Abstract
Genome-wide association studies (GWAS) are unraveling the genetics of adult brain neuroanatomy as measured by cross-sectional anatomic magnetic resonance imaging (aMRI). However, the genetic mechanisms that shape childhood brain development are, as yet, largely unexplored. In this study we identify common genetic variants associated with childhood brain development as defined by longitudinal aMRI.
Genome-wide SNP data were determined in 2 cohorts: one enriched for attention-deficit/hyperactivity disorder (ADHD) (LONG cohort: 458 participants; 119 with ADHD) and the other from a population-based cohort (Generation R: 257 participants). The growth of the brain’s major regions (cerebral cortex, white matter, basal ganglia and cerebellum) and one region of interest (the right lateral prefrontal cortex) were defined on all individuals from two aMRIs, and a genome-wide association study and a pathway analysis were performed. In addition, association between polygenic risk for ADHD and brain growth was determined for the LONG cohort.
For white matter growth, GWAS meta-analysis identified a genome-wide significant intergenic SNP (rs12386571, p = 9.09x10−9), near AKR1B10. This gene is part of the aldo-keto reductase superfamily and shows neural expression. No enrichment of neural pathways was detected and polygenic risk for ADHD was not associated with the brain growth phenotypes in the LONG cohort that was enriched for the diagnosis of ADHD. The study illustrates the use of a novel brain growth phenotype defined in vivo for further study.
Keywords: GWAS, pathway analysis, polygenic score, brain development, ADHD, children
INTRODUCTION
Cross-sectional studies show that variation in human brain structure, defined at a macroscopic level by anatomic magnetic resonance imaging (aMRI), is highly heritable with heritability estimates ~0.9 for the volumes of the prefrontal cortex and striatum (Neale et al., 2010; Peper, Brouwer, Boomsma, Kahn, & Hulshoff Pol, 2007; Wallace et al., 2006). Progress has been made in identifying common genetic variants associated with brain structure in adults (Bis et al., 2012; Hibar et al., 2013; Melville et al., 2012; Stein et al., 2012; Walters et al., 2013) but genetic factors involved in the developing brain are less well explored. Understanding how common genetic variation impacts brain growth is both inherently important and also has translational implications because neurodevelopmental disorders with a childhood-onset such attention-deficit/hyperactivity disorder (ADHD) are partly characterized by perturbed brain growth (F. X. Castellanos et al., 2002; Eric Courchesne, Campbell, & Solso, 2011; E. Courchesne, Carper, & Akshoomoff, 2003; Eric Courchesne & Pierce, 2005; Di Martino et al., 2014; Ducharme et al., 2012; El-Sayed, Larsson, Persson, Santosh, & Rydelius, 2003; Mackie et al., 2007; Redcay & Courchesne, 2005; Rubia, 2007; Shaw et al., 2011; Shaw, Gogtay, & Rapoport, 2010; Sripada, Kessler, & Angstadt, 2014). For example, the severity of inattention, impulsivity and hyperactivity symptoms has been associated with altered development of the cerebral cortex and basal ganglia in children and adolescents (F. X. Castellanos et al., 2002; Ducharme et al., 2012; Shaw et al., 2014; Shaw et al., 2011). Thus, uncovering the genetic pathways that impact brain development in childhood might also inform our understanding of psychiatric disorders with a neurodevelopmental origin.
Here, we attempted to identify the common genetic variants associated with brain growth. Two independent cohorts were studied—the Longitudinal Observations in Neuroimaging and Genetics (LONG) cohort at the NIH (with 458 participants) and data from the Generation R Study in Rotterdam (with 257 participants). All participants in both cohorts had two neuroanatomic scans which were used to determine brain growth. Age-related volumetric changes in the major regions of the brain (cerebral cortex and white matter, basal ganglia, and cerebellum) were defined. Longitudinal twin imaging studies have demonstrated heritability in the growth of these brain regions, ranging from 19% for white matter growth, to 37% for cerebral gray matter and 40% for the cerebellum (Brouwer et al., 2017). In addition, growth of the right lateral prefrontal cortex was also examined. This region was chosen because both cross-sectional and longitudinal studies tie age-related change in the right lateral prefrontal cortex to the severity of hyperactivity-impulsivity and inattention in all children, not just those with the diagnosis (Shaw, 2011; Ducharme, 2012). Right prefrontal volume loss is one of the more consistently replicated findings in cross-sectional neuroimaging studies in ADHD and is tied to the atypical development of prefrontal lateralized processing seen in the disorder.
Our primary aim was to identify associations between Single Nucleotide Polymorphisms (SNPs) and the growth of five major brain regions in the LONG and Generation R cohorts. Secondly, we determined if the biological pathways implicated through SNPs or a child’s aggregate (polygenic) risk for ADHD showed associations with brain growth.
METHODS
Subjects
‘LONG cohort’
The LONG cohort includes a total of 458 participants (271 males), with 339 typically developing children and adolescents, and 119 youth with an ADHD diagnosis. Diagnosis was ascertained using the clinician-administered Parent Diagnostic Interview for Children and Adolescents (Reich, 2000). All participants had two aMRIs. The mean age of the first scan was 11.47 (SD 3.54) years and the mean age of the second scan was 16.13 (SD 4.72) years. Based on parent-reported race/ethnicity, there were 404 European Americans, 31 African Americans, 8 Asian Americans and 15 participants of mixed race. The sample included 146 sibling pairs (137 pairs of full siblings, 9 pairs of half siblings).
‘Generation R’
The second cohort was a subsample of the Generation R Study, a population-based Dutch birth cohort (Kooijman et al., 2016), consisting of the 257 participants (135 males) with two aMRIs (White et al., 2013). The mean age of the participants was 7.71 (SD 0.86) years at the time of the first scan and 10.23 (SD 0.68) years at the second scan. Given its community-based nature, most children (n=244) were typically developing. Clinically significant levels of ADHD symptoms were identified using the Attention Problems and DSM-oriented ADHD Problems scales of the Child Behavior Checklist (CBCL) 1.5–5 (Achenbach & Rescorla, 2000), at a mean age 6.03 (SD 0.4). The preschool version of the CBCL was used because many of the children were younger than 6 years at the time of assessment. Using clinical thresholds established on Dutch norm populations there were 13 children who scored above the clinical threshold on attention problems or DSM-oriented ADHD problems (Tick, van der Ende, Koot, & Verhulst, 2007). Based on parent-reported race/ethnicity, 177 children were White/Caucasian and 80 non-Caucasian (these participants were of various ethnicities, such as African, primarily North African, Asian, and Caribbean).
The Institutional Review Board of each institute approved the study protocols at each site (the National Institutes of Health for the LONG cohort, and the Medical Ethics Committee of the Erasmus Medical Center for the Generation R Study). Written informed consent to participate in the study was obtained from parents.
Genotyping
LONG cohort
DNA was extracted from lymphoblastoid cell line (234 samples), saliva (124 samples), and blood (100 samples). Genotyping and initial quality control were performed at Center for Inherited Disease Research (http://www.cidr.jhmi.edu/) with the Illumina HumanOmniExpressExome-8v1-2 array. Initially, 959,200 SNPs were released. After quality control procedures, 668,419 SNPs were available for analyses. Ungenotyped markers surrounding significant regions were imputed to facilitate fine mapping (see supplementary materials and methods).
Generation R
Genotype data from Generation R was available for 518,245 SNPs. Before imputation the Generation R and LONG cohort had 287,902 SNPs in common. SNPs from Generation R were imputed (to SNPs from the LONG cohort) to increase the SNP-overlap. Imputation resulted in an additional 365,128 SNPs with a quality mach.rsq > 0.3 in Generation R for final analysis, for a total of 653,030 SNPs for meta-analysis. Genotyping, quality control procedures and imputation analyses are described in detail elsewhere (Medina-Gomez et al., 2015).
The brain growth phenotypes
LONG cohort
Neuroanatomical MRI was acquired on 370 participants on a 1.5-T GE Signa scanner (Milwaukee, WI) at both baseline and follow up. Sixty-eight participants had aMRI acquired on a 3-T GE Signa scanner (Milwaukee, WI) at both time points. Twenty children were scanned on a 1.5-T scanner at baseline and a 3-T scanner at follow-up. Imaging parameters are given as supplemental information.
Generation R
Baseline MR images were acquired on a 3-T GE Discovery MR-750 scanner (Milwaukee, WI) and the second scan on a 3-T GE Discovery MR-750w scanner. Imaging parameters are provided as supplemental information.
Image preprocessing
Automatic volumetric segmentations were performed with the FreeSurfer image suite (version 5.3; https://surfer.nmr.mgh.harvard.edu). For quality assurance, two raters assessed the quality of all the initial images, blind to diagnosis and other demographic details, retaining only those judged to have no or minimal motion or other artifacts (determined using published guidelines (F. Castellanos et al., 2002)). The final segmentations of the cortical surface and mantle and deeper structures, provided by FreeSurfer, were also visually inspected by trained raters following published guidelines used by the Enhancing Imaging Genomics through Meta-Analysis consortium (http://enigma.ini.usc.edu/protocols/imaging-protocols/). At each stage, discrepant ratings of either the initial image or its final segmentations were reviewed and a consensus rating was given. Finally, a participant was retained only if both scans met these quality criteria. Because of these measures, 338 of the initial 1254 scans in the LONG cohort were excluded along with 378 of the original 892 in Generation R. Thus, the final analyses were comprised of 916 scans in the LONG cohort and 514 in Generation R.
Modeling growth
Growth was modeled for four major divisions of the brain (the cerebral cortex, the basal ganglia, the cerebellum, cerebral white matter) and the region of interest (the right lateral prefrontal cortex). Volume was used as the measure because it can be determined for all of these divisions: other measures such as thickness apply only to the cortex. Although many brain growth phenotypes can be determined (for example, considering multiple cortical and subcortical regions), the four major divisions and the region of interest were selected as phenotypes prior to conducting any statistical analyses to limit the number of multiple tests.
Longitudinal data was used to chart individual growth (Kraemer, Yesavage, Taylor, & Kupfer, 2000). However, modeling growth at the level of individuals presents several challenges. First, it is not feasible to model non-linear growth at an individual level as this requires a minimum of three, and ideally more, observations, and all participants in the Generation R cohort had only 2 images. Thus individual-level growth was taken to be linear. Volumetric change was measured controlling for the age at initial assessment and has the same unit of time (i.e., change per annum) through adjustment for inter-scan interval. Such linear modeling is a reasonable approximation for growth. The proportional change in volume for each region was calculated as follows: change in volume between the two scans divided by the baseline volume. Then, using linear regression, this proportional change was adjusted for the age at baseline scan, the interscan interval, sex and ADHD status. A positive value indicates that the brain region showed overall (adjusted) increase in volume; a negative value indicates age-related decrease in volume. After adjustment, residualized values were normalized using rank-based inverse normal transformation (Blom’s formula: (rank-3/8)/(n+1/4). Normalization is necessary to ameliorate the well known inflated type I error rate (Schwantes-An et al., 2016).
Residualized change in the cerebral cortex and right lateral prefrontal cortex were highly correlated (r = 0.86), but correlation between all other phenotypes was modest (mean overall correlation of 0.27; maximum r = 0.39 between the cerebellum and white matter, and minimum of r = 0.11 for the cerebellum and basal ganglia).
Data analysis
GWAS
Tests of association were performed assuming an additive linear model. Due to the degree of relatedness (N=146 sibling pairs) in the LONG cohort, Efficient Mixed-Model Association eXpedited (EMMAX) (H. M. Kang et al., 2010), a method which accounts for population structure and relatedness among the participants, was used to perform the GWAS for each trait. EMMAX has a flexible variance component approach that enables correcting for a wide range of sample structures by explicitly accounting for pair-wise relatedness between individuals, using high-density SNPs. Furthermore, admixture-adjusted marker-based kinship matrices were used as input for EMMAX, calculated using the Relationship Estimation in Admixed Population (REAP) method (Thornton et al., 2012). Both simulations and analysis of real data have previously demonstrated that REAP can adequately account for population structure and ancestry-related assortative mating by using individual-specific allele frequencies at SNPs that are calculated on the basis of ancestry derived from whole-genome analysis.) (Thornton et al., 2012). To this end, ADMIXTURE (Alexander, Novembre, & Lange, 2009) was used to estimate the number of subpopulations in each cohort, assuming k = 3 subpopulations for LONG and k = 2 subpopulations for Generation R based on the best model fit criteria comparing models with k = 1 through 5 subpopulations in both cohorts. Output from the ADMIXTURE analysis provided the individual-specific allele frequencies used in REAP. To illustrate population structure within the LONG cohort, principal components analysis and Scree plots are provided in supplementary Figures S1a and S1b.
Replication was performed with two different methods. In the first, a meta-analysis based on the EMMAX associations obtained from these two cohorts was performed. This was done with the rmeta package in R, which is based on an inverse variance weighted meta-analysis conducted for each of the five phenotypes assuming a random effect. Nominal genome-wide significance was determined by the standard significance criteria of 5x10−8. Although five growth phenotypes were tested, multiple test correction was based on 4 traits (Li & Ji, 2005) because of the high correlation between cerebral cortex and right lateral prefrontal cortex (r = 0.86) resulting in an adjusted genome-wide significance level of 1.25x10−8.
The second approach was to use ComPaSS-GWAS [Sabourin et al., submitted], a method based on complimentary pairs stability selection (Shah & Samworth, 2013) applied to a traditional regression based GWAS selection procedure. ComPaSS-GWAS approximates replication by randomly splitting the data in half (into a pseudo-discovery and pseudo-replication set) multiple times and looking for corroboration of GWAS results within the random splits. For a given critical value, ComPaSS-GWAS returns a corroboration score between 0 and 1, indicating the proportion of random splits where each SNP was corroborated at a given threshold. SNPs that are corroborated at a high rate are less sensitive to sampling variability, i.e., their significance is less likely to be an artifact of the sample analyzed, and therefore are more likely to be replicated. Simulations show that a ComPaSS-GWAS score of at least 0.25 and 0.5 based on a within split critical value parameter of 10−3 results in type I error rates of less than 6.6x10−7 and 5x10−8, respectively. For this study, ComPaSS-GWAS was used only on the larger cohort (the LONG cohort). ComPaSS-GWAS scores based on a within split critical value parameter of 10−3 and a corroboration score of at least 0.4 are reported. Significant results from ComPaSS-GWAS for the LONG cohort that were not supported by the meta-analysis but which had evidence of heterogeneity (Phet < 0.05) were also examined.
Pathway analysis
Pathway-based analyses can detect pathophysiological mechanisms that may be missed by focusing on single alleles, especially when considering only those attaining genome-wide significance (Mooney et al., 2016; Wang, Li, & Hakonarson, 2010). Pathway analyses was based on SNPs associated with the brain growth phenotypes in the meta-analyses at p-values < 1x10−5. SNPs meeting these conditions were annotated to genes using wANNOVAR(Chang & Wang, 2012). Using Ingenuity Pathway Analysis (IPA, QIAGEN, Redwood City, www.qiagen.com/ingenuity), enrichment for canonical pathways among these variants was tested. Pathways that were significantly enriched at a Benjamini-Hochberg (B-H) corrected q < 0.05, were taken to be significant.
Polygenic risk score analysis
Polygenic risk scores (PRS) for ADHD has already been shown to predict neuropsychological and clinical characteristics pertinent to the disorder (Hamshere et al., 2013). However, the ability of PRS for ADHD to predict brain growth has been untested. PRS was calculated for ADHD in the LONG cohort based on the recent release of ADHD GWAS mega-analysis results by the Psychiatric Genomics Consortium and the Lundbeck Foundation Initiative for Integrative Psychiatric Research (iPSYCH) (Demontis et al., 2017). These meta-analyses did not include the LONG or Generation R cohorts. PRS were generated using the PRSice software (Euesden, Lewis, & O’Reilly, 2014). We excluded SNPs with an r2 > 0.1, which were within 250 kilobases (kb) of each other. The following p-value thresholds to define PRS: 0.0005, 0.001, 0.005, 0.01, 0.05, 0.1, 0.5. Brain growth phenotypes within LONG were recalculated so that proportional change in volume was adjusted for age at baseline scan, interscan interval and sex but not ADHD status, as we were interested in the genetic overlap between ADHD and brain growth in a sample that was enriched for the diagnosis of ADHD. Residualized brain growth phenotypes were normalized using rank-based inverse normal transformation and regressed onto the standardized polygenic risk scores using linear mixed-models, which included a random term to account for relatedness among some participants and the first three principal components reflecting population structure.
RESULTS
Phenotype
Demographic differences were found between the two cohorts: the LONG cohort had an older mean age and a higher proportion of Caucasian participants (Table I). These demographic differences were accounted for in all analyses. Considering the brain growth phenotypes, the overall pattern of age-related change in regional volumes was similar across the cohorts (supplementary Figure S2). There was no significant difference in brain growth phenotypes between individuals with and without ADHD in any of the cohorts (Table II). Nevertheless, due to the high frequency of ADHD diagnosis within LONG, ADHD status was adjusted for in the main analyses. There was no significant effect of study site on the overall growth phenotypes in a repeated-measures ANOVA (between-subjects main effect of site (p = 0.24).
Table I.
Basic description of the two cohorts
| LONG cohort (N=458) | Generation R (N=257) | ||
|---|---|---|---|
| M(SD) or % | M(SD) or % | p-value | |
| Age (years) at scan 1 | 11.47 (3.54) | 7.70 (0.86) | <0.001 |
| Age (years) at scan 2 | 16.13 (4.72) | 10.23 (0.68) | <0.001 |
| Males | 59.2 | 52.5 | 0.098 |
| ADHD diagnosis | 26.0 | 3.0 | <0.001 |
| White/Caucasian | 88.2 | 68.9 | <0.001 |
Note. Continuous variables were compared between the two cohorts using t-tests, categorical variables were compared using χ2 tests.
Table II.
Comparing brain growth phenotypes according to ADHD status
| Residualized proportion change a | LONG cohort (N=458, ADHD=119) | Generation R (N=257, ADHD=13) | ||||
|---|---|---|---|---|---|---|
|
|
|
|||||
| t | df | p | T | df | p | |
| Cortex | 0.541 | 211.655 | 0.589 | −0.777 | 12.599 | 0.452 |
| White matter | 1.675 | 228.169 | 0.095 | 0.730 | 12.393 | 0.479 |
| Right lateral prefrontal cortex | 0.277 | 212.727 | 0.782 | −0.454 | 12.665 | 0.658 |
| Cerebellum | 1.780 | 191.283 | 0.077 | 1.286 | 12.477 | 0.222 |
| Basal ganglia | 1.163 | 205.316 | 0.246 | 1.375 | 12.471 | 0.193 |
Note. Population variances of the two groups are assumed to be not equal; t-statistics are reported based on the un-pooled variances and corrected degrees of freedom.
Proportion change in volume between first and last scan was adjusted for age at first scan, interscan interval and sex.
GWAS results
When the cohorts were analyzed separately, no SNP attained genome-wide significance (p < 5x10−8) based on the GWAS with EMMAX in either the LONG or Generation R cohorts’ analyses. When combining the results from the two cohorts in a meta-analysis, one SNP was found to be genome-wide significant on chromosome 7 (rs12386571, p = 9.09x10−9) for white matter (Figure 1). This SNP is 20kb upstream from the aldo-keto reductase family 1 member B10 (AKR1B10) gene and 48kb upstream from the AKR1B1 gene. Regional association plots of the most significant SNPs are shown in Figure 2. QQ and Manhattan plots from the meta-analyses can be found in the supplementary Figures S3–S7. The SNPs that were suggestive for association (meta-analysis p < 1x10−5, or in LONG cohort alone at p < 1x10−7 are presented in suppplementary Tables S1–S5 and Figures S8–9. Fine mapping through imputation of the region surrounding rs12386571 for white matter growth was performed (Figure S10), and one SNP, rs13237016, was found to be slightly more significant (p = 5.42 x 10−9). Fine mapping was also performed for the region encompassing rs10056913 for right lateral prefrontal cortical growth, but no SNPs reached nominal genomewide significance.
Figure 1.

Manhattan plot for the white matter growth phenotypes based on GWAS meta-analyses of LONG and Generation R. The blue line corresponds to p=5x10−8 (genome wide significance), while the red line corresponds to p=1.25x10−8 (genomewide significance adjusted for multiple traits).
Figure 2.

Regional plot of lead signal for white matter. SNPs are depicted by circles, and the color of the circle indicates the amount of LD between that SNP and rs12386571. Plot created using LocusZoom (www.locuszoom.org).
The application of ComPaSS-GWAS to the LONG cohort resulted in multiple SNPs with corroboration scores greater than 0.5, which corresponds to genome-wide significant type I error rates of < 5x10−8. SNPs that were found to be at least suggestively associated by both ComPaSS-GWAS and the meta-analysis are considered. For white matter, ComPaSS-GWAS corroborates the meta-analysis’ most significant SNP on chromosome 7, rs12386571, with a ComPaSS-GWAS score of 0.56. ComPaSS-GWAS identified multiple SNPs in the LONG cohort, which were not replicated in the meta-analysis but had significant meta-analysis heterogeneity p-values. The SNPs that were found strongly suggestive based on ComPaSS-GWAS on the LONG cohort (corroboration score ≥ 0.4) are also given in Tables S1–S5, and forest plots of the top associations for white matter and right lateral prefrontal cortical growth are in Figures S8–S9.
Pathway and polygenic risk analyses
No neural pathways were enriched by genes implicated by nominally significant genome-wide associations with any of the brain growth phenotypes. Polygenic risk for ADHD was also not significantly associated with the brain growth phenotypes (all p > 0.1)
DISCUSSION
We detected a genome-wide significant common genetic variant that was associated with white matter growth. This SNP was located on chromosome 7 between AKR1B1 and AKR1B10. Both genes are part of the nicotinamide adenine dinucleotide (phosphate)-dependent aldo-keto reductase (AKR) 1B subfamily (Mindnich & Penning, 2009). Candidate gene and gene expression studies have also associated AKR1B10 with eating-disorders and nicotine dependence (M. W. Kang et al., 2011; Rohde et al., 2015). This is consonant with the gene’s decreased expression in the reward circuitry of rat strains that are more sensitive to the reinforcing properties of cocaine, morphine, and ethanol (Higuera-Matas et al., 2011). AKR1B1 is involved in the biosynthesis of neurotransmitters dopamine and serotonin (Friedman et al., 2012) and elevated peripheral blood expression has been reported in adults with schizophrenia (de Jong et al., 2012).
The polygenic risk for ADHD determined from meta-analyses of existing GWAS was not associated with brain growth in a sample enriched for the diagnosis of ADHD. We had speculated that by taking into account prior knowledge about complex molecular networks and biological pathways, we could identify genes and mechanisms involved in brain growth, through considering ‘promising’ genetic assocaitions in pathway analyses. However, no pathways pertinent to brain structure or function were detected that survived our adjustment for multiple trait comparisons.
The importance of using longitudinal data when studying developmental processes such as brain growth has been remarked upon by many, but presents several practical challenges as discussed earlier (Kraemer et al., 2000). The approach we used modeled individual level change. There was considerable similarity between the cohorts in growth rates despite their differences in age range. Even when specific growth parameters differed, the pattern of overall change did not and there was no overall effect of cohort on growth estimates.
Nonetheless, in common with all previous multi-site imaging genetic studies, the imaging data were acquired on different scanners and integrating such data is a challenge common to all multi-center studies. This is particularly true for legacy data, which did not include the collection of data that can aid cross-scanner calibration (such as the use of human phantoms etc). However, there are several mitigating factors. First, there is a similarity in patterns of brain growth across the two cohorts, despite the different scanners. Second, some effects of cohort heterogeneity can be attenuated by processing all data on the same servers with the same version of FreeSurfer and by having the same raters conduct all quality assurance procedures (Gronenschild et al., 2012). Most importantly, association analyses were conducted separately for each cohort, and only then combined results using meta-analytic techniques.
Given the differences in the two cohorts, it is not unexpected to have regions of heterogeneity in the meta-analysis, thus explaining some of the result discrepancies found between the ComPaSS-GWAS and meta-analysis results. These genomic regions with contrasting SNP associations may be due to population differences between the cohorts, not just relating to ethnicity, but may also be due to the difference between cohort in regards to the ages at which the first and second scan were taken.
There were other limitations to our study. First, we were underpowered to detect SNPs with small effect size involved in brain growth using conventional single-marker association analysis. However, only the currently available childhood cohorts that combine longitudinal neuroimaging with genome-wide SNP data were included. Attempts to replicate these preliminary findings will be possible as similar longitudinal neuroimaging studies (e.g., IMAGEN, ABCD or the Saguenay Youth Study) begin to report their findings (NIDA, September 2016; Nymberg, Jia, Ruggeri, & Schumann, 2013; Pausova et al., 2007). Finally, as is often the case in GWAS meta-analyses, the two cohorts were genotyped on different platforms (~42% of the SNPs genotyped in the LONG cohort were also genotyped in Generation R); however, allele frequencies were similar in both studies. To maximize the number of overlapping SNPs across the two sites, we included both genotyped and imputed SNPs in analyses of Generation R. We also used recommended approaches to reduce the possibility of type 1 errors by retaining only imputed SNPs with high quality imputation scores (de Bakker et al., 2008; Sinnott & Kraft, 2012). The study included sibling pairs, and relatedness was accounted for in the analyses using EMMAX. However, we did not have enough sibling sets to provide heritability estimates for our phenotypes, nor to conduct linkage.
Supplementary Material
Acknowledgments
The LONG Study was funded by the Intramural Programs of the National Human Genome Research Institute (NHGRI) and National Institute of Mental Health (NIMH). The authors gratefully acknowledge the participation of all children and families in the study. Genotyping services for the LONG cohort were provided by the Center for Inherited Disease Research (CIDR). CIDR is fully funded through a federal contract from the National Institutes of Health to The Johns Hopkins University, contract number HHSN268201200008I. This project was also supported in part by the Division of Intramural Research Program of NHGRI. Analyse The Generation R Study is conducted by the Erasmus Medical Center in close collaboration with the Erasmus University Rotterdam, the Municipal Health Service in the Rotterdam area, the Rotterdam Homecare Foundation, Rotterdam and the Stichting Trombosedienst & Artsenlaboratorium Rijnmond (STAR-MDC), Rotterdam. We gratefully acknowledge the contribution of general practitioners, hospitals, midwives and pharmacies in Rotterdam. Neuroimaging studies within the Generation R are supported through the Netherlands Organization for Health Research and Development (NWO) (ZonMw TOP 40-00812-98-11021), the European Community’s 7th Framework Program (FP7/2008–2013) under grant agreement 212652 (NUTRIMENTHE), the Stichting Sophia Kinderziekenhuis Fonds, and General Electric Healthcare. The Generation R Study is made possible by financial support from the Erasmus Medical Center, Rotterdam, the Erasmus University Rotterdam, ZonMw (ZonMW 10.000.1003), NWO, the Ministry of Health, Welfare and Sport, and the Ministry of Youth and Families.
Footnotes
Financial disclosure statement: All authors reported no biomedical financial interests or potential conflicts of interest.
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