Exploring the Influence of Genetic Vulnerability to Neurodevelopmental Disorders on Antipsychotic Efficacy in Schizophrenia: Insights from a Postmortem Brain Analysis - Summary - MDSpire
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Exploring the Influence of Genetic Vulnerability to Neurodevelopmental Disorders on Antipsychotic Efficacy in Schizophrenia: Insights from a Postmortem Brain Analysis

  • By

  • Kazusa Miyahara

  • Mizuki Hino

  • Risa Shishido

  • Atsuko Nagaoka

  • Hideomi Hamasaki

  • Akiyoshi Kakita

  • Hiroaki Tomita

  • Yasuto Kunii

  • April 27, 2026

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Objective:

To investigate the relationship between genetic risks for ADHD and ASD and clinical symptoms, specifically focusing on antipsychotic responsiveness in patients with schizophrenia.

Approach:
    Key Findings:
    • The ARS of positive symptoms showed a suggestive negative correlation with ADHD-PRS and a positive correlation with ASD-PRS, although these associations did not survive multiple testing correction.
    • No correlation was found between ARS of general psychopathology or negative symptoms and either PRS.
    • Identified 1,773 differentially expressed genes (DEGs) related to neuropsychiatric disorders, enriched in neuronal and mitochondrial pathways.
    Interpretation:

    Genomic risk for neurodevelopmental disorders may influence antipsychotic responsiveness in schizophrenia, indicating potential molecular markers for this phenotype that warrant further exploration.

    Limitations:
    • Limited sample size restricts the generalizability of findings, particularly in terms of the robustness of the correlations observed.
    • Exploratory nature of the study requires further validation in larger cohorts to confirm the findings.
    Conclusion:

    Further investigation is needed to confirm the findings and explore the implications of genetic vulnerability in schizophrenia treatment, particularly focusing on specific molecular pathways.

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