Clin Psychopharmacol Neurosci.  2024 May;22(2):295-305. 10.9758/cpn.23.1099.

Epigenome-wide Association Study for Tic Disorders in Children: A Preliminary Study in Korean Population

Affiliations
  • 1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea
  • 2Department of Psychiatry, Korea University Guro Hospital, Seoul, Korea
  • 3PhileKorea Technology Co. Ltd., Daejeon, Korea
  • 4Department of Physical Education, Gyeongsang National University, Jinju, Korea
  • 5HuNBiome Co. Ltd., Seoul, Korea
  • 6Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea
  • 7Department of Medical Science, Soonchunhyang University, Asan, Korea

Abstract


Objective
Tic disorders can affect the quality of life in both childhood and adolescence. Many factors are involved in the etiology of tic disorders, and the genetic and epigenetic factors of tic disorders are considered complex and heterogeneous.
Methods
In this study, the differentially methylated regions (DMRs) between normal controls (n = 24; aged 6−15; 7 females) and patients with tic disorders (n = 16; aged 6−15; 5 females) were analyzed. We performed an epigenome-wide association study of tic disorders in Korean children. The tics were assessed using Yale Global Tic Severity Scale. The DNA methylation data consisted of 726,945 cytosine phosphate guanine (CpG) sites, assessed using the Illumina Infinium MethylationEPIC (850k) BeadChip. The DNA methylation data of the 40 participants were retrieved, and DMRs between the four groups based on sex and tic disorder were identified. From 28 male and 16 female samples, 37 and 38 DMRs were identified, respectively. We analyzed the enriched terms and visualized the network, heatmap, and upset plot.
Results
In male, Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis revealed hypomethylated patterns in the ligand, receptor, and second signal transductors of the PI3K-Akt and MAPK signaling pathway (most cells were indicated as green color), and in female, the opposite patterns were revealed (most cells were indicated as red color). Five mental disorder-related enriched terms were identified in the network analysis.
Conclusion
Here, we provide insights into the epigenetic mechanisms of tic disorders. Abnormal DNA methylation patterns are associated with mental disorder-related symptoms.

Keyword

Tic disorder; DNA methylation; EWAS; YGTSS
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