eprintid: 10206251 rev_number: 9 eprint_status: archive userid: 699 dir: disk0/10/20/62/51 datestamp: 2025-03-19 12:09:36 lastmod: 2025-03-19 12:09:36 status_changed: 2025-03-19 12:09:36 type: article metadata_visibility: show sword_depositor: 699 creators_name: Mcintosh, Andrew M creators_name: Lewis, Cathryn M title: Trans-ancestry genome-wide study of depression identifies 697 associations implicating cell types and pharmacotherapies ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D79 divisions: FH4 keywords: Science & Technology, Life Sciences & Biomedicine, Biochemistry & Molecular Biology, Cell Biology, GENERALIZED ANXIETY DISORDER, HIPPOCAMPAL NEUROGENESIS, PREGABALIN AUGMENTATION, MAJOR DEPRESSION, GENE-EXPRESSION, ANTIDEPRESSANTS, METAANALYSIS, LOCI, HERITABILITY, REWARD note: © 2024 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). abstract: In a genome-wide association study (GWAS) meta-analysis of 688,808 individuals with major depression (MD) and 4,364,225 controls from 29 countries across diverse and admixed ancestries, we identify 697 associations at 635 loci, 293 of which are novel. Using fine-mapping and functional tools, we find 308 high-confidence gene associations and enrichment of postsynaptic density and receptor clustering. A neural cell-type enrichment analysis utilizing single-cell data implicates excitatory, inhibitory, and medium spiny neurons and the involvement of amygdala neurons in both mouse and human single-cell analyses. The associations are enriched for antidepressant targets and provide potential repurposing opportunities. Polygenic scores trained using European or multi-ancestry data predicted MD status across all ancestries, explaining up to 5.8% of MD liability variance in Europeans. These findings advance our global understanding of MD and reveal biological targets that may be used to target and develop pharmacotherapies addressing the unmet need for effective treatment. date: 2025-02-06 date_type: published publisher: CELL PRESS official_url: https://doi.org/10.1016/j.cell.2024.12.002 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2363086 doi: 10.1016/j.cell.2024.12.002 medium: Print-Electronic pii: S0092-8674(24)01415-6 lyricists_name: Bass, Nicholas James lyricists_name: McQuillin, Andrew lyricists_name: Kuchenbaecker, Karoline lyricists_name: Lewis, Glyn lyricists_id: NJBAS95 lyricists_id: AMCQU28 lyricists_id: KBEKK98 lyricists_id: GHLEW69 actors_name: Kuchenbaecker, Karoline actors_id: KBEKK98 actors_role: owner funding_acknowledgements: 1IK2BX005058 [Million Veteran Program, Office of Research and Development, Veterans Health Administration]; I01CX001849 [Million Veteran Program, Office of Research and Development, Veterans Health Administration]; MH124873 [US National Institutes of Health]; MH124871 [US National Institutes of Health]; R102-A9118 [Lund-beck Foundation]; R155-2014-1724 [Lund-beck Foundation]; [Stanley Medical Research Institute]; [Novo Nordisk Foundation]; CIDR:NGRC [NINDS]; CA093459 [NINDS]; CA097007 [NINDS]; ES011740 [NINDS]; CA133996 [NINDS]; [NIHR Maudsley Biomedical Research Centre and Maudsley NHS Foundation Trust and King's College London]; 220857/Z/20/Z [Wellcome Trust]; 847776 [European Union]; 948561 [European Union] full_text_status: public publication: Cell volume: 188 number: 3 pagerange: 640-652.e9 pages: 23 event_location: United States issn: 0092-8674 citation: Mcintosh, Andrew M; Lewis, Cathryn M; (2025) Trans-ancestry genome-wide study of depression identifies 697 associations implicating cell types and pharmacotherapies. Cell , 188 (3) 640-652.e9. 10.1016/j.cell.2024.12.002 <https://doi.org/10.1016/j.cell.2024.12.002>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10206251/7/Kuchenbaecker_1-s2.0-S0092867424014156-main.pdf