PT - JOURNAL ARTICLE AU - Tempei Ikegame AU - Miki Bundo AU - Naohiro Okada AU - Yui Murata AU - Shinsuke Koike AU - Hiroko Sugawara AU - Takeo Saito AU - Masashi Ikeda AU - Keiho Owada AU - Masaki Fukunaga AU - Fumio Yamashita AU - Daisuke Koshiyama AU - Tatsunobu Natsubori AU - Norichika Iwashiro AU - Tatsuro Asai AU - Akane Yoshikawa AU - Fumichika Nishimura AU - Yoshiya Kawamura AU - Jun Ishigooka AU - Chihiro Kakiuchi AU - Tsukasa Sasaki AU - Osamu Abe AU - Ryota Hashimoto AU - Nakao Iwata AU - Hidenori Yamasue AU - Tadafumi Kato AU - Kiyoto Kasai AU - Kazuya Iwamoto TI - Promoter activity-based case-control association study on <em>SLC6A4</em> highlighting hypermethylation and altered amygdala volume in male patients with schizophrenia AID - 10.1101/2020.05.06.058792 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.05.06.058792 4099 - http://biorxiv.org/content/early/2020/05/08/2020.05.06.058792.short 4100 - http://biorxiv.org/content/early/2020/05/08/2020.05.06.058792.full AB - Associations between altered DNA methylation of the serotonin transporter (5-HTT)-encoding gene SLC6A4 and early life adversity, mood and anxiety disorders, and amygdala reactivity have been reported. However, few studies have examined epigenetic alterations of SLC6A4 in schizophrenia (SZ). We examined CpG sites of SLC6A4, whose DNA methylation levels have been reported to be altered in bipolar disorder, using three independent cohorts of patients with SZ and age-matched controls. We found significant hypermethylation of a CpG site in SLC6A4 in male patients with SZ in all three cohorts. We showed that chronic administration of risperidone did not affect the DNA methylation status at this CpG site using common marmosets, and that in vitro DNA methylation at this CpG site diminished the promoter activity of SLC6A4. We then genotyped the 5-HTT-linked polymorphic region (5-HTTLPR) and investigated the relationship among 5-HTTLPR, DNA methylation, and amygdala volume using brain imaging data. We found that patients harboring low-activity 5-HTTLPR alleles showed hypermethylation and they showed a negative correlation between DNA methylation levels and left amygdala volumes. These results suggest that hypermethylation of the CpG site in SLC6A4 is involved in the pathophysiology of SZ, especially in male patients harboring low-activity 5-HTTLPR alleles.Competing Interest StatementThe authors have declared no competing interest.