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Abstract
The combination of substance use and psychiatric disorders is one of the most common comorbidities. The objective of this study was to perform a genome-wide association study of this comorbidity (Com), substance use alone (Subs), and psychiatric symptomatology alone (Psych) in the Mexican population. The study included 3914 individuals of Mexican descent. Genotyping was carried out using the PsychArray microarray and genome-wide correlations were calculated. Genome-wide associations were analyzed using multiple logistic models, polygenic risk scores (PRSs) were evaluated using multinomial models, and vertical pleiotropy was evaluated by generalized summary-data-based Mendelian randomization. Brain DNA methylation quantitative loci (brain meQTL) were also evaluated in the prefrontal cortex. Genome-wide correlation and vertical pleiotropy were found between all traits. No genome-wide association signals were found, but 64 single-nucleotide polymorphism (SNPs) reached nominal associations (p < 5.00e−05). The SNPs associated with each trait were independent, and the individuals with high PRSs had a higher prevalence of tobacco and alcohol use. In the multinomial models all of the PRSs (Subs-PRS, Com-PRS, and Psych-PRS) were associated with all of the traits. Brain meQTL of the Subs-associated SNPs had an effect on the genes enriched in insulin signaling pathway, and that of the Psych-associated SNPs had an effect on the Fc gamma receptor phagocytosis pathway.
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1 División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico (GRID:grid.441115.4) (ISNI:0000 0001 2293 8305); Instituto Nacional de Medicina Genómica, Laboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Mexico City, Mexico (GRID:grid.415745.6) (ISNI:0000 0004 1791 0836)
2 Instituto Nacional de Medicina Genómica, Laboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Mexico City, Mexico (GRID:grid.415745.6) (ISNI:0000 0004 1791 0836); Hospital Psiquiátrico Infantil Juan N. Navarro, Servicios de Atención Psiquiátrica, Mexico City, Mexico (GRID:grid.459646.c)
3 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM), Unidad de Encuestas y Análisis de Datos, Mexico City, Mexico (GRID:grid.419154.c) (ISNI:0000 0004 1776 9908); Universidad Nacional Autónoma de Mexico (UNAM), Seminario de Estudios Sobre la Globalidad, Facultad de Medicina, Mexico City, Mexico (GRID:grid.9486.3) (ISNI:0000 0001 2159 0001)
4 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM), Unidad de Encuestas y Análisis de Datos, Mexico City, Mexico (GRID:grid.419154.c) (ISNI:0000 0004 1776 9908)
5 División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico (GRID:grid.441115.4) (ISNI:0000 0001 2293 8305)
6 División Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Mexico (GRID:grid.441115.4) (ISNI:0000 0001 2293 8305)
7 Hospital Psiquiátrico Infantil Juan N. Navarro, Servicios de Atención Psiquiátrica, Mexico City, Mexico (GRID:grid.459646.c)
8 Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Centro de Neurociencias Avanzadas, Departamento de Psiquiátrica del Hospital Psiquiátrico, Monterrey, Mexico (GRID:grid.411455.0) (ISNI:0000 0001 2203 0321)
9 Instituto Nacional de Cancerología, Unidad de Cuidados Paliativos, Mexico City, Mexico (GRID:grid.419167.c) (ISNI:0000 0004 1777 1207)
10 Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM), Laboratorio de Farmacogenética, Mexico City, Mexico (GRID:grid.419154.c) (ISNI:0000 0004 1776 9908)
11 Universidad Juárez Autónoma de Tabasco, División Multidisciplinaria de Jalpa de Méndez, Jalpa de Méndez, Mexico (GRID:grid.441115.4) (ISNI:0000 0001 2293 8305)
12 División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Mexico (GRID:grid.441115.4) (ISNI:0000 0001 2293 8305); Instituto Nacional de Medicina Genómica, Mexico City, Mexico (GRID:grid.415745.6) (ISNI:0000 0004 1791 0836)