RT Journal Article SR Electronic T1 Promoter activity-based case-control association study on SLC6A4 highlighting hypermethylation and altered amygdala volume in male patients with schizophrenia JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.05.06.058792 DO 10.1101/2020.05.06.058792 A1 Tempei Ikegame A1 Miki Bundo A1 Naohiro Okada A1 Yui Murata A1 Shinsuke Koike A1 Hiroko Sugawara A1 Takeo Saito A1 Masashi Ikeda A1 Keiho Owada A1 Masaki Fukunaga A1 Fumio Yamashita A1 Daisuke Koshiyama A1 Tatsunobu Natsubori A1 Norichika Iwashiro A1 Tatsuro Asai A1 Akane Yoshikawa A1 Fumichika Nishimura A1 Yoshiya Kawamura A1 Jun Ishigooka A1 Chihiro Kakiuchi A1 Tsukasa Sasaki A1 Osamu Abe A1 Ryota Hashimoto A1 Nakao Iwata A1 Hidenori Yamasue A1 Tadafumi Kato A1 Kiyoto Kasai A1 Kazuya Iwamoto YR 2020 UL http://biorxiv.org/content/early/2020/05/08/2020.05.06.058792.abstract 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.