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Trans-ancestry genome-wide study of depression identifies 697 associations implicating cell types and pharmacotherapies

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. Green open access

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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.

Type: Article
Title: Trans-ancestry genome-wide study of depression identifies 697 associations implicating cell types and pharmacotherapies
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.cell.2024.12.002
Publisher version: https://doi.org/10.1016/j.cell.2024.12.002
Language: English
Additional information: © 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/).
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
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Mental Health Neuroscience
URI: https://discovery.ucl.ac.uk/id/eprint/10206251
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