Association between glutamic acid decarboxylase genes and anxiety disorders, major depression, and neuroticism

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ABSTRACT Abnormalities in the gamma-aminobutyric acid (GABA) neurotransmitter system have been noted in subjects with mood and anxiety disorders. Glutamic acid decarboxylase (GAD) enzymes


synthesize GABA from glutamate, and, thus, are reasonable candidate susceptibility genes for these conditions. In this study, we examined the _GAD1_ and _GAD2_ genes for their association


with genetic risk across a range of internalizing disorders. We used multivariate structural equation modeling to identify common genetic risk factors for major depression, generalized


anxiety disorder, panic disorder, agoraphobia, social phobia and neuroticism (N) in a sample of 9270 adult subjects from the population-based Virginia Adult Twin Study of Psychiatric and


Substance Use Disorders. One member from each twin pair for whom DNA was available was selected as a case or control based on scoring at the extremes of the genetic factor extracted from the


analysis. The resulting sample of 589 cases and 539 controls was entered into a two-stage association study in which candidate loci were screened in stage 1, the positive results of which


were tested for replication in stage 2. Several of the six single-nucleotide polymorphisms tested in the _GAD1_ region demonstrated significant association in both stages, and a combined


analysis in all 1128 subjects indicated that they formed a common high-risk haplotype that was significantly over-represented in cases (_P_=0.003) with effect size OR=1.23. Out of 14 _GAD2_


markers screened in stage 1, only one met the threshold criteria for follow-up in stage 2. This marker, plus three others that formed significant haplotype combinations in stage 1, did not


replicate their association with the phenotype in stage 2. Subject to confirmation in an independent sample, our study suggests that variations in the _GAD1_ gene may contribute to


individual differences in N and impact susceptibility across a range of anxiety disorders and major depression. Access through your institution Buy or subscribe This is a preview of


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MAJOR PSYCHIATRIC AND SUBSTANCE USE DISORDERS AS AN INDEX OF GENETIC RISK AND GENETIC HETEROGENEITY Article Open access 02 September 2024 PHENOTYPIC AND GENETIC MARKERS OF PSYCHOPATHOLOGY IN


A POPULATION-BASED SAMPLE OF OLDER ADULTS Article Open access 24 April 2021 FAMILIAL CO-AGGREGATION AND SHARED HERITABILITY BETWEEN DEPRESSION, ANXIETY, OBESITY AND SUBSTANCE USE Article


Open access 16 March 2022 REFERENCES * Sullivan PF, Neale MC, Kendler KS . Genetic epidemiology of major depression: review and meta-analysis. _Am J Psychiatry_ 2000; 157: 1552–1562. Article


  CAS  PubMed  Google Scholar  * Hettema JM, Neale MC, Kendler KS . A review and meta-analysis of the genetic epidemiology of anxiety disorders. _Am J Psychiatry_ 2001; 158: 1568–1578.


Article  CAS  PubMed  Google Scholar  * Maser JD, Cloninger CR (eds) _Comorbidity of Mood and Anxiety Disorders_. American Psychiatric Press: Washington, DC, 1990. Google Scholar  *


Middeldorp CM, Cath DC, Van Dyck R, Boomsma DI . The co-morbidity of anxiety and depression in the perspective of genetic epidemiology. A review of twin and family studies. _Psychol Med_


2005; 35: 611–624. Article  CAS  PubMed  Google Scholar  * Jardine R, Martin NG, Henderson AS . Genetic covariation between neuroticism and the symptoms of anxiety and depression. _Genet


Epidemiol_ 1984; 1: 89–107. Article  CAS  PubMed  Google Scholar  * Fanous A, Gardner CO, Prescott CA, Cancro R, Kendler KS . Neuroticism, major depression and gender: a population-based


twin study. _Psychol Med_ 2002; 32: 719–728. Article  CAS  PubMed  Google Scholar  * Hettema JM, Prescott CA, Kendler KS . Genetic and environmental sources of covariation between


generalized anxiety disorder and neuroticism. _Am J Psychiatry_ 2004; 161: 1581–1587. Article  PubMed  Google Scholar  * Smoller JM, Tsuang MT . Panic and phobic anxiety: defining phenotypes


for genetic studies. _Am J Psychiatry_ 1998; 155: 1152–1162. Article  CAS  PubMed  Google Scholar  * Nash MW, Huezo-Diaz P, Williamson RJ, Sterne A, Purcell S, Hoda F _et al_. Genome-wide


linkage analysis of a composite index of neuroticism and mood-related scales in extreme selected sibships. _Hum Mol Genet_ 2004; 13: 2173–2182. Article  CAS  PubMed  Google Scholar  * Kirk


KM, Birley AJ, Statham DJ, Haddon B, Lake RI, Andrews JG _et al_. Anxiety and depression in twin and sib pairs extremely discordant and concordant for neuroticism: prodromus to a linkage


study. _Twins Res_ 2000; 3: 299–309. Article  CAS  Google Scholar  * Hettema JM, Prescott CA, Myers JM, Neale MC, Kendler KS . The structure of genetic and environmental risk factors for


anxiety disorders in men and women. _Arch Gen Psychiatry_ 2005; 62: 182–189. Article  PubMed  Google Scholar  * Kendler KS, Walters EE, Neale MC, Kessler RC, Heath AC, Eaves LJ . The


structure of the genetic and environmental risk factors for six major psychiatric disorders in women: phobia, generalized anxiety disorder, panic disorder, bulimia, major depression and


alcoholism. _Arch Gen Psychiatry_ 1995; 52: 374–383. Article  CAS  PubMed  Google Scholar  * Kendler KS, Prescott CA, Myers J, Neale MC . The structure of genetic and environmental risk


factors for common psychiatric and substance use disorders in men and women. _Arch Gen Psychiatry_ 2003; 60: 929–937. Article  PubMed  Google Scholar  * Van Gestel S, Houwing-Duistermaat JJ,


Adolfsson R, van Duijn CM, Van Broeckhoven C . Power of selective genotyping in genetic association analyses of quantitative traits. _Behav Genet_ 2000; 30: 141–146. Article  CAS  PubMed 


Google Scholar  * van den Oord EJCG . A comparison between different designs and tests to detect QTLs in association studies. _Behav Genet_ 1999; 29: 245–256. Article  Google Scholar  *


Schork NJ, Nath SK, Fallin D, Chakravarti A . Linkage disequilibrium analysis of biallelic DNA markers, human quantitative trait loci, and threshold-defined case and control subjects. _Am J


Hum Genet_ 2000; 67: 1208–1218. Article  CAS  PubMed  PubMed Central  Google Scholar  * Petty F, Kramer GL, Dunnam D, Rush AJ . Plasma GABA in mood disorders. _Psychopharmacol Bull_ 1990;


26: 157–161. CAS  PubMed  Google Scholar  * Kasa K, Otsuki S, Yamamoto M, Sato M, Kuroda H, Ogawa N . Cerebrospinal fluid gamma-aminobutyric acid and homovanillic acid in depressive


disorders. _Biol Psychiatry_ 1982; 17: 877–883. CAS  PubMed  Google Scholar  * Goddard AW, Mason GF, Almai A, Rothman DL, Behar KL, Petroff OA _et al_. Reductions in occipital cortex GABA


levels in panic disorder detected with 1h-magnetic resonance spectroscopy. _Arch Gen Psychiatry_ 2001; 58: 556–561. Article  CAS  PubMed  Google Scholar  * Sanacora G, Gueorguieva R,


Epperson CN, Wu YT, Appel M, Rothman DL _et al_. Subtype-specific alterations of gamma-aminobutyric acid and glutamate in patients with major depression. _Arch Gen Psychiatry_ 2004; 61:


705–713. Article  CAS  PubMed  Google Scholar  * Kaufman DL, Houser CR, Tobin AJ . Two forms of the gamma-aminobutyric acid synthetic enzyme glutamate decarboxylase have distinct


intraneuronal distributions and cofactor interactions. _J Neurochem_ 1991; 56: 720–723. Article  CAS  PubMed  PubMed Central  Google Scholar  * Martin DL, Rimvall K . Regulation of


gamma-aminobutyric acid synthesis in the brain. _J Neurochem_ 1993; 60: 395–407. Article  CAS  PubMed  Google Scholar  * Bowers G, Cullinan WE, Herman JP . Region-specific regulation of


glutamic acid decarboxylase (GAD) mRNA expression in central stress circuits. _J Neurosci_ 1998; 18: 5938–5947. Article  CAS  PubMed  PubMed Central  Google Scholar  * Esclapez M,


Tillakaratne NJ, Kaufman DL, Tobin AJ, Houser CR . Comparative localization of two forms of glutamic acid decarboxylase and their mRNAs in rat brain supports the concept of functional


differences between the forms. _J Neurosci_ 1994; 14(Part 2): 1834–1855. Article  CAS  PubMed  PubMed Central  Google Scholar  * Feldblum S, Erlander MG, Tobin AJ . Different distributions


of GAD65 and GAD67 mRNAs suggest that the two glutamate decarboxylases play distinctive functional roles. _J Neurosci Res_ 1993; 34: 689–706. Article  CAS  PubMed  Google Scholar  * Pitkanen


A, Amaral DG . The distribution of GABAergic cells, fibers, and terminals in the monkey amygdaloid complex: an immunohistochemical and _in situ_ hybridization study. _J Neurosci_ 1994; 14:


2200–2224. Article  CAS  PubMed  PubMed Central  Google Scholar  * Stork O, Yamanaka H, Stork S, Kume N, Obata K . Altered conditioned fear behavior in glutamate decarboxylase 65 null mutant


mice. _Genes Brain Behav_ 2003; 2: 65–70. Article  CAS  PubMed  Google Scholar  * Kash SF, Tecott LH, Hodge C, Baekkeskov S . Increased anxiety and altered responses to anxiolytics in mice


deficient in the 65-kDa isoform of glutamic acid decarboxylase. _Proc Natl Acad Sci USA_ 1999; 96: 1698–1703. Article  CAS  PubMed  PubMed Central  Google Scholar  * Asada H, Kawamura Y,


Maruyama K, Kume H, Ding R, Ji FY _et al_. Mice lacking the 65 kDa isoform of glutamic acid decarboxylase (GAD65) maintain normal levels of GAD67 and GABA in their brains but are susceptible


to seizures. _Biochem Biophys Res Commun_ 1996; 229: 891–895. Article  CAS  PubMed  Google Scholar  * Asada H, Kawamura Y, Maruyama K, Kume H, Ding RG, Kanbara N _et al_. Cleft palate and


decreased brain gamma-aminobutyric acid in mice lacking the 67-kDa isoform of glutamic acid decarboxylase. _Proc Natl Acad Sci USA_ 1997; 94: 6496–6499. Article  CAS  PubMed  PubMed Central


  Google Scholar  * Kaiya H, Namba M, Yoshida H, Nakamura S . Plasma glutamate decarboxylase activity in neuropsychiatry. _Psychiatry Res_ 1982; 6: 335–343. Article  CAS  PubMed  Google


Scholar  * Smoller JW, Rosenbaum JF, Biederman J, Susswein LS, Kennedy J, Kagan J _et al_. Genetic association analysis of behavioral inhibition using candidate loci from mouse models. _Am J


Med Genet_ 2001; 105: 226–235. Article  CAS  PubMed  Google Scholar  * Lappalainen J, Sanacora G, Kranzler HR, Malison R, Hibbard ES, Price LH _et al_. Mutation screen of the glutamate


decarboxylase-67 gene and haplotype association to unipolar depression. _Am J Med Genet B Neuropsychiatr Genet_ 2004; 124: 81–86. Article  Google Scholar  * Lundorf MD, Buttenschon HN,


Foldager L, Blackwood DH, Muir WJ, Murray V _et al_. Mutational screening and association study of glutamate decarboxylase 1 as a candidate susceptibility gene for bipolar affective disorder


and schizophrenia. _Am J Med Genet B Neuropsychiatr Genet_ 2005; 135: 94–101. Article  Google Scholar  * Kendler KS, Prescott CA . A population-based twin study of lifetime major depression


in men and women. _Arch Gen Psychiatry_ 1999; 56: 39–44. Article  CAS  PubMed  Google Scholar  * Spitzer RL, Williams JBW . _Structured Clinical Interview for DSM-III-R (SCID)_. Biometrics


Research Department, New York State Psychiatric Institute: New York, 1985. Google Scholar  * American Psychiatric Association. _Diagnostic and Statistical Manual of Mental Disorders_,


revised 3rd edn. American Psychiatric Association: Washington, DC, 1987. * Hettema JM, Prescott CA, Kendler KS . A population-based twin study of generalized anxiety disorder in men and


women. _J Nerv Ment Dis_ 2001; 189: 413–420. Article  CAS  PubMed  Google Scholar  * Kendler KS, Gardner CO, Prescott CA . Panic syndromes in a population-based sample of male and female


twins. _Psychol Med_ 2001; 31: 989–1000. Article  CAS  PubMed  Google Scholar  * American Psychiatric Association. _Diagnostic and Statistical Manual of Mental Disorders_, 3rd edn. American


Psychiatric Association: Washington, DC, 1980. * Kendler KS, Myers J, Prescott CA, Neale MC . The genetic epidemiology of irrational fears and phobias in men. _Arch Gen Psychiatry_ 2001; 58:


257–265. Article  CAS  PubMed  Google Scholar  * Eysenck HJ&ESBG. _Manual of the Eysenck Personality Questionnaire_. Hodder and Stoughton: London, 1975. * Robles JR, van den Oord EJ .


lga972: a cross-platform application for optimizing LD studies using a genetic algorithm. _Bioinformatics_ 2004; 20: 3244–3245. Article  CAS  PubMed  Google Scholar  * van den Oord EJ,


Sullivan PF . A framework for controlling false discovery rates and minimizing the amount of genotyping in the search for disease mutations. _Hum Hered_ 2003; 56: 188–199. Article  CAS 


PubMed  Google Scholar  * Neale MC, Boker SM, Xie G, Maes HH . _Mx: Statistical Modeling_, 5th edn. Department of Psychiatry, Medical College of VA of VA Commonwealth University: Richmond,


VA, 1999. Google Scholar  * Kendler KS, Neale MC, Kessler RC, Heath AC, Eaves LJ . The genetic epidemiology of phobias in women. The interrelationship of agoraphobia, social phobia,


situational phobia, and simple phobia. _Arch Gen Psychiatry_ 1992; 49: 273–281. Article  CAS  PubMed  Google Scholar  * Neale MC, Cardon LR . _Methodology for Genetic Studies of Twins and


Families_. Kluwer Academic Publishers BV: Dordrecht, The Netherlands, 1992. Book  Google Scholar  * Hettema JM, Neale MC, Myers JM, Prescott CA, Kendler KS . A population-based twin study of


the relationship between neuroticism and internalizing disorders. _Am J Psychiatry_ 2006; 163: 857–864. Article  PubMed  Google Scholar  * Barrett JC, Fry B, Maller J, Daly MJ . The


International HapMap Project. _Nature_ 2003; 426: 789–796. Article  Google Scholar  * Lowe CE, Cooper JD, Chapman JM, Barratt BJ, Twells RC, Green EA _et al_. Cost-effective analysis of


candidate genes using htSNPs: a staged approach. _Genes Immun_ 2004; 5: 301–305. Article  CAS  PubMed  Google Scholar  * Bukszár J, Van den Oord EJCG . An asymptotic approximation for


Pearson's statistic in two-stage genetic designs where data are pooled. _Biometrics_ 2005 (in press). * Bukszár J, Van den Oord EJCG . Accurate and efficient power calculations for 2 ×


_m_ tables in unmatched case–control designs. _Statist Med_ 2005 (e-published 18 July 2005). * Niu T, Qin ZS, Xu X, Liu JS . Bayesian haplotype inference for multiple linked


single-nucleotide polymorphisms. _Am J Hum Genet_ 2002; 70: 157–169. Article  CAS  PubMed  Google Scholar  * Qin ZS, Niu T, Liu JS . Partition-ligation-expectation-maximization algorithm for


haplotype inference with single-nucleotide polymorphisms. _Am J Hum Genet_ 2002; 71: 1242–1247. Article  CAS  PubMed  PubMed Central  Google Scholar  * Stram DO . Tag SNP selection for


association studies. _Genet Epidemiol_ 2004; 27: 365–374. Article  PubMed  Google Scholar  * Barrett JC, Fry B, Maller J, Daly MJ . Haploview: analysis and visualization of LD and haplotype


maps. _Bioinformatics_ 2005; 21: 263–265. Article  CAS  PubMed  Google Scholar  * Gabriel SB, Schaffner SF, Nguyen H, Moore JM, Roy J, Blumenstiel B _et al_. The structure of haplotype


blocks in the human genome. _Science_ 2002; 296: 2225–2229. Article  CAS  PubMed  Google Scholar  * Dudbridge F . Pedigree disequilibrium tests for multilocus haplotypes. _Genet Epidemiol_


2003; 25: 115–121. Article  PubMed  Google Scholar  * Excoffier L, Slatkin M . Maximum-likelihood estimation of molecular haplotype frequencies in a diploid population. _Mol Biol Evol_ 1995;


12: 921–927. CAS  PubMed  Google Scholar  * Colhoun HM, McKeigue PM, Davey SG . Problems of reporting genetic associations with complex outcomes. _Lancet_ 2003; 361: 865–872. Article 


PubMed  Google Scholar  * Freimer N, Sabatti C . The use of pedigree, sib-pair and association studies of common diseases for genetic mapping and epidemiology. _Nat Genet_ 2004; 36:


1045–1051. Article  CAS  PubMed  Google Scholar  * Van den Oord EJCG . Controlling false discoveries in candidate gene studies. _Mol Psychiatry_ 2005; 10: 230–231. Article  CAS  PubMed 


Google Scholar  * Storey J, Tibshirani R . Statistical significance for genome-wide studies. _Proc Natl Acad Sci USA_ 2003; 100: 9440–9445. Article  CAS  PubMed  PubMed Central  Google


Scholar  * Wacholder S, Chanock S, Garcia-Closas M, El Ghormli L, Rothman N . Assessing the probability that a positive report is false: an approach for molecular epidemiology studies. _J


Natl Cancer Inst_ 2004; 96: 434–442. Article  PubMed  PubMed Central  Google Scholar  * Van den Oord EJCG, Sullivan PF . False discoveries and models for gene discovery. _Trends Genet_ 2003;


19: 537–542. Article  CAS  PubMed  Google Scholar  * Ioannidis JP, Ntzani EE, Trikalinos TA, Contopoulos-Ioannidis DG . Replication validity of genetic association studies. _Nat Genet_


2001; 29: 306–309. Article  CAS  PubMed  Google Scholar  * Straub RE, Sullivan PF, Ma Y, Myakishev MV, Harris-Kerr C, Wormley B _et al_. Susceptibility genes for nicotine dependence: a


genome scan and followup in an independent sample suggest that regions on chromosomes 2, 4, 10, 16, 17 and 18 merit further study. _Mol Psychiatry_ 1999; 4: 129–144. Article  CAS  PubMed 


Google Scholar  * Livak KJ . Allelic discrimination using fluorogenic probes and the 5′ nuclease assay. _Genet Anal_ 1999; 14: 143–149. Article  CAS  PubMed  Google Scholar  * SAS Institute.


_SAS/STAT Software: Version 8_. SAS Institute Inc.: Cary, NC, 1999. * Pritchard JK, Stephens M, Donnelly P . Inference of population structure using multilocus genotype data. _Genetics_


2000; 155: 945–959. CAS  PubMed  PubMed Central  Google Scholar  * Devlin B, Roeder K . Genomic control for association studies. _Biometrics_ 1999; 55: 997–1004. Article  CAS  PubMed  Google


Scholar  * Freedman ML, Reich D, Penney KL, McDonald GJ, Mignault AA, Patterson N _et al_. Assessing the impact of population stratification on genetic association studies. _Nat Genet_


2004; 36: 388–393. Article  CAS  PubMed  Google Scholar  * Sullivan PF, Neale MC, Silverman MA, Harris-Kerr C, Myakishev MV, Wormley B _et al_. An association study of DRD5 with smoking


initiation and progression to nicotine dependence. _Am J Med Genet_ 2001; 105: 259–265. Article  CAS  PubMed  Google Scholar  Download references ACKNOWLEDGEMENTS This work was supported by


NIH grants MH-40828, MH-65322, MH-20030, DA-11287, MH/AA/DA-49492 to KSK and K08 MH-66277-1, as well as a Junior Faculty Research Award from the Anxiety Disorders Association of America, an


NARSAD Young Investigator Award and a Pfizer/SWHR Scholars Award to JMH. We acknowledge the contribution of the Virginia Twin Registry, now part of the Mid-Atlantic Twin Registry (MATR), to


ascertainment of subjects for this study. The MATR, directed by Drs J Silberg and L Eaves, has received support from the National Institutes of Health, the Carman Trust and the WM Keck, John


Templeton and Robert Wood Johnson Foundations. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia


Commonwealth University, Richmond, VA, USA J M Hettema, S S An, M C Neale, J Bukszar, E J C G van den Oord, K S Kendler & X Chen Authors * J M Hettema View author publications You can


also search for this author inPubMed Google Scholar * S S An View author publications You can also search for this author inPubMed Google Scholar * M C Neale View author publications You can


also search for this author inPubMed Google Scholar * J Bukszar View author publications You can also search for this author inPubMed Google Scholar * E J C G van den Oord View author


publications You can also search for this author inPubMed Google Scholar * K S Kendler View author publications You can also search for this author inPubMed Google Scholar * X Chen View


author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to J M Hettema. ADDITIONAL INFORMATION Preliminary results from this study


were presented at the XIIIth World Congress on Psychiatric Genetics, October 14–18, 2005 in Boston, MA, USA. Supplementary Information accompanies the paper on the Molecular Psychiatry


website (http://www.nature.com/mp) SUPPLEMENTARY INFORMATION SUPPLEMENTARY TABLE 1 (DOC 40 KB) RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Hettema,


J., An, S., Neale, M. _et al._ Association between glutamic acid decarboxylase genes and anxiety disorders, major depression, and neuroticism. _Mol Psychiatry_ 11, 752–762 (2006).


https://doi.org/10.1038/sj.mp.4001845 Download citation * Received: 21 November 2005 * Revised: 18 April 2006 * Accepted: 28 April 2006 * Published: 23 May 2006 * Issue Date: 01 August 2006


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currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * glutamic acid decarboxylase * depression * anxiety *


neuroticism * association study * genetics