The Atp5md knockout (KO) in mice was associated with abnormal startle reflex and gait, and ATP5MD knockdown (KD) in human induced pluripotent stem cell-derived neurons disrupted the neural development and mitochondrial respiration and ATP production. Moreover, CNNM2-rs1926032 KO could induce downregulation of ATP5MD expression and disruptions of mitochondrial respiration and ATP production. This study constitutes an important mechanistic component that links schizophrenia-associated CNNM2 regions to disruption in energy adenosine system modulation and neuronal function by long-distance chromatin domain downregulation of ATP5MD. This pathogenic mechanism provides therapeutic implications for schizophrenia. FAU - Wang, Zhongju AU - Wang Z AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. AD - Key Laboratory of Mental Health of the Ministry of Education, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, and Guangdong Province Key Laboratory of Psychiatric Disorders, Southern Medical University, Guangzhou, Guangdong, China. FAU - Zhu, Yongchang AU - Zhu Y AD - Institute of Cancer Research, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China. FAU - Ye, Linyan AU - Ye L AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. FAU - Li, Qiyang AU - Li Q AUID- ORCID: 0000-0003-2214-9968 AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. FAU - Guo, Bo AU - Guo B AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. FAU - Zhao, Hao AU - Zhao H AD - Institute of Cancer Research, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China. FAU - Bao, Xiuqin AU - Bao X AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. FAU - Zhuo, Qiqi AU - Zhuo Q AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. FAU - Yang, Tengfei AU - Yang T AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. AD - Key Laboratory of Mental Health of the Ministry of Education, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, and Guangdong Province Key Laboratory of Psychiatric Disorders, Southern Medical University, Guangzhou, Guangdong, China. FAU - Li, Zhaoqiang AU - Li Z AD - Institute of Cancer Research, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China. FAU - Li, Shufen AU - Li S AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. AD - Key Laboratory of Mental Health of the Ministry of Education, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, and Guangdong Province Key Laboratory of Psychiatric Disorders, Southern Medical University, Guangzhou, Guangdong, China. FAU - Hao, Bingtao AU - Hao B AD - Institute of Cancer Research, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China. haobt123@smu.edu.cn. FAU - Zhao, Cunyou AU - Zhao C AUID- ORCID: 0000-0001-6116-4584 AD - Department of Medical Genetics, School of Basic Medical Sciences, Guangdong Technology and Engineering Research Center for Molecular Diagnostics of Human Genetic Diseases, and Guangdong Engineering and Technology Research Center for Genetic Testing, Southern Medical University, Guangzhou, China. cyzhao@smu.edu.cn. LA - eng GR - 2019B030316032/Guangdong Science and Technology Department (Science and Technology Department, Guangdong Province)/ GR - 81671333, 81871049/National Natural Science Foundation of China (National Science Foundation of China)/ GR - 2020M682806/China Postdoctoral Science Foundation/ PT - Journal Article DEP - 20210521 PL - United States TA - NPJ Schizophr JT - NPJ schizophrenia JID - 101657919 PMC - PMC8139961 COIS- The authors declare no competing interests. EDAT- 2021/05/23 06:00 MHDA- 2021/05/23 06:01 PMCR- 2021/05/21 CRDT- 2021/05/22 05:44 PHST- 2020/11/03 00:00 [received] PHST- 2021/04/21 00:00 [accepted] PHST- 2021/05/22 05:44 [entrez] PHST- 2021/05/23 06:00 [pubmed] PHST- 2021/05/23 06:01 [medline] PHST- 2021/05/21 00:00 [pmc-release] AID - 10.1038/s41537-021-00159-y [pii] AID - 159 [pii] AID - 10.1038/s41537-021-00159-y [doi] PST - epublish SO - NPJ Schizophr. 2021 May 21;7(1):27. doi: 10.1038/s41537-021-00159-y.