PMID- 38469065 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240313 IS - 1446-9235 (Print) IS - 1479-8425 (Electronic) IS - 1446-9235 (Linking) VI - 20 IP - 1 DP - 2022 Jan TI - Genome-wide association study of idiopathic hypersomnia in a Japanese population. PG - 137-148 LID - 10.1007/s41105-021-00349-2 [doi] AB - Idiopathic hypersomnia (IH) is a rare sleep disorder characterized by excessive daytime sleepiness, great difficulty upon awakening, and prolonged sleep time. In contrast to narcolepsy type 1, which is a well-recognized hypersomnia, the etiology of IH remains poorly understood. No susceptibility loci for IH have been identified, although familial aggregations have been observed among patients with IH. Narcolepsy type 1 is strongly associated with human leukocyte antigen (HLA)-DQB1*06:02; however, no significant associations between IH and HLA alleles have been reported. To identify genetic variants that affect susceptibility to IH, we performed a genome-wide association study (GWAS) and two replication studies involving a total of 414 Japanese patients with IH and 6587 healthy Japanese individuals. A meta-analysis of the three studies found no single-nucleotide polymorphisms (SNPs) that reached the genome-wide significance level. However, we identified several candidate SNPs for IH. For instance, a common genetic variant (rs2250870) within an intron of PDE9A was suggestively associated with IH. rs2250870 was significantly associated with expression levels of PDE9A in not only whole blood but also brain tissues. The leading SNP in the PDE9A region was the same in associations with both IH and PDE9A expression. PDE9A is a potential target in the treatment of several brain diseases, such as depression, schizophrenia, and Alzheimer's disease. It will be necessary to examine whether PDE9A inhibitors that have demonstrated effects on neurophysiologic and cognitive function can contribute to the development of new treatments for IH, as higher expression levels of PDE9A were observed with regard to the risk allele of rs2250870. The present study constitutes the first GWAS of genetic variants associated with IH. A larger replication study will be required to confirm these associations. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s41105-021-00349-2. CI - (c) The Author(s), under exclusive licence to Japanese Society of Sleep Research 2021. FAU - Tanida, Kotomi AU - Tanida K AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X FAU - Shimada, Mihoko AU - Shimada M AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X AD - Sleep Disorders Project, Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, 156-8506 Japan. GRID: grid.272456.0. ISNI: 0000 0000 9343 3630 AD - Genome Medical Science Project (Toyama), National Center for Global Health and Medicine, Tokyo, Japan. GRID: grid.45203.30. ISNI: 0000 0004 0489 0290 FAU - Khor, Seik-Soon AU - Khor SS AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X AD - Genome Medical Science Project (Toyama), National Center for Global Health and Medicine, Tokyo, Japan. GRID: grid.45203.30. ISNI: 0000 0004 0489 0290 FAU - Toyoda, Hiromi AU - Toyoda H AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X FAU - Kato, Kayoko AU - Kato K AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X FAU - Kotorii, Nozomu AU - Kotorii N AD - Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan. GRID: grid.410781.b. ISNI: 0000 0001 0706 0776 AD - Kotorii Isahaya Hospital, Nagasaki, Japan. FAU - Kotorii, Tatayu AU - Kotorii T AD - Kotorii Isahaya Hospital, Nagasaki, Japan. FAU - Ariyoshi, Yu AU - Ariyoshi Y AD - Ariyoshi Sleep Clinic, Fukuoka, Japan. FAU - Kato, Takao AU - Kato T AD - Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan. GRID: grid.410781.b. ISNI: 0000 0001 0706 0776 FAU - Hiejima, Hiroshi AU - Hiejima H AD - Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan. GRID: grid.410781.b. ISNI: 0000 0001 0706 0776 FAU - Ozone, Motohiro AU - Ozone M AD - Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan. GRID: grid.410781.b. ISNI: 0000 0001 0706 0776 FAU - Uchimura, Naohisa AU - Uchimura N AD - Department of Neuropsychiatry, Kurume University School of Medicine, Fukuoka, Japan. GRID: grid.410781.b. ISNI: 0000 0001 0706 0776 FAU - Ikegami, Azusa AU - Ikegami A AD - Sleep Center, Kuwamizu Hospital, Kumamoto, Japan. FAU - Kume, Kazuhiko AU - Kume K AD - Sleep Center, Kuwamizu Hospital, Kumamoto, Japan. AD - Department of Stem Cell Biology, Institute of Molecular Genetics and Embryology, Kumamoto University, Kumamoto, Japan. GRID: grid.274841.c. ISNI: 0000 0001 0660 6749 AD - Department of Neuropharmacology, Graduate School of Pharmaceutical Sciences, Nagoya City University, Aichi, Japan. GRID: grid.260433.0. ISNI: 0000 0001 0728 1069 FAU - Kanbayashi, Takashi AU - Kanbayashi T AD - International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Ibaraki, Japan. GRID: grid.20515.33. ISNI: 0000 0001 2369 4728 AD - Ibaraki Prefectural Medical Center of Psychiatry, Ibaraki, Japan. FAU - Imanishi, Aya AU - Imanishi A AD - Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan. GRID: grid.251924.9. ISNI: 0000 0001 0725 8504 FAU - Kamei, Yuichi AU - Kamei Y AD - Department of Laboratory Medicine, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan. GRID: grid.419280.6. ISNI: 0000 0004 1763 8916 AD - Kamisuwa Hospital, Nagano, Japan. FAU - Hida, Akiko AU - Hida A AD - Department of Sleep-Wake Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan. GRID: grid.416859.7. ISNI: 0000 0000 9832 2227 FAU - Wada, Yamato AU - Wada Y AD - Department of Psychiatry, Hannan Hospital, Osaka, Japan. FAU - Kuroda, Kenji AU - Kuroda K AD - Department of Psychiatry, Hannan Hospital, Osaka, Japan. FAU - Miyamoto, Masayuki AU - Miyamoto M AD - Department of Neurology, Dokkyo Medical University, Tochigi, Japan. GRID: grid.255137.7. ISNI: 0000 0001 0702 8004 FAU - Hirata, Koichi AU - Hirata K AD - Department of Neurology, Dokkyo Medical University, Tochigi, Japan. GRID: grid.255137.7. ISNI: 0000 0001 0702 8004 FAU - Takami, Masanori AU - Takami M AD - Department of Psychiatry, Shiga University of Medical Science, Shiga, Japan. GRID: grid.410827.8. ISNI: 0000 0000 9747 6806 FAU - Yamada, Naoto AU - Yamada N AD - Department of Psychiatry, Shiga University of Medical Science, Shiga, Japan. GRID: grid.410827.8. ISNI: 0000 0000 9747 6806 FAU - Okawa, Masako AU - Okawa M AD - Department of Sleep Medicine, Shiga University of Medical Science, Shiga, Japan. GRID: grid.410827.8. ISNI: 0000 0000 9747 6806 AD - Japan Foundation for Neuroscience and Mental Health, Tokyo, Japan. AD - Department of Somnology, Tokyo Medical University, Tokyo, Japan. GRID: grid.410793.8. ISNI: 0000 0001 0663 3325 FAU - Omata, Naoto AU - Omata N AD - Department of Nursing, Faculty of Health Science, Fukui Health Science University, Fukui, Japan. AD - Department of Neuropsychiatry, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. GRID: grid.163577.1. ISNI: 0000 0001 0692 8246 FAU - Kondo, Hideaki AU - Kondo H AD - International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Ibaraki, Japan. GRID: grid.20515.33. ISNI: 0000 0001 2369 4728 FAU - Kodama, Tohru AU - Kodama T AD - Sleep Disorders Project, Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, 156-8506 Japan. GRID: grid.272456.0. ISNI: 0000 0000 9343 3630 FAU - Inoue, Yuichi AU - Inoue Y AD - Department of Somnology, Tokyo Medical University, Tokyo, Japan. GRID: grid.410793.8. ISNI: 0000 0001 0663 3325 AD - Yoyogi Sleep Disorder Center, Neuropsychiatric Research Institute, Tokyo, Japan. GRID: grid.419280.6. ISNI: 0000 0004 1763 8916 FAU - Mishima, Kazuo AU - Mishima K AD - International Institute for Integrative Sleep Medicine (WPI-IIIS), University of Tsukuba, Ibaraki, Japan. GRID: grid.20515.33. ISNI: 0000 0001 2369 4728 AD - Department of Neuropsychiatry, Akita University Graduate School of Medicine, Akita, Japan. GRID: grid.251924.9. ISNI: 0000 0001 0725 8504 AD - Department of Sleep-Wake Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan. GRID: grid.416859.7. ISNI: 0000 0000 9832 2227 FAU - Honda, Makoto AU - Honda M AD - Sleep Disorders Project, Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, 156-8506 Japan. GRID: grid.272456.0. ISNI: 0000 0000 9343 3630 AD - Seiwa Hospital, Neuropsychiatric Research Institute, Tokyo, Japan. GRID: grid.419280.6. ISNI: 0000 0004 1763 8916 FAU - Tokunaga, Katsushi AU - Tokunaga K AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X AD - Genome Medical Science Project (Toyama), National Center for Global Health and Medicine, Tokyo, Japan. GRID: grid.45203.30. ISNI: 0000 0004 0489 0290 FAU - Miyagawa, Taku AU - Miyagawa T AUID- ORCID: 0000-0002-9466-9420 AD - Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. GRID: grid.26999.3d. ISNI: 0000 0001 2151 536X AD - Sleep Disorders Project, Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo, 156-8506 Japan. GRID: grid.272456.0. ISNI: 0000 0000 9343 3630 LA - eng PT - Journal Article DEP - 20211012 PL - Japan TA - Sleep Biol Rhythms JT - Sleep and biological rhythms JID - 101199488 PMC - PMC10899960 OTO - NOTNLM OT - Genome-wide association study (GWAS) OT - Idiopathic hypersomnia OT - Phosphodiesterase OT - Single-nucleotide polymorphisms (SNPs) OT - Sleep COIS- Conflict of interestDr. Inoue Yuichi has received grants and payment for lectures, including service on speakers' bureaus, and has provided expert testimony for MSD K.K., Takeda Pharmaceutical Co. Ltd., and Eisai Co. Ltd. Dr. Makoto Honda has received consulting fees from Takeda Pharmaceutical Co. Ltd. The other authors have no competing interests to declare. EDAT- 2021/10/12 00:00 MHDA- 2021/10/12 00:01 PMCR- 2022/10/12 CRDT- 2024/03/12 03:49 PHST- 2021/06/04 00:00 [received] PHST- 2021/09/20 00:00 [accepted] PHST- 2021/10/12 00:01 [medline] PHST- 2021/10/12 00:00 [pubmed] PHST- 2024/03/12 03:49 [entrez] PHST- 2022/10/12 00:00 [pmc-release] AID - 349 [pii] AID - 10.1007/s41105-021-00349-2 [doi] PST - epublish SO - Sleep Biol Rhythms. 2021 Oct 12;20(1):137-148. doi: 10.1007/s41105-021-00349-2. eCollection 2022 Jan.