TY - JOUR TI - Mapping genomic loci implicates genes and synaptic biology in schizophrenia AU - Vassily Trubetskoy AU - Antonio F. Pardiñas AU - Ting Qi AU - Georgia Panagiotaropoulou AU - Swapnil Awasthi AU - Tim B. Bigdeli AU - Julien Bryois AU - Chia‐Yen Chen AU - Charlotte Dennison AU - Lynsey S. Hall AU - Max Lam AU - Kyoko Watanabe AU - Oleksandr Frei AU - Tian Ge AU - Janet Harwood AU - Frank Koopmans AU - Sigurður H. Magnússon AU - Alexander Richards AU - Julia Sidorenko AU - Yang Wu AU - Jian Zeng AU - Jakob Grove AU - Minsoo Kim AU - Zhiqiang Li AU - Georgios Voloudakis AU - Wen Zhang AU - Mark J. Adams AU - Ingrid Agartz AU - Elizabeth G. Atkinson AU - Esben Agerbo AU - Mariam Al Eissa AU - Margot Albus AU - Madeline Alexander AU - Behrooz Z. Alizadeh AU - Köksal Alptekın AU - Thomas D. Als AU - Farooq Amin AU - Volker Arolt AU - Manuel Arrojo AU - Lavinia Athanasiu AU - M.H. Azevedo AU - Silviu‐Alin Bacanu AU - Nicholas Bass AU - Martin Begemann AU - Richard A. Belliveau AU - Judit Bene AU - Beben Benyamin AU - Sarah E. Bergen AU - Giuseppe Blasi AU - Julio Bobes AU - Stefano Bonassi AU - Alice Braun AU - Rodrigo A. Bressan AU - Evelyn J. Bromet AU - Richard Bruggeman AU - P.F. Buckley AU - Randy L. Buckner AU - Jonas Bybjerg‐Grauholm AU - Wiepke Cahn AU - Murray J. Cairns AU - Monica E. Calkins AU - Vaughan J. Carr AU - David Castle AU - Stanley V. Catts AU - Kimberley D. Chambert AU - Raymond Chan AU - Boris Chaumette AU - Wei Cheng AU - Eric F.C. Cheung AU - Siow Ann Chong AU - David Cohen AU - Angèle Consoli AU - Quirino Cordeiro AU - Javier Costas AU - Charles Curtis AU - Michael Davidson AU - Kenneth L. Davis AU - Lieuwe de Haan AU - Franziska Degenhardt AU - Lynn E. DeLisi AU - Ditte Demontis AU - Faith Dickerson AU - Dimitris Dikeos AU - Timothy G. Dinan AU - Srdjan Djurovic AU - Jubao Duan AU - Giuseppe Ducci AU - Frank Dudbridge AU - Johan G. Eriksson AU - Lourdes Fañanás AU - Stephen V. Faraone AU - Alessia Fiorentino AU - Andreas J. Forstner AU - Josef Frank AU - Nelson B. Freimer AU - Menachem Fromer AU - Alessandra Frustaci AU - Ary Gadelha AU - Giulio Genovese AU - Elliot S. Gershon PY - 2022 JO - Nature DO - 10.1038/s41586-022-04434-5 UR - https://doi.org/10.1038/s41586-022-04434-5 AB - Schizophrenia has a heritability of 60–80%1, much of which is attributable to common risk alleles. Here, in a two-stage genome-wide association study of up to 76,755 individuals with schizophrenia and 243,649 control individuals, we report common variant associations at 287 distinct genomic loci. Associations were concentrated in genes that are expressed in excitatory and inhibitory neurons of the central nervous system, but not in other tissues or cell types. Using fine-mapping and functional genomic data, we identify 120 genes (106 protein-coding) that are likely to underpin associations at some of these loci, including 16 genes with credible causal non-synonymous or untranslated region variation. We also implicate fundamental processes related to neuronal function, including synaptic organization, differentiation and transmission. Fine-mapped candidates were enriched for genes associated with rare disruptive coding variants in people with schizophrenia, including the glutamate receptor subunit GRIN2A and transcription factor SP4, and were also enriched for genes implicated by such variants in neurodevelopmental disorders. We identify biological processes relevant to schizophrenia pathophysiology; show convergence of common and rare variant associations in schizophrenia and neurodevelopmental disorders; and provide a resource of prioritized genes and variants to advance mechanistic studies. A genome-wide association study including over 76,000 individuals with schizophrenia and over 243,000 control individuals identifies common variant associations at 287 genomic loci, and further fine-mapping analyses highlight the importance of genes involved in synaptic processes. ER -