npj Genomic Medicine (Sep 2023)

SLCO5A1 and synaptic assembly genes contribute to impulsivity in juvenile myoclonic epilepsy

  • Delnaz Roshandel,
  • Eric J. Sanders,
  • Amy Shakeshaft,
  • Naim Panjwani,
  • Fan Lin,
  • Amber Collingwood,
  • Anna Hall,
  • Katherine Keenan,
  • Celine Deneubourg,
  • Filippo Mirabella,
  • Simon Topp,
  • Jana Zarubova,
  • Rhys H. Thomas,
  • Inga Talvik,
  • Marte Syvertsen,
  • Pasquale Striano,
  • Anna B. Smith,
  • Kaja K. Selmer,
  • Guido Rubboli,
  • Alessandro Orsini,
  • Ching Ching Ng,
  • Rikke S. Møller,
  • Kheng Seang Lim,
  • Khalid Hamandi,
  • David A. Greenberg,
  • Joanna Gesche,
  • Elena Gardella,
  • Choong Yi Fong,
  • Christoph P. Beier,
  • Danielle M. Andrade,
  • Heinz Jungbluth,
  • Mark P. Richardson,
  • Annalisa Pastore,
  • Manolis Fanto,
  • Deb K. Pal,
  • Lisa J. Strug,
  • the BIOJUME Consortium

DOI
https://doi.org/10.1038/s41525-023-00370-z
Journal volume & issue
Vol. 8, no. 1
pp. 1 – 11

Abstract

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Abstract Elevated impulsivity is a key component of attention-deficit hyperactivity disorder (ADHD), bipolar disorder and juvenile myoclonic epilepsy (JME). We performed a genome-wide association, colocalization, polygenic risk score, and pathway analysis of impulsivity in JME (n = 381). Results were followed up with functional characterisation using a drosophila model. We identified genome-wide associated SNPs at 8q13.3 (P = 7.5 × 10−9) and 10p11.21 (P = 3.6 × 10−8). The 8q13.3 locus colocalizes with SLCO5A1 expression quantitative trait loci in cerebral cortex (P = 9.5 × 10−3). SLCO5A1 codes for an organic anion transporter and upregulates synapse assembly/organisation genes. Pathway analysis demonstrates 12.7-fold enrichment for presynaptic membrane assembly genes (P = 0.0005) and 14.3-fold enrichment for presynaptic organisation genes (P = 0.0005) including NLGN1 and PTPRD. RNAi knockdown of Oatp30B, the Drosophila polypeptide with the highest homology to SLCO5A1, causes over-reactive startling behaviour (P = 8.7 × 10−3) and increased seizure-like events (P = 6.8 × 10−7). Polygenic risk score for ADHD genetically correlates with impulsivity scores in JME (P = 1.60 × 10−3). SLCO5A1 loss-of-function represents an impulsivity and seizure mechanism. Synaptic assembly genes may inform the aetiology of impulsivity in health and disease.