ARTICLE
Received 23 Aug 2016 | Accepted 18 Oct 2016 | Published 18 Jan 2017
DOI: 10.1038/ncomms13624
OPEN
Novel genetic loci associated with
hippocampal volume
Derrek P. Hibar, Hieab H.H. Adams, Neda Jahanshad, Ganesh Chauhan, Jason L. Stein, Edith Hofer,
Miguel E. Renteria, Joshua C. Bis et al.#
The hippocampal formation is a brain structure integrally involved in episodic memory, spatial
navigation, cognition and stress responsiveness. Structural abnormalities in hippocampal
volume and shape are found in several common neuropsychiatric disorders. To identify the
genetic underpinnings of hippocampal structure here we perform a genome-wide association
study (GWAS) of 33,536 individuals and discover six independent loci significantly associated
with hippocampal volume, four of them novel. Of the novel loci, three lie within genes
(ASTN2, DPP4 and MAST4) and one is found 200 kb upstream of SHH. A hippocampal
subfield analysis shows that a locus within the MSRB3 gene shows evidence of a localized
effect along the dentate gyrus, subiculum, CA1 and fissure. Further, we show that genetic
variants associated with decreased hippocampal volume are also associated with increased
risk for Alzheimer’s disease (rg ¼ 0.155). Our findings suggest novel biological pathways
through which human genetic variation influences hippocampal volume and risk for
neuropsychiatric illness.
Correspondence and requests for materials should be addressed to P.M.T. (email: pthomp@usc.edu) or to M.A.I. (email:m.a.ikram@erasmusmc.nl).
#A full list of authors and their affiliations appears at the end of the paper.
NATURE COMMUNICATIONS | 8:13624 | DOI: 10.1038/ncomms13624 | www.nature.com/naturecommunications
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ARTICLE
NATURE COMMUNICATIONS | DOI: 10.1038/ncomms13624
B
rain structural abnormalities in the hippocampal formation
are found in many complex neurological and psychiatric
disorders including temporal lobe epilepsy1, vascular
dementia2, Alzheimer’s disease3, major depression4, bipolar
disorder5, schizophrenia6 and post-traumatic stress disorder7,
among others. The diverse functions of the hippocampus,
including episodic memory8, spatial navigation9, cognition10
and stress responsiveness11 are commonly impaired in a broad
range of diseases and disorders of the brain that are associated
with insults to the hippocampal structure. Further, the
cytoarchitectural subdivisions (or ‘subfields’) of the hippocampus are associated with distinct functions. For example, the
dentate gyrus (DG) and sectors 3 and 4 of the cornu ammonis
(CA) are involved in declarative memory acquisition12, the
subiculum and CA1 play a role in disambiguation during working
memory processes13, and the CA2 is implicated in animal models
of episodic time encoding14 and social memory15. The anterior
hippocampus, which includes the fimbria, CA subregions and
hippocampal -amygdaloid transition area (HATA), may be
involved in the mediation of cognitive processes including
imagination, recall and visual perception16 and anxiety-related
behaviours17.
Environmental factors, such as stress, affect the hippocampus18, but genetic differences across individuals account for most
of the population variation in its size; the heritability of
hippocampal volume is high at around 70% (refs 19–21). High
heritability and a crucial role in healthy and diseased brain
function make the hippocampus an ideal target for genetic
analysis. We formed a large global partnership to empower the
quest for mechanistic insights into neuropsychiatric disorders
associated with hippocampal abnormalities and to chart, in depth,
the genetic underpinnings of the hippocampal structure.
Here we perform a GWAS meta-analysis of mean bilateral
hippocampal volume in 33,536 individuals scanned at 65 sites
around the world as a joint effort between the Enhancing
Neuroimaging Genetics through Meta-analysis (ENIGMA) and
the Cohorts for Heart and Aging Research in Genomic
Epidemiology (CHARGE) consortia. Our primary goal is to find
common genetic determinants of hippocampal volume with
previously unobtainable power. We make considerable efforts to
coordinate data analysis across all sites from both consortia to
maximize the comparability of both genetic and imaging data.
Standardized protocols for image analysis and genetic imputation
are freely available online (see URLs). In the most powerful
imaging study of the hippocampus to date, we shed light on the
common genetic determinants of hippocampal structure and
allow for a deepened understanding of the biological workings of
the brain’s memory centre. We confirm previously identified loci
influencing hippocampal volume, identify four novel loci and
determine genome-wide overlap with Alzheimer’s disease.
Results
Novel genome-wide markers associated with hippocampal volume.
Our combined meta-analysis (n ¼ 26,814 individuals of European
ancestry) revealed six independent, genome-wide significant
loci associated with hippocampal volume (Fig. 1; Table 1). Four
are novel: with index SNPs rs11979341 (7q36.3; P ¼ 1.42 10
11), rs7020341 (9q33.1; P ¼ 3.04 10 11), rs2268894 (2q24.2;
P ¼ 5.89 10 11), and rs2289881 (5q12.3; P ¼ 2.73 10 8).
The other two loci have been previously characterized in detail:
with index SNPs rs77956314 (12q24.22, P ¼ 2.06 10 25),
in linkage disequilibrium (LD) (r2 ¼ 0.901 in European
samples from the 1000 Genomes Project, Phase 1v3) with our
previously identified variant at this locus (rs7294919) and
rs61921502 (12q14.3, P ¼ 1.94 10 19), in LD (r2 ¼ 0.459)
with previous top locus rs17178006 (refs 22–24; Fig. 2a–f). In
addition to these SNPs, we identified nine independent loci
with a statistically suggestive influence on hippocampal volume
(Po1 10 6; Supplementary Data 4). All pathway results and
gene-based P values are summarized in Supplementary Data 6
and 7.
Variance explained in hippocampal volume by common variants.
Common variants genotyped from across the whole-genome
explained as much as 18.76% (s.e. 1.56%) of the observed variance
in human hippocampal volume, based on LDSCORE regression25
(Supplementary Fig. 3). Common genetic variants account for
around a quarter of the overall heritability, estimated in twin
studies to be around 70% (refs 19–21). Further partitioning the
genome into functional categories using LDSCORE26 revealed
significant over-representation of regions evolutionarily conserved
in mammals (P ¼ 0.0026): 2.6% of the variants accounted for 43.3%
of the 18.76% variance explained (Fig. 3).
GWAS of hippocampal volume
rs77956314 (HRK)
25
–log10(P)
20
rs61921502
(MSRB3)
15
rs11979341
(SHH)
rs2268894
(DPP4)
10
rs7020341(ASTN2)
10:79187469:DEL
rs2289881(MAST4)
rs659065
rs11245365
rs62583528
rs6552737
12:72922303:INS
rs283812
(APOE)
rs6060504
rs5753220
5
18
19
20
21
22
16
17
15
14
13
12
11
9
10
8
7
6
5
4
3
2
1
0
Chr
Figure 1 | Common genetic variants associated with hippocampal volume (N ¼ 26,814 of European ancestry). A Manhattan plot displays the association
P value for each single-nucleotide polymorphism (SNP) in the genome (displayed as –log10 of the P-value). Genome-wide significance is shown for the
P ¼ 5 10 8 threshold (solid line) and also for the suggestive significance threshold of P ¼ 1 10 6 (dotted line). The most significant SNP within an
associated locus is labeled. For the significant loci and age-dependent loci (Chromosome 19) we labeled the nearest gene, which is not necessarily the gene
of action.
2
NATURE COMMUNICATIONS | 8:13624 | DOI: 10.1038/ncomms13624 | www.nature.com/naturecommunications
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Observed (–log10P)
Genes
rs77956314
<–LOC100506551
TESC–AS1–>
<–HRK
<–FBXO21
RNFT2–>
<–TESC
MAP1LC3B2–>
FBXW8–>
<–NOS1
<–C12orf49
LINC00173–>
PromBiv/TssA ZNFrepeats/PromBiv
ZNFrepeats/PromBiv
117,393
117,309
d
Observed (–log10P)
10
8
6
4
2
0
<–PAPPA-AS1
118,848
SNPs
Genes
Hippocampus track
Conservation
ReprPC
119,214
119,248
ReprPC
119,256
Txf
PromBiv
PromBiv
4
2
0
8
6
4
2
0
<–GCG
LOC101929532–>
4
0
–1
119,297
162,456
155,798
155,792
155,817
PromBiv
162,797
PromBiv Txf
PromBiv
ReprPC
Het
2
0
–2
155,842
Hippocampus volume
rs2289881
8
6
4
2
0
<–LOC101928794
<–CD180
<–LOC101928769
GCA–>
100
90
80
70
60
50
40
30
20
10
0
MAST4–>
163,256
Txf
162,853
156,198
ReprPC
<–FAP <–KCNH7
162,856
LOC389602–>
155,398
f
100
90
80
70
60
50
40
30
20
10
0
10
SLC4A10–>
119,648
<–SHH
Chromosome 7 position (kb)
<–IFIH1
Chromosome 9 position (kb)
6
5
0
–1
65,875
65,773
<–DPP4
ReprPC
8
RBM33–>
66,232
rs2268894
<–ASTN2
Enh/Tx Tx
65,832
100
90
80
70
60
50
40
30
20
10
0
rs11979341
10
HMGA2–>
TRIM32–>
PAPPA–>
<–RPSAP52
Hippocampus volume
ASTN2–AS1–>
Genes
MSRB3–>
TssA/PromBiv/ZNFrepeats
e
100
90
80
70
60
50
40
30
20
10
0
rs7020341
<–LOC100507065
Hippocampus volume
12
Chromosome 12 position (kb)
Hippocampus volume
12
LEMD3–>
65,670
Chromosome 12 position (kb)
100
90
80
70
60
50
40
30
20
10
0
rs61921502
65,432
4
0
–2
117,477
c
Hippocampus volume
20
18
16
14
12
10
8
6
4
2
0
<–WIF1
117,723
117,323
116,923
SNPs
Genes
Hippocampus track
Conservation
100
90
80
70
60
50
40
30
20
10
0
Recombination rate (cM/Mb)
b
Hippocampus volume
26
24
22
20
18
16
14
12
10
8
6
4
2
0
PromBiv
6
0
–1
162,910
Chromosome 2 position (kb)
66,034
Txf
66,089
1_TssA
2_PromU
3_PromD1
4_PromD2
5_Tx5′
6_Tx
7_Tx3′
8_TxWk
9_TxReg
10_TxEnh5′
11_TxEnh3′
12_TxEnhW
13_EnhA1
14_EnhA2
15_EnhAF
16_EnhW1
17_EnhW2
18_EnhAc
19_DNase
20_ZNF/Rpts
21_Het
22_PromP
23_PromBiv
24_ReprPC
25_Quies
66,484
66,084
65,684
Recombination rate (cM/Mb)
a
Txf/TssA
4
0
–1
66,145
Chromosome 5 position (kb)
Figure 2 | Functional annotation within genome-wide significant loci. For each panel (a–f), zoomed-in Manhattan plots (±400 kb from top SNP) are
shown with gene models below (GENCODE version 19). Plots below are zoomed to highlight the genomic region that likely harbors the causal variant(s)
(r240.8 from the top SNP). Genomic annotations from the Roadmap Epigenomics Consortium53 are displayed to indicate potential functionality (see
Methods for detailed track information). Each plot was made using the LocusTrack software55 (see URLs).
Effects of top variants on hippocampal subfield volume. To test
for differential effects on individual subfields of the hippocampal formation, we examined the six significant variants
influencing whole hippocampal volume in a large cohort
(n ¼ 5,368). We found that the top SNP from our primary
analysis, rs77956314, has a broad, nonspecific effect on
hippocampal subfield volumes with the greatest effect in the
right hippocampal tail (P ¼ 1.27 10 8). rs61921502
showed strong lateral effects across right hippocampal subfields
with the largest effect in the right hippocampal fissure
(P ¼ 6.45 10 9). rs7020341 showed greatest effects bilaterally in the subiculum (left: P ¼ 1.59 10 8; right: P ¼ 1.42
10 8). rs2268894 show left-lateralized effects across hippocampal subfields with the strongest effect in the left hippocampal tail (P ¼ 1.76 10 5). The remaining two variants
(rs11979341 and rs2289881) did not show significant evidence
of association across any of the hippocampal subfields. The
full set of results from the hippocampal subfield analysis is
tabulated in Supplementary Data 8.
Genetic overlap with hippocampal volume. We used LDSCORE27
regression to quantify the degree of common genetic overlap
between variants influencing the hippocampus and those influencing Alzheimer’s disease. We found significant evidence of a
moderate, negative relationship whereby variants associated with a
decrease in hippocampal volume are associated with an increased
risk for Alzheimer’s disease (rg ¼ 0.155 (s.e. 0.0529), P ¼ 0.0034;
see Methods).
Discussion
We identified six genome-wide significant, independent loci
associated with hippocampal volume in 26,814 subjects of
European ancestry. Of the six loci, four were novel:
rs11979341 (7q36.3; P ¼ 1.42 10 11), rs7020341 (9q33.1;
P ¼ 3.04 10 11), rs2268894 (2q24.2; P ¼ 5.89 10 11) and
rs2289881 (5q12.3; P ¼ 2.73 10 8). We previously discovered
two of the novel loci, rs7020341 and rs2268894 (ref. 24), but in
this higher-powered analysis they now surpassed the genomewide significance. In addition to the four novel loci, we replicated
two loci associated with hippocampal volume: rs7492919 and
rs17178006 (refs 23,24). Hibar et al.22 previously reported
additional support for the rs17178006 association with hippocampal volume.
Each novel locus identified has unique functions and has
previously been linked to diseases of the brain. Variant rs7020341
lies within an intron of the astrotactin 2 (ASTN2) gene (Fig. 2d)
which encodes for a protein involved in glial-mediated neuronal
migration in the developing brain28. Rare deletions overlapping
this locus near the 30 end of ASTN2 have been observed in
patients with autism spectrum disorder and attention-deficit/
hyperactivity disorder29. Common variants near this site are
associated with autism spectrum disorders29 and migraine30.
Variant rs2268894 is located in an intron of DPP4 (Fig. 2e) that
encodes dipeptidyl peptidase IV; an enzyme regulating response
to the ingestion of food31, and an established target of a treatment
for type 2 diabetes mellitus (vildagliptin)32. In addition,
rs2268894 is in strong LD (r2 ¼ 0.83) with a genome-wide significant locus associated with a decreased risk for schizophrenia
NATURE COMMUNICATIONS | 8:13624 | DOI: 10.1038/ncomms13624 | www.nature.com/naturecommunications
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Functional partitioning analysis in LDSCORE
3-prime UTR (1.1%)
Coding (1.5%)
Weak enhancer (2.1%)
**Conserved (2.6%)
Promoter (3.1%)
Enhancer (6.3%)
Fetal DHS (8.5%)
H3K9ac (12.6%)
TFBS (13.2%)
H3K4me3 (13.3%)
DGF (13.8%)
DHS (16.8%)
Super Enhancer (16.8%)
H3K27ac (PGC2) (26.9%)
Transcribed (34.5%)
Intron (38.7%)
H3K27ac (Hnisz;39.1%)
H3K4me1 (42.7%)
Repressed (46.1%)
0
5
10
15
Proportion of h2g / Proportion of SNPs
20
Figure 3 | Analysis of variance explained, functional annotation, and pathway analysis. LDSCORE regression analysis for different functional
annotation26 categories (described further in Finucane et al.26). Plotted values are the proportion of h2g explained divided by the proportion of SNPs in a
given functional category. Values are significantly over- or under-represented if they differ significantly from 1. Values are plotted with a standard error
calculated with a jackknife in LDSCORE. Evolutionarily conserved regions across mammals significantly contributed to the heritability of hippocampal
volume (indicated by **).
Table 1 | Genetic variants at six loci were significantly associated with hippocampal volume.
RSID
rs77956314
rs61921502
rs11979341
rs7020341
rs2268894
rs2289881
Chr
12
12
7
9
2
5
Pos
117,323,367
65,832,468
155,797,978
119,247,974
162,856,148
66,084,260
Nearest gene
4 kb 50 to HRK
Intron of MSRB3
200 kb 50 to SHH
Intron of ASTN2
Intron of DPP4
Intron of MAST4
Allele1
T
T
C
C
T
T
Allele2
C
G
G
G
C
G
Freq
0.9160
0.8466
0.6837
0.3590
0.5412
0.3544
Z-score
10.418
9.017
6.755
6.645
6.546
5.558
N
26,814
26,814
24,484
26,700
26,814
26,814
P value
2.06 10 25
1.94 10 19
1.42 10 11
3.04 10 11
5.89 10 11
2.73 10 8
The allele frequency (Freq) and effect size (Z-score) are given with reference to Allele 1. Effect sizes are additive effects for each copy of Allele 1 given as a Z-score. Additional validation was attempted in
non-European ancestry generalization samples (shown in Supplementary Data 5).
(rs2909457)33; however, the allele that increases risk for
schizophrenia also increases hippocampal volume even though
patients with schizophrenia show decreased hippocampal volume
relative to controls6. Variant rs11979341 lies in an intergenic
region (Fig. 2c) around 200 kb upstream of the sonic hedgehog
(SHH) gene, crucial for neural tube formation34. Adult brain
expression data provide some evidence that rs11979341-C
increases the expression of SHH in adult human hippocampus35 (P ¼ 0.0089). Finally, variant rs2289881 lies within an
intron of the microtubule-associated serine/threonine kinase
family member 4 (MAST4) gene (Fig. 2f). The protein product
of MAST4 modulates the microtubule scaffolding; the gene has
4
been linked to susceptibility for atherosclerosis in HIV-infected
men36, and atypical frontotemporal dementia37.
Effect sizes from the full sample were almost identical to those
obtained from a subset meta-analysis (Pearson’s r240.99;
n ¼ 22,761) that removed all patients diagnosed with a neuropsychiatric disorder. Observed effects are therefore not likely to be
driven by inclusion of patients with brain disorders. All
significant loci are tabulated in Table 1. We found little evidence
that these effects could be generalized to populations of African,
Japanese, and Mexican-American ancestry, which could be due to
the limited power from smaller non-European sample sizes
available (n ¼ 6,722; Supplementary Data 5).
NATURE COMMUNICATIONS | 8:13624 | DOI: 10.1038/ncomms13624 | www.nature.com/naturecommunications
ARTICLE
NATURE COMMUNICATIONS | DOI: 10.1038/ncomms13624
We estimated that 18.76% (s.e. 1.56%) of the variance in
hippocampal volume could be explained by genotyped common
genetic variation. This effect was only tested within populations
of European ancestry and does not necessarily reflect the level of
explained variance in other populations worldwide. This is a
substantial fraction of the overall genetic component of variance
determined by twin heritability studies, and the heritability
of hippocampal volume is relatively high at around 70%
(refs 19–21). With the same LDSCORE method, we estimated
the amount of variance explained by common gene variants
belonging to known functional cell categories26. We discovered
enrichment of genomic regions conserved across mammals,
which may have a strong evolutionary role in the hippocampal
formation, a structure much more extensively developed in
mammals than in other vertebrates38. Given that hippocampal
atrophy is a hallmark of Alzheimer’s disease pathology39, we were
motivated to examine common genetic overlap between
hippocampal volume and Alzheimer’s disease risk. We found a
significant negative relationship (rg ¼ 0.155 (s.e. 0.0529),
P ¼ 0.0034), through which loci associated with decreased
hippocampal volume also increase risk for AD. This confirms a
shared etiological component between AD and hippocampal
volume whereby genetic variants influencing hippocampal
volume also modify the risk for developing AD.
As the hippocampal formation is a complex structure
comprised of diverse functional units, we sought to examine the
genetic variants identified in our analysis for focal effects on
hippocampal subfield volumes. When assessing 13 subfields of the
hippocampus (26 total, left and right) we found that two of the
top variants from our analysis (rs77956314 and rs7020341) had
largely non-specific effects: most of the subfield volumes showed
significant evidence of association (Supplementary Data 8). The
variant rs61921502 showed a lateralized effect across the body of
the right hippocampal formation, which includes the DG,
subiculum, CA1 and fissure. Volume losses are frequently
observed across the hippocampal body in AD40, major
depression41, bipolar disorder42 and temporal lobe epilepsy43.
Prior pathway analyses have implicated the rs61921502 with
MSR3B, a gene related to oxidative stress24. Genetic variation at
MSR3B may influence neurogenesis specifically within the dentate
regions of the hippocampal body, where cell proliferation is
known to continue into adulthood in healthy humans44.
However, further functional validation is required to test this
hypothesis. Finally, the variant rs2268894 was associated with
volume differences in the left hippocampal tail, a subfield that has
previously shown shape abnormalities45 and volume differences46
in schizophrenia.
Here we identified four novel loci associated with hippocampal
volume and examined each variant for localized effects in
hippocampal subfields. When partitioning the full genome-wide
association results into functionally annotated categories, we
discovered that SNPs in evolutionarily conserved regions were
significantly over-represented in their contribution to hippocampal volume. Further, we found significant evidence of shared
genetic overlap between hippocampal volume and Alzheimer’s
disease. This large international effort shows that by mapping out
the genetic influences on brain structure, we may begin to derive
mechanistic hypotheses for brain regions causally implicated in
the risk for neuropsychiatric disorders.
Methods
Subjects and sites. High-resolution MRI brain scans and genome-wide
genotyping data were available for 33,536 individuals from 65 sites in two large
consortia: the ENIGMA Consortium and the CHARGE Consortium. Full details
and demographics for each participating cohort are given in Supplementary Data 1.
All participants (or their legal representatives) provided written informed consent.
The institutional review board of the University of Southern California and the
local ethics board of Erasmus MC University Medical Center approved this study.
Imaging analysis and quality control. Hippocampal volumes were estimated
using the automated and previously validated segmentation algorithms, FSL
FIRST47 from the FMRIB Software Library (FSL) and FreeSurfer48. Hippocampal
segmentations were visually examined at each site, and poorly segmented scans
were excluded. Sites also generated histogram plots to identify any volume outliers.
Individuals with a volume more than three standard deviations away from the
mean were visually inspected to verify proper segmentation. Statistical outliers were
included in analysis if they were properly segmented; otherwise, they were
removed. Average bilateral hippocampal volume was highly correlated across
automated procedures used to measure it (Pearson’s r ¼ 0.74)22. A measure of head
size—intracranial volume (ICV)—was used as a covariate in these analyses to
adjust for volumetric differences due to differences in head size alone. Most sites
measured ICV for each participant using the inverse of the determinant of the
transformation matrix required to register the subject’s MRI scan to a common
template and then multiplied by the template volume (1,948,105 mm3). Full details
of image acquisition and processing performed at each site are given in
Supplementary Data 2.
Genetic imputation and quality control. Genetic data were obtained at each site
using commercially available genotyping platforms. Before imputation, genetic
homogeneity was assessed in each sample using multi-dimensional scaling (MDS).
Ancestry outliers were excluded by visual inspection of the first two components.
The primary analysis and all data presented in this main text were derived from
subjects with European ancestry. Replication attempts in subjects of additional
ancestries are presented in Supplementary Data 5. Data were further cleaned and
filtered to remove single-nucleotide polymorphisms (SNPs) with low minor allele
frequency (MAFo0.01), deviations from Hardy–Weinberg Equilibrium (HWE;
Po1 10 6), and poor genotyping call rate (o95%). Cleaned and filtered datasets were imputed to the 1000 Genomes Project reference panel (phase 1, version 3)
using freely available and validated imputation software (MaCH/minimac,
IMPUTE2, BEAGLE, GenABLE). After imputation, genetic data were further
quality checked to remove poorly imputed SNPs (estimated R2o0.5) or low MAF
(o0.5%). Details on filtering criteria, quality control, and imputation at each site
may be found in Supplementary Data 3.
Genome-wide association analysis and statistical models. GWAS were
performed at each site, as follows. Mean bilateral hippocampal volume
((left þ right)/2) was the trait of interest, and the additive dosage value of a SNP
was the predictor of interest, while controlling for 4 MDS components, age, age2,
sex, intracranial volume and diagnosis (when applicable). For studies with data
collected from multiple centres or scanners, additional covariates were also
included in the model to adjust for any scanning site effects. Sites with family data
(NTR-Adults, BrainSCALE, QTIM, SYS, GOBS, ASPSFam, ERF, GeneSTAR,
NeuroIMAGE, OATS, RSIx) used mixed-effects models to account for familial
relationships, in addition to covariates stated previously. The primary analyses for
this paper focused on the full set of individuals, including datasets with patients, to
maximize power. We re-analysed the data excluding patients to verify that detected
effects were not due to disease alone. The regression coefficients for SNPs with
Po1 10 5 in the model including all patients were almost perfectly correlated
with the regression coefficients from the model including only healthy individuals
(Pearson’s r ¼ 0.996). Full details for the software used at each site are given in
Supplementary Data 3.
The GWAS of mean hippocampal volume was performed at each site, and the
resulting summary statistics uploaded to a centralized site for meta-analysis. Before
meta-analysis, GWAS results from each site were checked for genomic inflation
and errors using Quantile–Quantile (QQ) plots (Supplementary Figs 1 and 2).
GWAS results from each site were combined using a fixed-effects sample sizeweighted meta-analysis framework as implemented in METAL49. Data were
meta-analysed first in the ENIGMA and CHARGE Consortia separately and then
combined into a final meta-analysed result file. After the final meta-analysis, SNPs
were excluded if the SNP was available for fewer than 5,000 individuals.
Variance explained and genetic overlap in hippocampal volume. The common
genetic overlap, total variance explained by the GWAS, and the partitioned
heritability analyses were estimated using LDSCORE25,26. Following from the
polygenic model, an association test statistic at a given locus includes signal from
all linked loci. Given a heritable polygenic trait, a SNP in high LD with, or tagging,
a large number of SNPs is on average likely to show stronger association than
a SNP that is not. The magnitude of information conveyed by each variant
(a function of the number of SNPs tagged taking into account the strength of the
tagging) is summarized as an LD score. By regressing the LD scores on the test
statistics, we estimated the proportion of variance in the trait explained by the
variants included in the analysis. As an extension, two LD score models for two
separate traits can be used to estimate the covariance (and correlation) structure to
yield an estimate of the common genetic overlap (rg) between any two trait pairs.
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Here we estimated the common genetic overlap between hippocampal volume and
Alzheimer’s disease50. Standard errors were estimated using a block jackknife.
Genomic partitioning into functional categories. As well as estimating the total
variance explained, the genomic heritability (h2g) can be partitioned into specific
subsets of variants. The functional annotation partitioning used the pre-prepared
LDSCORE and annotation (.annot) files available online (see URLs) following the
method of Finucane et al.26. These analyses use the following 24 functional classes
not specifically unique to any cell type: coding, UTR, promoter, intron, histone
marks H3K4me1, H3K4me3, H3K9ac5 and two versions of H3K27ac, open
chromatin DNase I hypersensitivity Site (DHS) regions, combined chromHMM/
Segway predictions, regions conserved in mammals, super-enhancers and active
enhancers from the FANTOM5 panel of samples (Finucane et al., page 4)26.
Annotated coordinates are determined by a combination of all cell types from
ENCODE. As in Finucane et al.26, to avoid bias, we included the 500 bp windows
surrounding the variants included in the functional classes. The chromosomepartitioned analyses were conducted using LDSCOREs calculated for each
chromosome. Following the method of Bulik-Sullivan et al.25, these analyses focus
on the variants within HapMap3 as these SNPs are typically well imputed across
cohorts. Enrichment of a given partition is calculated as the proportion of h2g
explained by that partition divided by the proportion of variants in the GWAS that
fall into that partition. All LDSCORE analyses used non-genomic controlled metaanalyses.
Gene annotation and pathway analysis. Gene annotation, gene-based test statistics, and pathway analysis were performed using the KGG2.5 software package51
(Supplementary Data 6 and 7). LD was calculated based on RSID numbers using
the 1000 Genomes Project European samples as a reference (see URLs). For
annotation, SNPs were considered ‘within’ a gene, if they fell within 5 kb of the
30 /50 UTR based on human genome (hg19) coordinates. Gene-based tests were
performed using the GATES test51 without weighting P values by predicted
functional relevance. Pathway analysis was performed using the HYST test
of association52. For all gene-based tests and pathway analyses, results were
considered significant if they exceeded a Bonferroni correction threshold
accounting for the number of pathways in the REACTOME database tested such
that Pthresh ¼ 0.05/(671 pathways) ¼ 7.45 10 5.
Annotation of SNPs with epigenetic factors. In Fig. 2, all tracks were taken from
the UCSC Genome Browser Human hg19 assembly. SNPs (top 5%) shows the top
5% associated SNPs within the locus and are coloured by their correlation to the
top SNP. Genes shows the gene models from GENCODE version 19. Hippocampus
gives the predicted chromatin states based on computational integration of
ChIP-seq data for 18 chromatin marks in human hippocampal tissue derived from
the Roadmap Epigenomics Consortium53. The 18 chromatin states from the
hippocampus track are as follows: TssA (Active TSS), TssFlnk (Flanking Active
TSS), TssFlnkU (Flanking TSS Upstream), TssFlnkD (Flanking TSS Downstream),
Tx (Strong transcription), TxWk (Weak transcription), EnhG1 (Genic Enhancers
1), EnhG2 (Genic Enhancers 2), EnhA1 (Active Enhancers 1), EnhA2 (Active
Enhancers 2), EnhWk (Weak Enhancers), ZNF/Rpts (ZNF genes & repeats), Het
(Heterochromatin), TssBiv (Bivalent/Poised TSS), EnhBiv (Bivalent Enhancer),
ReprPC (Repressed PolyComb), ReprPCWk (Weak Repressed PolyComb), Quies
(Quiescent/Low). Additional information about the 18 state chromatin model is
detailed elsewhere53. Conservation is the basewise conservation score over 100
vertebrates estimated by PhyloP from the UCSC Genome Browser Human hg19
assembly.
Analysis of hippocampal subfields. We segmented the hippocampal formation
into 13 subfield regions: CA1, CA3, CA4, fimbria, Granule Layer þ Molecular
Layer þ Dentate Gyrus Boundary (GC_ML_DG), hippocampal-amygdaloid
transition area (HATA), hippocampal tail, hippocampal fissure, molecular layer
(HP), parasubiculum, presubiculum and subiculum using a freely available,
validated algorithm distributed with the FreeSurfer image analysis package54.
We measured the hippocampal subfield volumes within the Rotterdam
(n ¼ 4,491) and HUNT (n ¼ 877) cohorts. Volumes from the 26 subfield regions
(13 in each hemisphere) were the phenotypes of interest and individually
assessed for significance with the top variants from our primary analysis while
correcting for the following nuisance variables: 4 MDS components, age, age2,
sex, intracranial volume. Association statistics from each of the tests in the
Rotterdam and HUNT cohorts were meta-analysed using a fixed-effects inverse
variance-weighted model yielding the final results. We declare an individual test
significant if the P value is less than a Bonferroni-corrected P value threshold
accounting for the total number of tests: Pthresh ¼ 0.05/(26 subfields 6
SNPs) ¼ 3.21 10 4.
Data availability. The genome-wide summary statistics that support the findings
of this study are available upon request from the corresponding authors MAI and
PMT (see URLs). The data are not publicly available due to them containing
information that could compromise research participant privacy/consent.
6
URLs
https://github.com/bulik/ldsc
http://enigma.usc.edu/protocols/genetics-protocols/
http://gump.qimr.edu.au/general/gabrieC/LocusTrack/
http://enigma.ini.usc.edu/download-enigma-gwas-results/
http://www.internationalgenome.org/data
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Acknowledgements
See Supplementary Note 2 for information on funding sources. Data used in preparing
this article were obtained from the Alzheimer’s Disease Neuroimaging Initiative (ADNI)
database (adni.loni.usc.edu). As such, many investigators within the ADNI contributed
to the design and implementation of ADNI and/or provided data but did not participate
in analysis or writing of this report (see Supplementary Note 1). A complete listing
of ADNI investigators can be found at: http://adni.loni.usc.edu/wp-content/uploads/
how_to_apply/ADNI_Acknowledgement_List.pdf
Author contributions
See Supplementary Note 3 for author contribution statements.
Additional information
Supplementary Information accompanies this paper at http://www.nature.com/
naturecommunications
Competing financial interests: The authors declare no competing financial interests.
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reprintsandpermissions/
How to cite this article: Hibar, D. P. et al. Novel genetic loci associated with hippocampal volume. Nat. Commun. 8, 13624 doi: 10.1038/ncomms13624 (2017).
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NATURE COMMUNICATIONS | 8:13624 | DOI: 10.1038/ncomms13624 | www.nature.com/naturecommunications
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NATURE COMMUNICATIONS | DOI: 10.1038/ncomms13624
Derrek P. Hibar1,*, Hieab H.H. Adams2,3,*, Neda Jahanshad1,*, Ganesh Chauhan4,*, Jason L. Stein1,5,*,
Edith Hofer6,7,*, Miguel E. Renteria8,*, Joshua C. Bis9,*, Alejandro Arias-Vasquez10,11,12,13, M. Kamran
Ikram2,14,15,16,17, Sylvane Desrivières18, Meike W. Vernooij2,3, Lucija Abramovic19, Saud Alhusaini20,21, Najaf
Amin2, Micael Andersson22, Konstantinos Arfanakis23,24,25, Benjamin S. Aribisala26,27,28, Nicola J. Armstrong29,30, Lavinia Athanasiu31,32, Tomas Axelsson33, Ashley H. Beecham34,35, Alexa Beiser36,37,38, Manon
Bernard39, Susan H. Blanton34,35, Marc M. Bohlken19, Marco P. Boks19, Janita Bralten10,13, Adam M. Brickman40,
Owen Carmichael41, M. Mallar Chakravarty42,43, Qiang Chen44, Christopher R.K. Ching1,45, Vincent
Chouraki36,38,46, Gabriel Cuellar-Partida8, Fabrice Crivello47, Anouk Den Braber48, Nhat Trung Doan31, Stefan
Ehrlich49,50,51, Sudheer Giddaluru52,53, Aaron L. Goldman44, Rebecca F. Gottesman54, Oliver Grimm55, Michael
E. Griswold56, Tulio Guadalupe57,58, Boris A. Gutman1, Johanna Hass59, Unn K. Haukvik31,60, David Hoehn61,
Avram J. Holmes50,62, Martine Hoogman10,13, Deborah Janowitz63, Tianye Jia18, Kjetil N. Jørgensen31,60, Nazanin
Karbalai61, Dalia Kasperaviciute64,65, Sungeun Kim66,67,68, Marieke Klein10,13, Bernd Kraemer69, Phil H.
Lee50,70,71,72,73, David C.M. Liewald74, Lorna M. Lopez74, Michelle Luciano74, Christine Macare18,
Andre F. Marquand13,75, Mar Matarin64,76, Karen A. Mather29, Manuel Mattheisen77,78,79, David R. McKay80,81,
Yuri Milaneschi82, Susana Muñoz Maniega26,28,74, Kwangsik Nho66,67,68, Allison C. Nugent83, Paul Nyquist84,
Loes M. Olde Loohuis85, Jaap Oosterlaan86, Martina Papmeyer87,88, Lukas Pirpamer6, Benno Pütz61, Adaikalavan
Ramasamy76,89,90, Jennifer S. Richards12,13,91, Shannon L. Risacher66,68, Roberto Roiz-Santiañez92,93,
Nanda Rommelse11,13,91, Stefan Ropele6, Emma J. Rose94, Natalie A. Royle26,28,74,95, Tatjana Rundek96,97,
Philipp G. Sämann61, Arvin Saremi1, Claudia L. Satizabal36,38, Lianne Schmaal98,99,100, Andrew J. Schork101,102,
Li Shen66,67,68, Jean Shin39, Elena Shumskaya10,13,75, Albert V. Smith103,104, Emma Sprooten80,81,105, Lachlan T.
Strike8,106, Alexander Teumer107, Diana Tordesillas-Gutierrez93,108, Roberto Toro109, Daniah Trabzuni76,110, Stella
Trompet111, Dhananjay Vaidya112, Jeroen Van der Grond113, Sven J. Van der Lee2, Dennis Van der Meer114,
Marjolein M.J. Van Donkelaar10,13, Kristel R. Van Eijk115, Theo G.M. Van Erp116, Daan Van Rooij12,13,114, Esther
Walton49,117, Lars T. Westlye32,117, Christopher D. Whelan1,21, Beverly G. Windham118, Anderson M.
Winkler80,119, Katharina Wittfeld63,120, Girma Woldehawariat83, Christiane Wolf121, Thomas Wolfers10,13, Lisa
R. Yanek112, Jingyun Yang24,122, Alex Zijdenbos123, Marcel P. Zwiers13,75, Ingrid Agartz31,60,124, Laura
Almasy125,126,127, David Ames128,129, Philippe Amouyel46, Ole A. Andreassen31,32, Sampath Arepalli130, Amelia
A. Assareh29, Sandra Barral40, Mark E. Bastin26,28,74,95, Diane M. Becker112, James T. Becker131, David A.
Bennett24,122, John Blangero125, Hans van Bokhoven10,13, Dorret I. Boomsma48, Henry Brodaty29,132, Rachel M.
Brouwer19, Han G. Brunner10,13,133, Randy L. Buckner50,134, Jan K. Buitelaar12,13,91, Kazima B. Bulayeva135, Wiepke
Cahn19, Vince D. Calhoun136,137, Dara M. Cannon83,138, Gianpiero L. Cavalleri21, Ching-Yu Cheng14,15,139,
Sven Cichon140,141,142, Mark R. Cookson130, Aiden Corvin94, Benedicto Crespo-Facorro92,93, Joanne E. Curran125,
Michael Czisch61, Anders M. Dale143,144, Gareth E. Davies145, Anton J.M. De Craen146, Eco J.C. De Geus48,
Philip L. De Jager71,147,148,149,150, Greig I. De Zubicaray151, Ian J. Deary74, Stéphanie Debette4,36,152, Charles
DeCarli153, Norman Delanty21,154, Chantal Depondt155, Anita DeStefano37,38, Allissa Dillman130, Srdjan
Djurovic52,156, Gary Donohoe157,158, Wayne C. Drevets83,159, Ravi Duggirala125, Thomas D. Dyer125, Christian
Enzinger6, Susanne Erk160, Thomas Espeseth32,117, Iryna O. Fedko48, Guillén Fernández12,13, Luigi Ferrucci161,
Simon E. Fisher13,57, Debra A. Fleischman24,162, Ian Ford163, Myriam Fornage164, Tatiana M. Foroud68,165, Peter T.
Fox166, Clyde Francks13,57, Masaki Fukunaga167, J. Raphael Gibbs76,130, David C. Glahn80,81, Randy L.
Gollub50,51,71, Harald H.H. Göring125, Robert C. Green71,168, Oliver Gruber69, Vilmundur Gudnason103,104,
Sebastian Guelfi76, Asta K. Håberg169,170, Narelle K. Hansell8,106, John Hardy76, Catharina A. Hartman114,
Ryota Hashimoto171,172, Katrin Hegenscheid173, Andreas Heinz160, Stephanie Le Hellard52,53, Dena G.
Hernandez76,130,174, Dirk J. Heslenfeld175, Beng-Choon Ho176, Pieter J. Hoekstra114, Wolfgang Hoffmann107,120,
8
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NATURE COMMUNICATIONS | DOI: 10.1038/ncomms13624
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Albert Hofman178, Florian Holsboer61,177, Georg Homuth178, Norbert Hosten173, Jouke-Jan Hottenga48, Matthew
Huentelman179, Hilleke E. Hulshoff Pol19, Masashi Ikeda180, Clifford R. Jack Jr181, Mark Jenkinson119, Robert
Johnson182, Erik G. Jönsson31,124, J. Wouter Jukema111, René S. Kahn19, Ryota Kanai183,184,185, Iwona
Kloszewska186, David S. Knopman187, Peter Kochunov188, John B. Kwok189,190, Stephen M. Lawrie87, Hervé
Lemaı̂tre191, Xinmin Liu83,192, Dan L. Longo193, Oscar L. Lopez194, Simon Lovestone195,196, Oliver Martinez153,
Jean-Luc Martinot191, Venkata S. Mattay44,54,197, Colm McDonald138, Andrew M. McIntosh74,87, Francis J.
McMahon83, Katie L. McMahon198, Patrizia Mecocci199, Ingrid Melle31,32, Andreas Meyer-Lindenberg55,
Sebastian Mohnke160, Grant W. Montgomery8, Derek W. Morris157, Thomas H. Mosley118, Thomas W.
Mühleisen141,142, Bertram Müller-Myhsok61,200,201, Michael A. Nalls130, Matthias Nauck202,203, Thomas E.
Nichols119,204, Wiro J. Niessen3,205,206, Markus M. Nöthen141,207, Lars Nyberg22, Kazutaka Ohi171, Rene L.
Olvera166, Roel A. Ophoff19,85, Massimo Pandolfo155, Tomas Paus208,209,210, Zdenka Pausova39,211, Brenda W.J.
H. Penninx100, G. Bruce Pike212,213, Steven G. Potkin116, Bruce M. Psaty214, Simone Reppermund29,215, Marcella
Rietschel55, Joshua L. Roffman50, Nina Romanczuk-Seiferth160, Jerome I. Rotter216, Mina Ryten76,89, Ralph L.
Sacco35,96,97,217, Perminder S. Sachdev29,218, Andrew J. Saykin66,68,165, Reinhold Schmidt6, Helena Schmidt219,
Peter R. Schofield189,190, Sigurdur Sigursson103, Andrew Simmons220,221,222, Andrew Singleton130, Sanjay M.
Sisodiya64, Colin Smith223, Jordan W. Smoller50,70,71,72, Hilkka Soininen224,225, Vidar M. Steen52,53, David J.
Stott226, Jessika E. Sussmann87, Anbupalam Thalamuthu29, Arthur W. Toga227, Bryan J. Traynor130, Juan
Troncoso228, Magda Tsolaki229, Christophe Tzourio4,230, Andre G. Uitterlinden2,231, Maria C. Valdés
Hernández26,28,74,95, Marcel Van der Brug232, Aad van der Lugt3, Nic J.A. van der Wee233, Neeltje E.M. Van
Haren19, Dennis van ’t Ent48, Marie-Jose Van Tol234, Badri N. Vardarajan40, Bruno Vellas235, Dick J. Veltman100,
Henry Völzke107, Henrik Walter160, Joanna M. Wardlaw26,28,74,95, Thomas H. Wassink236, Michael E. Weale89,
Daniel R. Weinberger44,237, Michael W. Weiner238, Wei Wen29,218, Eric Westman239, Tonya White3,240, Tien Y.
Wong14,15,139, Clinton B. Wright96,97,217, Ronald H. Zielke182, Alan B. Zonderman241, Nicholas G. Martin8,
Cornelia M. Van Duijn2, Margaret J. Wright106,198, W.T. Longstreth242, Gunter Schumann18,**, Hans J.
Grabe63,**, Barbara Franke10,11,13,**, Lenore J. Launer243,**, Sarah E. Medland8,**, Sudha Seshadri36,38,**, Paul M.
Thompson1,** & M. Arfan Ikram2,3,244,**
1 Imaging
Genetics Center, USC Mark and Mary Stevens Neuroimaging & Informatics Institute, Keck School of Medicine of University of Southern California,
Los Angeles, California 90292, USA. 2 Department of Epidemiology, Erasmus University Medical Center, 3015 CE Rotterdam, The Netherlands. 3 Department
of Radiology and Nuclear Medicine, Erasmus MC, 3015 CE Rotterdam, The Netherlands. 4 INSERM Unit U1219, University of Bordeaux, 33076 Bordeaux,
France. 5 Department of Genetics & UNC Neuroscience Center, University of North Carolina (UNC), Chapel Hill, North Carolina, 27599, USA. 6 Department
of Neurology, Clinical Division of Neurogeriatrics, Medical University Graz, Auenbruggerplatz 22, 8036 Graz, Austria. 7 Institute of Medical Informatics,
Statistics and Documentation, Medical University Graz, Auenbruggerplatz 22, 8036 Graz, Austria. 8 QIMR Berghofer Medical Research Institute, Brisbane,
Queensland 4006, Australia. 9 Cardiovascular Health Research Unit, Department of Medicine, University of Washington, 1730 Minor Avenue/Suite 1360.
Seattle, Washington 98101, USA. 10 Department of Human Genetics, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
11 Department of Psychiatry, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands. 12 Department of Cognitive Neuroscience, Radboud
University Medical Center, 6525 GA Nijmegen, The Netherlands. 13 Donders Institute for Brain, Cognition and Behaviour, Radboud University, 6525 GA
Nijmegen, The Netherlands. 14 Academic Medicine Research Institute, Duke-NUS Graduate Medical School, Singapore, 169857, Singapore. 15 Singapore Eye
Research Institute, Singapore National Eye Centre, Singapore, 168751, Singapore. 16 Memory Aging & Cognition Centre (MACC), National University Health
System, Singapore, 119228, Singapore. 17 Department of Pharmacology, National University of Singapore, Singapore, 119077, Singapore. 18 MRC-SGDP Centre,
Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London SE5 8AF, UK. 19 Brain Center Rudolf Magnus, Department of Psychiatry,
UMC Utrecht, 3584 CX Utrecht, The Netherlands. 20 Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University,
Montreal, Quebec, Canada H3A 2B4. 21 The Royal College of Surgeons in Ireland, 123 St Stephen’s Green, Dublin 2, Ireland. 22 Department of Integrative
Medical Biology and Umeå Center for Functional Brain Imaging, Umeå University, 901 87 Umeå, Sweden. 23 Department of Biomedical Engineering, Illinois
Institute of Technology, Chicago, Illinois 60616, USA. 24 Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, Illinois 60612, USA.
25 Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, Illinois 60616, USA. 26 Brain Research Imaging
Centre, University of Edinburgh, Edinburgh EH4 2XU, UK. 27 Department of Computer Science, Lagos State University, Lagos, P.M.B. 01 LASU, Nigeria.
28 Scottish Imaging Network, A Platform for Scientific Excellence (SINAPSE) Collaboration, Department of Neuroimaging Sciences, University of Edinburgh,
Edinburgh EH16 4SB, UK. 29 Centre for Healthy Brain Ageing, School of Psychiatry, University of New South Wales, Sydney, New South Wales 2052,
Australia. 30 Mathematics and Statistics, Murdoch University, Perth, Western Australia, 6150, Australia. 31 NORMENT—KG Jebsen Centre, Institute of Clinical
Medicine, University of Oslo, 0315 Oslo, Norway. 32 NORMENT—KG Jebsen Centre, Division of Mental Health and Addiction, Oslo University Hospital, 0424
Oslo, Norway. 33 Department of Medical Sciences, Molecular Medicine and Science for Life Laboratory, Uppsala University, Box 1432, SE-751 44 Uppsala,
Sweden. 34 Dr John T. Macdonald Foundation Department of Human Genetics, University of Miami, Miller School of Medicine, Miami, Florida, 33136, USA.
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35 John P. Hussman Institute for Human Genomics, University of Miami, Miller School of Medicine, Miami, Florida, 33136, USA. 36 Department of Neurology,
Boston University School of Medicine, Boston, Massachusetts,02118, USA. 37 Department of Biostatistics, Boston University School of Public Health, Boston,
Massachusetts 02118 USA. 38 Framingham Heart Study, 17 Mount Wayte Avenue, Framingham, Massachusetts 01703 USA. 39 Hospital for Sick Children,
University of Toronto, Toronto, Ontario, Canada M5G 1X8. 40 Taub Institute for Research on Alzheimer’s Disease and the Aging Brain; G.H. Sergievsky Center;
Department of Neurology. Columbia University Medical Center, 639 West 1168th Street, New York, New York 10032, USA. 41 Pennington Biomedical
Research Center, Baton Rouge, Louisiana 70808, USA. 42 Cerebral Imaging Centre, Douglas Mental Health University Institute, Montreal, Quebec, Canada
H4H 1R3. 43 Department of Psychiatry and Biomedical Engineering, McGill University, Montreal, Quebec, Canada H3A 2B4. 44 Lieber Institute for Brain
Development, Baltimore, Maryland 21205, USA. 45 Interdepartmental Neuroscience Graduate Program, UCLA School of Medicine, Los Angeles, California
90095, USA. 46 Lille University, Inserm, CHU Lille, Institut Pasteur de Lille, U1167—RID-AGE—Risk factors and molecular determinants of aging-related
diseases, F-59000 Lille, France. 47 IMN UMR5293, GIN, CNRS, CEA, University of Bordeaux, 146 rue Léo Saignat, 33076 Bordeaux, France. 48 Biological
Psychology, Amsterdam Neuroscience, Vrije Universiteit & Vrije Universiteit Medical Center, 1081 BT Amsterdam, The Netherlands. 49 Division of
Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine, TU Dresden, 01307 Dresden, Germany. 50 Department of
Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. 51 Martinos Center for Biomedical Imaging, Massachusetts General
Hospital, Charlestown, Massachusetts 02129, USA. 52 NORMENT—KG Jebsen Centre for Psychosis Research, Department of Clinical Science, University of
Bergen, 5021 Bergen, Norway. 53 Dr Einar Martens Research Group for Biological Psychiatry, Center for Medical Genetics and Molecular Medicine, Haukeland
University Hospital, 5021 Bergen, Norway. 54 Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
55 Central Institute of Mental Health, Medical Faculty Mannheim, University Heidelberg, 68159 Mannheim, Germany. 56 Department of Data Science,
University of Mississippi Medical Center, Jackson, Mississippi, 39216, USA. 57 Language and Genetics Department, Max Planck Institute for Psycholinguistics,
6525 XD Nijmegen, The Netherlands. 58 International Max Planck Research School for Language Sciences, 6525 XD Nijmegen, The Netherlands.
59 Department of Child and Adolescent Psychiatry, Faculty of Medicine of the TU Dresden, 01307 Dresden, Germany. 60 Department of Research and
Development, Diakonhjemmet Hospital, 0319 Oslo, Norway. 61 Max Planck Institute of Psychiatry, 80804 Munich, Germany. 62 Department of Psychology,
Yale University, New Haven, Connecticut 06520, USA. 63 Department of Psychiatry, University Medicine Greifswald, 17489 Greifswald, Germany. 64 UCL
Institute of Neurology, London, United Kingdom and Epilepsy Society, Bucks, SL9 0RJ, UK. 65 Department of Medicine, Imperial College London, London SW7
2AZ, UK. 66 Center for Neuroimaging, Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. 67 Center
for Computational Biology and Bioinformatics, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. 68 Indiana Alzheimer Disease Center,
Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. 69 Section for Experimental Psychopathology and Neuroimaging, Department of
General Psychiatry, Heidelberg University, Heidelberg, 69120, Germany. 70 Psychiatric and Neurodevelopmental Genetics Unit, Center for Human Genetic
Research, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. 71 Harvard Medical School, Boston, Massachusetts 02115, USA. 72 Stanley
Center for Psychiatric Research, Broad Institute of MIT and Harvard, Boston, Massachusetts 02141, USA. 73 Lurie Center for Autism, Massachusetts General
Hospital, Harvard Medical School, Lexington, Massachusetts, 02421, USA. 74 Centre for Cognitive Ageing and Cognitive Epidemiology, Psychology, University
of Edinburgh, Edinburgh EH8 9JZ, UK. 75 Donders Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, 6525 EN, The Netherlands. 76 Reta Lila
Weston Institute and Department of Molecular Neuroscience, UCL Institute of Neurology, London WC1N 3BG, UK. 77 Department of Biomedicine, Aarhus
University, DK-8000 Aarhus, Denmark. 78 The Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, DK-8000 Aarhus and
Copenhagen, Denmark. 79 Center for integrated Sequencing, iSEQ, Aarhus University, DK-8000 Aarhus, Denmark. 80 Department of Psychiatry, Yale
University, New Haven, Connecticut 06511, USA. 81 Olin Neuropsychiatric Research Center, Hartford, Connecticut 06114, USA. 82 Department of Psychiatry,
EMGO Institute for Health and Care Research and Neuroscience Campus Amsterdam, VU University Medical Center/GGZ inGeest, 1081 HL Amsterdam,
The Netherlands. 83 Human Genetics Branch, National Institute of Mental Health Intramural Research Program, 35 Convent Drive, Rm 1A202, Bethesda,
Maryland 20892-3719, USA. 84 Department of Neurology, Department of Anesthesia/Critical Care Medicine, Department of Neurosurgery, Johns Hopkins,
USA600 N. Wolfe St, Baltimore, Maryland 21287, USA. 85 Center for Neurobehavioral Genetics, University of California, Los Angeles, California 90095, USA.
86 Department of Clinical Neuropsychology, VU University Amsterdam, Amsterdam, 1081 HV, The Netherlands. 87 Division of Psychiatry, Royal Edinburgh
Hospital, University of Edinburgh, Edinburgh EH10 5HF, UK. 88 Division of Systems Neuroscience of Psychopathology, Translational Research Center,
University Hospital of Psychiatry, University of Bern, Bern, 3060, Switzerland. 89 Department of Medical and Molecular Genetics, King’s College London,
London SE1 9RT, UK. 90 The Jenner Institute Laboratories, University of Oxford, Oxford OX3 7DQ, UK. 91 Karakter Child and Adolescent Psychiatry University
Center, Nijmegen, 6525 GC, The Netherlands. 92 Department of Medicine and Psychiatry, University Hospital Marqués de Valdecilla, School of Medicine,
University of Cantabria-IDIVAL, 39008 Santander, Spain. 93 CIBERSAM (Centro Investigación Biomédica en Red Salud Mental), Santander, 39011, Spain.
94 Psychosis Research Group, Department of Psychiatry & Trinity Translational Medicine Institute, Trinity College, Dublin, Dublin 2, Ireland. 95 Centre for
Clinical Brain Sciences, University of Edinburgh, Edinburgh EH16 4SB, UK. 96 Department of Neurology, University of Miami, Miller School of Medicine, Miami,
Florida, 33136, USA. 97 Department of Epidemiology and Public Health Sciences, University of Miami, Miller School of Medicine, Miami, Florida, 33136, USA.
98 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, Victoria, 3502, Australia. 99 Centre for Youth Mental Health, The University
of Melbourne, Melbourne, Victoria, 3502, Australia. 100 Department of Psychiatry, Neuroscience Campus Amsterdam, VU University Medical Center, 1007
MB Amsterdam, The Netherlands. 101 Multimodal Imaging Laboratory, Department of Neurosciences, University of California, San Diego, California 92093,
USA. 102 Department of Cognitive Sciences, University of California, San Diego, California 92161, USA. 103 Icelandic Heart Association, Kopavogur, 201,
Iceland. 104 Faculty of Medicine, University of Iceland, Reykjavik, 101, Iceland. 105 Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New
York, New York, 10029, USA. 106 Queensland Brain Institute, University of Queensland, Brisbane, Queensland 4072, Australia. 107 Institute for Community
Medicine, University Medicine Greifswald, 17489 Greifswald, Germany. 108 Neuroimaging Unit, Technological Facilities. Valdecilla Biomedical Research
Institute IDIVAL, Santander, Cantabria, 39011, Spain. 109 Institut Pasteur, 75015 Paris, France. 110 Department of Genetics, King Faisal Specialist Hospital and
Research Centre, Riyadh 11211, Saudi Arabia. 111 Department of Cardiology, Leiden University Medical Center, Leiden, 2300RC, The Netherlands. 112 GeneSTAR
Research Center, Department of Medicine, Johns Hopkins University School of Medicine, 1830 E Monument St Suite 8028, Baltimore, Maryland 21287, USA.
113 Department of Radiology, Leiden University Medical Center, Leiden, 2300RC, The Netherlands. 114 Department of Psychiatry, University of Groningen,
University Medical Center Groningen, Groningen, 9700RB, The Netherlands. 115 Brain Center Rudolf Magnus, Human Neurogenetics Unit, UMC Utrecht,
3584 CG Utrecht, The Netherlands. 116 Department of Psychiatry and Human Behavior, University of California-Irvine, Irvine, California 92617, USA.
117 Department of Psychology, Georgia State University, Atlanta, Georgia 30302, USA. 118 NORMENT—KG Jebsen Centre, Department of Psychology,
University of Oslo, 0317 Oslo, Norway. 119 Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, 39216, USA. 120 FMRIB
Centre, University of Oxford, Oxford OX3 9DU, UK. 121 German Center for Neurodegenerative Diseases (DZNE) Rostock/Greifswald, 17487 Greifswald,
Germany. 122 University of Wuerzburg, Department of Psychiatry, Psychosomatics and Psychotherapy, Wuerzburg, 97080, Germany. 123 Department of
Neurological Sciences, Rush University Medical Center, Chicago, Illinois 60612, USA. 124 Biospective Inc, Montreal, Quebec, Canada, 6100 Avenue
Royalmount, Montréal, Québec, Canada H4P 2R2. 125 Department of Clinical Neuroscience, Centre for Psychiatric Research, Karolinska Institutet, SE-171 77
Stockholm, Sweden. 126 South Texas Diabetes and Obesity Institute, University of Texas Rio Grande Valley School of Medicine, Brownsville/Edinburg/San
Antonio, Texas, 78250, USA. 127 Department of Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
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128 Department of Biomedical and Health Informatics, The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania 29104, USA. 129 National Ageing
Research Institute, Royal Melbourne Hospital, Melbourne, Victoria 3052, Australia. 130 Academic Unit for Psychiatry of Old Age, University of Melbourne,
Melbourne, Victoria 3101, Australia. 131 Laboratory of Neurogenetics, National Institute on Aging, National Institutes of Health, Bethesda, Maryland 20892,
USA. 132 Departments of Psychiatry, Neurology, and Psychology, University of Pittsburgh, 3501 Forbes Ave., Suite 830, Pittsburgh, Pennsylvania 15213, USA.
133 Dementia Collaborative Research Centre—Assessment and Better Care, University of New South Wales, Sydney, New South Wales 2052, Australia.
134 Department of Clinical Genetics and GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, 6200 MD
Maastricht, The Netherlands. 135 Department of Psychology, Center for Brain Science, Harvard University, Cambridge, Massachusetts 02138, USA.
136 Department of Evolution and Genetics, Dagestan State University, Makhachkala 367000, Dagestan, Russia. 137 The Mind Research Network & LBERI,
Albuquerque, New Mexico 87106, USA. 138 Department of ECE, University of New Mexico, Albuquerque, New Mexico 87131, USA. 139 Centre for
Neuroimaging & Cognitive Genomics (NICOG), Clinical Neuroimaging Laboratory, NCBES Galway Neuroscience Centre, College of Medicine Nursing and
Health Sciences, National University of Ireland Galway, H91 TK33 Galway, Ireland. 140 Department of Ophthalmology, Yong Loo Lin School of Medicine,
National University of Singapore, Singapore, 119077, Singapore. 141 Division of Medical Genetics, Department of Biomedicine, University of Basel, 4031 Basel,
Switzerland. 142 Institute of Human Genetics, University of Bonn, 53127 Bonn, Germany. 143 Institute of Neuroscience and Medicine (INM-1), Research Centre
Jülich, 52425 Jülich, Germany. 144 Center for Multimodal Imaging and Genetics, University of California, San Diego, California 92093, USA. 145 Departments
of Neurosciences, Radiology, Psychiatry, and Cognitive Science, University of California, San Diego, California 92093, USA. 146 Avera Institute for Human
Genetics, Sioux Falls, South Dakota 57108, USA. 147 Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, 2300RC, The
Netherlands. 148 Program in Translational NeuroPsychiatric Genomics, Departments of Neurology & Psychiatry, Brigham and Women’s Hospital, Boston,
Massachusetts, 02115, USA. 149 Harvard Medical School, Boston, Massachusetts, 02115, USA. 150 Program in Medical and Population Genetics, Broad
Institute, Cambridge, Massachusetts, 02142, USA. 151 Broad Institute, Cambridge, Massachusetts, 02142, USA. 152 Faculty of Health and Institute of Health
and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, Queensland 4059, Australia. 153 Department of Neurology, Bordeaux
University Hospital, Bordeaux, 33076, France. 154 Imaging of Dementia and Aging (IDeA) Laboratory, Department of Neurology and Center for Neuroscience,
University of California at Davis, 4860 Y Street, Suite 3700, Sacramento, California 95817, USA. 155 Neurology Division, Beaumont Hospital, Dublin 9, Ireland.
156 Department of Neurology, Hopital Erasme, Universite Libre de Bruxelles, 1070 Brussels, Belgium. 157 Department of Medical Genetics, Oslo University
Hospital, 0420 Oslo, Norway. 158 Cognitive Genetics and Cognitive Therapy Group, Neuroimaging, Cognition & Genomics Centre (NICOG) & NCBES Galway
Neuroscience Centre, School of Psychology and Discipline of Biochemistry, National University of Ireland Galway, H91 TK33, Galway, Ireland.
159 Neuropsychiatric Genetics Research Group, Department of Psychiatry and Trinity College Institute of Psychiatry, Trinity College Dublin, Dublin 8, Ireland.
160 Janssen Research & Development, LLC, Titusville, New Jersey 08560, USA. 161 Charité - Universitätsmedizin Berlin, Campus Charité Mitte, Department of
Psychiatry and Psychotherapy, Charitéplatz 1, 10117 Berlin, Germany. 162 Intramural Research Program of the National Institute on Aging, Baltimore, Maryland,
21224, USA. 163 Department of Neurological Sciences & Department of Behavioral Sciences, Rush University Medical Center, Chicago, Illinois 60616, USA.
164 Robertson Centre for Biostatistics, University of Glasgow, Glasgow, G41 4DQ, UK. 165 Institute of Molecular Medicine and Human Genetics Center,
University of Texas Health Science Center at Houston, Houston, Texas, 77030, USA. 166 Medical and Molecular Genetics, Indiana University School of
Medicine, Indianapolis, Indiana 46202, USA. 167 University of Texas Health Science Center, San Antonio, Texas 78229, USA. 168 Division of Cerebral
Integration, National Institute for Physiological Sciences, Aichi, 444-8585, Japan. 169 Division of Genetics, Department of Medicine, Brigham and Women’s
Hospital, Boston, Massachusetts 02115, USA. 170 Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology
(NTNU), Trondheim, 7491, Norway. 171 Department of Radiology, St. Olav’s Hospital, Trondheim University Hospital, Trondheim, 7030, Norway.
172 Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan. 173 Molecular Research Center for Children’s Mental
Development, United Graduate School of Child Development, Osaka University, Osaka, 565-0871, Japan. 174 Institute of Diagnostic Radiology and
Neuroradiology, University Medicine Greifswald, 17489 Greifswald, Germany. 175 German Center for Neurodegenerative Diseases (DZNE), Tübingen, 72076,
Germany. 176 Department of Psychology, VU University Amsterdam, 1081 BT Amsterdam, The Netherlands. 177 Department of Psychiatry, University of Iowa,
Iowa City, Iowa 52242, USA. 178 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts 02115 USA. 179 HMNC
Brain Health, Munich, 80539, Germany. 180 Interfaculty Institute for Genetics and Functional Genomics, University Medicine Greifswald, 17489 Greifswald,
Germany. 181 Translational Genomics Research Institute, Neurogenomics Division, 445N Fifth Street, Phoenix, Arizona 85004, USA. 182 Department of
Psychiatry, Fujita Health University School of Medicine, Toyoake 470-1192, Japan. 183 Department of Radiology, Mayo Clinic, Rochester, Minnesota 55905,
USA. 184 NICHD Brain and Tissue Bank for Developmental Disorders, University of Maryland Medical School, Baltimore, Maryland 21201, USA. 185 School of
Psychology, University of Sussex, Brighton BN1 9QH, UK. 186 Institute of Cognitive Neuroscience, University College London, London WC1N 3AR, UK.
187 Department of Neuroinformatics, Araya Brain Imaging, Tokyo, 102-0093, Japan. 188 Medical University of Lodz, 90-419 Lodz, Poland. 189 Department of
Neurology, Mayo Clinic, Rochester, Minnesota, 55905, USA. 190 Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland
School of Medicine, Baltimore, Maryland, 21228, USA. 191 Neuroscience Research Australia, Sydney, New South Wales 2031, Australia. 192 School of Medical
Sciences, UNSW, Sydney, New South Wales 2052, Australia. 193 INSERM UMR 1000 ‘‘Neuroimaging and Psychiatry’’, Service Hospitalier Frédéric Joliot;
University Paris-Sud, Université Paris-Saclay, University Paris Descartes, Maison de Solenn, Paris, 91400, France. 194 Columbia University Medical Center,
New York, New York 10032, USA. 195 Laboratory of Genetics, National Institute on Aging, National Institutes of Health, Baltimore, Maryland 21224, USA.
196 Departments of Neurology and Psychiatry, University of Pittsburgh, 3501 Forbes Ave., Suite 830, Pittsburgh Pennsylvania 15213, USA. 197 Department of
Psychiatry, University of Oxford, Oxford OX3 7JX, UK. 198 Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205,
USA. 199 Centre for Advanced Imaging, University of Queensland, Brisbane, Queensland 4072, Australia. 200 Section of Gerontology and Geriatrics,
Department of Medicine, University of Perugia, 06132 Perugia, Italy. 201 Munich Cluster for Systems Neurology (SyNergy), 81377 Munich, Germany.
202 University of Liverpool, Institute of Translational Medicine, Liverpool L69 3BX, UK. 203 Institute of Clinical Chemistry and Laboratory Medicine, University
Medicine Greifswald, 17489 Greifswald, Germany. 204 German Center for Cardiovascular Research (DZHK e.V.), partner site Greifswald, Greifswald, 17475,
Germany. 205 Department of Statistics & WMG, University of Warwick, Coventry CV4 7AL, UK. 206 Department of Medical Informatics Erasmus MC, 3015
CE Rotterdam, The Netherlands. 207 Faculty of Applied Sciences, Delft University of Technology, Delft, 2628 CD, The Netherlands. 208 Department of
Genomics, Life & Brain Center, University of Bonn, 53127 Bonn, Germany. 209 Rotman Research Institute, University of Toronto, Toronto, Ontario, Canada
M6A 2E1. 210 Departments of Psychology and Psychiatry, University of Toronto, Toronto, Ontario, Canada M5T 1R8. 211 Child Mind Institute, New York, New
York, 10022, USA. 212 Departments of Physiology and Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada M5S 3E2. 213 Department of
Radiology, University of Calgary, Calgary, Alberta, Canada T2N 4N1. 214 Department of Clinical Neuroscience, University of Calgary, Calgary, Alberta, Canada
T2N 4N1. 215 Departments of Epidemiology, Medicine and Health Services, University of Washington, Seattle, WA, USA Group Health Research Institute,
Group Health, 1730 Minor Avenue/Suite 1360, Seattle, Washington 98101, USA. 216 Department of Developmental Disability Neuropsychiatry, School of
Psychiatry, University of New South Wales, Sydney, New South Wales 2052, Australia. 217 Institute for Translational Genomics and Population Sciences, Los
Angeles Biomedical Research Institute and Pediatrics at Harbor-UCLA Medical Center, Torrance, California 90502, USA. 218 Evelyn F. McKnight Brain
Institute, University of Miami, Miller School of Medicine, Miami, Florida, 33136, USA. 219 Neuropsychiatric Institute, Prince of Wales Hospital, Randwick, New
South Wales 2031, Australia. 220 Institute of Molecular Biology and Biochemistry, Medical University Graz, Harrachgasse 21/III, 8010 Graz, Austria.
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221 Department of Neuroimaging, Institute of Psychiatry, King’s College London, London SE5 8AF, UK. 222 Biomedical Research Centre for Mental Health,
King’s College London, London SE5 8AF, UK. 223 Biomedical Research Unit for Dementia, King’s College London, London SE5 8AF, UK. 224 MRC Edinburgh
Brain Bank, University of Edinburgh, Academic Department of Neuropathology, Centre for Clinical Brain Sciences, Edinburgh, EH16 4SB UK. 225 Institute of
Clinical Medicine, Neurology, University of Eastern Finland, FI-70211 Kuopio, Finland. 226 Neurocentre Neurology, Kuopio University Hospital, FI-70211 Kuopio,
Finland. 227 Institute of Cardiovascular and Medical Sciences, Faculty of Medicine, University of Glasgow, Glasgow, G4 0SF, UK. 228 Laboratory of Neuro
Imaging, Institute for Neuroimaging and Informatics, Keck School of Medicine of the University of Southern California, Los Angeles, California 90033, USA.
229 Department of Pathology, Johns Hopkins University, Baltimore, Maryland 21205, USA. 230 3rd Department of Neurology, "G. Papanicolaou", Hospital,
Aristotle University of Thessaloniki, Thessaloniki, 57010, Greece. 231 Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219,
Bordeaux, F-33000, France. 232 Department of Internal Medicine, Erasmus MC, 3015 CE Rotterdam, The Netherlands. 233 Genentech Inc., South San
Francisco, California 94080, USA. 234 Department of Psychiatry and Leiden Institute for Brain and Cognition, Leiden University Medical Center, 2333 ZA
Leiden, The Netherlands. 235 University of Groningen, University Medical Center Groningen, Department of Neuroscience, 9713 AW Groningen, the
Netherlands. 236 Department of Internal Medicine and Geriatric Medicine, INSERM U1027, University of Toulouse, Toulouse, 31024, France. 237 Department
of Psychiatry, Carver College of Medicine, University of Iowa, Iowa City, Iowa 52242, USA. 238 Departments of Psychiatry, Neurology, Neuroscience and the
Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA. 239 Center for Imaging of Neurodegenerative
Disease, San Francisco VA Medical Center, University of California, San Francisco, California 94121, USA. 240 Department of Neurobiology, Care Sciences and
Society, Karolinska Institutet, SE-141 57 Huddinge, Sweden. 241 Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s
Hospital, 3015 CE Rotterdam, The Netherlands. 242 Laboratory of Epidemiology & Population Sciences, National Institute on Aging, National Institutes of
Health, Bethesda, Maryland 20892, USA. 243 Departments of Neurology and Epidemiology, University of Washington, 325 Ninth Avenue, Seattle,
Washington 98104-2420, USA. 244 Intramural Research Program, NIA, NIH, 7201 Wisconsin Ave, Suite 3C-309, Bethesda, Maryland 20892, USA.
245 Department of Neurology, Erasmus MC, Rotterdam 3015 CE, The Netherlands. * These authors contributed equally to this work.. ** These authors jointly
supervised the study
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