国内最大の体細胞モザイクと精神疾患の関連解析~体細胞モザイクは統合失調症・双極症の関連因子~

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2026-01-15 理化学研究所,藤田医科大学,静岡県立総合病院,静岡県立大学

理化学研究所、藤田医科大学、静岡県立総合病院、静岡県立大学の国際共同研究は、統合失調症と双極症患者の末梢血DNAを用い、国内最大規模で体細胞モザイクと精神疾患の関連を解析した。その結果、後天的DNA変異である体細胞モザイク、特に常染色体の一部または全体が欠損する「Loss」が、統合失調症および双極症のリスク因子であることを明らかにした。関連は40歳未満の若年層で最も強く、発生初期の変異が病態形成に関与する可能性が示唆された。また統合失調症では、Lossが遺伝的要因であるポリジェニックリスクスコア(PRS)と相互作用し、疾患リスクを高めることが判明した。本成果は精神疾患の病態解明に新たな視点を与える。

国内最大の体細胞モザイクと精神疾患の関連解析~体細胞モザイクは統合失調症・双極症の関連因子~

精神疾患と体細胞モザイク関連解析の研究概要

<関連情報>

モザイク消失と若年期の統合失調症または双極性障害との関連 Associations between mosaic loss and schizophrenia or bipolar disorder of young age

Shunsuke Uchiyama,Takeo Saito,Xiaoxi Liu,Yuki Ishikawa,Keiko Hikino,Masashi Ikeda,Giulio Genovese,Nakao Iwata & Chikashi Terao
Molecular Psychiatry  Published:15 January 2026
DOI:https://doi.org/10.1038/s41380-025-03397-z

Abstract

Mosaic chromosomal alterations (mCAs) accumulate in the brain tissues and are associated with psychiatric disorders. The association between mCAs in circulating blood and schizophrenia (SCZ) and bipolar disorders (BD) has not been fully evaluated. We detected mCAs from blood samples in 2470 SCZ, 3732 BD, and 177,773 control subjects. The associations between mCAs and SCZ or BD were evaluated using age-adjusted logistic regression models, further evaluated in age subgroups. We analyzed the associations between high cell fraction (CF) mosaic events (CF-mCAs >5% or CF-mCAs >10%) and SCZ or BD in the same way. Furthermore, we assessed the interaction between mCAs and genetic risk scores for SCZ or BD. Autosomal mCAs, especially mosaic loss events, increased in both SCZ and BD (SCZ; OR = 1.78, P = 4.9×10-6, BD; OR = 1.41, P = 0.0025). These associations were highlighted in the young-age subgroup (SCZ; OR = 7.01, P = 1.7×10-16, BD; OR = 4.01, P = 2.9×10-8). In addition, the effect sizes of losses increased in a CF-dependent manner in both SCZ and BD. Loss events with high cell fraction interacted with polygenic risk score in SCZ (P = 0.0098). SCZ or BD were characterized by the presence of a high burden of mosaic losses in blood, especially in young age, suggesting the common somatic pathophysiological mechanisms between these psychiatric diseases. The possible interaction between losses and PRS for SCZ supports the genetic and environmental cross-talk in SCZ

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