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Updated: Mar 15, 2026

A Strategy to Identify de Novo Mutations in Common Disorders such as Autism and Schizophrenia
Published on: June 15, 2011
A new method for identifying causal genes of schizophrenia and anti-tuberculosis drug-induced hepatotoxicity
Tao Huang1,2, Cheng-Lin Liu3, Lin-Lin Li1
1Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders (No. 13dz2260500), Shanghai Jiaotong University, Shanghai 200030, China.
Abstract:
Schizophrenia (SCZ) may cause tuberculosis, the treatments for which can induce anti-tuberculosis drug-induced hepatotoxicity (ATDH) and SCZ-like disorders. To date, the causal genes of both SCZ and ATDH are unknown. To identify them, we proposed a new network-based method by integrating network random walk with restart algorithm, gene set enrichment analysis, and hypergeometric test; using this method, we identified 500 common causal genes. For gene validation, we created a regularly updated online database ATDH-SCZgenes and conducted a systematic meta-analysis of the association of each gene with either disease. Till now, only GSTM1 and GSTT1 have been well studied with respect to both diseases; and a total of 23 high-quality association studies were collected for the current meta-analysis validation. Finally, the GSTM1 present genotype was confirmed to be significantly associated with both ATDH [Odds Ratio (OR): 0.71, 95% confidence interval (CI): 0.56-0.90, P = 0.005] and SCZ (OR: 0.78, 95% CI: 0.66-0.92, P = 0.004) according to the random-effect model. Furthermore, these significant results were supported by "moderate" evidence according to the Venice criteria. Our findings indicate that GSTM1 may be a causal gene of both ATDH and SCZ, although further validation pertaining to other genes, such as CYP2E1 or DRD2, is necessary.
Insights
Researchers identified potential causal genes for schizophrenia and anti-tuberculosis drug-induced liver injury. The GSTM1 gene was significantly associated with both conditions, suggesting a shared genetic link.
Area of Science:
- Genetics and Genomics
- Pharmacogenomics
- Neuroscience
Background:
- Schizophrenia (SCZ) is linked to tuberculosis, and its treatments can cause anti-tuberculosis drug-induced hepatotoxicity (ATDH) and SCZ-like symptoms.
- The genetic basis for both SCZ and ATDH remains largely unknown.
- Identifying shared causal genes could improve treatment strategies and disease understanding.
Purpose of the Study:
- To identify common causal genes for schizophrenia and anti-tuberculosis drug-induced hepatotoxicity.
- To validate identified genes through a systematic meta-analysis and an online database.
- To investigate the role of specific genes, like GSTM1, in the pathogenesis of both diseases.
Main Methods:
- Development of a novel network-based method integrating random walk, gene set enrichment analysis, and hypergeometric tests.
- Creation of the ATDH-SCZgenes online database for gene validation.
- Systematic meta-analysis of 23 high-quality association studies for gene validation.
Main Results:
- Identification of 500 potential common causal genes using the network-based approach.
- The GSTM1 present genotype showed significant association with both ATDH (OR: 0.71, P=0.005) and SCZ (OR: 0.78, P=0.004).
- Findings for GSTM1 were supported by moderate evidence according to Venice criteria.
Conclusions:
- GSTM1 is a potential causal gene for both anti-tuberculosis drug-induced hepatotoxicity and schizophrenia.
- Further validation is required for other identified genes, such as CYP2E1 and DRD2.
- This research provides a foundation for understanding the shared genetic etiology of SCZ and ATDH.
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