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Polygenic risk associations with developmental and mental health outcomes in childhood and adolescence: A systematic
L B Moyakhe1, S Dalvie1,2, M S Mufford1,3,4
1Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, South Africa; and UCT Neuroscience Institute.
Insights
Polygenic risk scores (PRS) are linked to adverse neurodevelopmental and mental health outcomes in children and adolescents. These genetic associations appear across various conditions, not limited to specific disorders.
Area of Science:
- Child and Adolescent Psychiatry
- Genetics
- Neurodevelopmental Disorders
Background:
- Childhood neurodevelopmental and mental health disorders pose a global concern with complex, multifactorial, and polygenic origins.
- Polygenic risk scores (PRS) are increasingly utilized in psychiatric research to assess genetic liability for disorders.
- Limited research has explored polygenic associations with developmental and mental health in pediatric populations.
Approach:
- A systematic review was conducted following PRISMA guidelines, searching databases for relevant studies.
- The search encompassed full-text articles investigating polygenic risk associations with childhood/adolescent neurodevelopmental and mental health outcomes.
- Studies were included if they examined polygenic risk scores in relation to these pediatric outcomes.
Key Points:
- Fourteen studies were included, examining associations between PRS and adverse outcomes.
- Higher PRS for ADHD, bipolar disorder, major depressive disorder, and schizophrenia were linked to negative outcomes in youth.
- Several studies indicated shared polygenic contributions across different neurodevelopmental and mental health disorders.
Conclusions:
- PRS for neurodevelopmental and mental health disorders may be associated with adverse outcomes in children and adolescents.
- These genetic associations appear to transcend specific diagnostic categories, suggesting shared genetic underpinnings.
- The findings highlight the potential role of polygenic risk in understanding the etiology of pediatric mental health conditions.
Background:
Neurodevelopmental and mental health disorders in childhood constitute an emerging global concern, with adverse sequelae which span children's physical, psychological and social well-being. The aetiology of these disorders is likely complex, multifactorial and polygenic. Polygenic risk scores (PRS), an estimate of an individual's genetic liability toward a disorder, have been increasingly used in psychiatric research to explore genetic associations with disorders of interest. However, limited work delineates polygenic associations with development and mental health in childhood populations.We aimed to systematically review existing literature on associations between genetic risk (as measured by PRS) and neurodevelopmental and mental health outcomes in childhood and adolescence.
Methods:
Following the recommended Preferred Reporting Items for Meta-Analyses (PRISMA) guidelines, databases were searched using key search terms. The search commenced in March 2021 and concluded in June 2021. The studies eligible for inclusion were full-text articles investigating polygenic risk associations with neurodevelopmental and/or mental health outcomes in childhood or adolescence.
Results:
Fourteen studies were eligible for inclusion in this systematic review. The association between higher PRS for attention-deficit/hyperactivity disorder (ADHD) and adverse developmental/mental health outcomes in childhood and adolescence was reported by five studies. Additionally, associations between PRS for bipolar disorder or major depressive disorder and adverse outcomes of interest were also described by two studies; and two studies highlighted associations between schizophrenia PRS and mental health disorders in childhood. The remaining studies highlighted shared polygenic contributions between and within NDDs and mental health disorders in children.
Conclusion:
The findings of this systematic review suggest that PRS for neurodevelopmental and mental health disorders may associate with adverse neurodevelopmental and mental health outcomes from early childhood to adolescence. In addition, these associations seemed not to be phenotype-specific, suggesting potential shared genetic variation across the phenotypes of interest.
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