Assessing molecular gene by treatment interactions using a population of neural progenitors exposed to valproic acid

Jordan M Valone1,2, Brandon D Le1,2, Nana Matoba1,2

  • 1Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Molecular Psychiatry
|April 4, 2026
PubMed

Insights

Investigating gene by treatment interactions in neural progenitors revealed how genetic variations impact drug responses. This study identified a folate metabolism pathway linked to cognitive ability, offering a potential therapeutic target for valproic acid effects.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Gene by treatment (GxT) interactions are crucial for understanding individual responses to psychiatric and neurological treatments.
  • Identifying GxT interactions in population studies is challenging due to complex molecular responses.

Purpose of the Study:

  • To investigate GxT interactions in human neural progenitors using psychiatric and neurological treatments.
  • To identify genetic factors influencing molecular responses to drugs like valproic acid (VPA) and lithium.
  • To explore the link between genetic variation, drug response, and psychiatric risk.

Main Methods:

  • Applied psychiatric and neurological disorder treatments to a genotyped population of 83 human neural progenitor cell donors.
  • Measured molecular responses including chromatin accessibility and gene expression.
  • Utilized transcriptome-wide association studies (TWAS) in the context of VPA treatment.

Main Results:

  • Gene regulatory responses to VPA and lithium were enriched in genetic risk for psychiatric disorders.
  • Genetic variation impacted molecular responses at over 1000 loci, with some variants modulating psychiatric risk.
  • TWAS identified genes in folate metabolism associated with cognitive ability under VPA exposure.

Conclusions:

  • Demonstrated the convergence of environmental and genetic factors in psychiatric disorders.
  • Identified a validated treatment pathway involving folate metabolism for VPA-induced effects.
  • Highlighted the utility of studying GxT interactions in neural progenitors for drug discovery and personalized medicine.

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