RT Journal Article SR Electronic T1 Genetic variation in the Major Histocompatibility Complex and association with depression JF bioRxiv FD Cold Spring Harbor Laboratory SP 469023 DO 10.1101/469023 A1 Kylie P Glanville A1 Jonathan R I Coleman A1 Ken B Hanscombe A1 Jack Euesden A1 Shing Wan Choi A1 Kirstin L Purves A1 Gerome Breen A1 Tracy M Air A1 Till F M Andlauer A1 Bernhard T Baune A1 Elisabeth B Binder A1 Douglas H R Blackwood A1 Dorret I Boomsma A1 Henriette N Buttenschøn A1 Lucía Colodro-Conde A1 Udo Dannlowski A1 Nese Direk A1 Erin C Dunn A1 Andreas J Forstner A1 Eco JC de Geus A1 Hans J Grabe A1 Steven P Hamilton A1 Ian Jones A1 Lisa A Jones A1 James A Knowles A1 Zoltán Kutalik A1 Douglas F Levinson A1 Glyn Lewis A1 Penelope A Lind A1 Susanne Lucae A1 Patrik K Magnusson A1 Peter McGuffin A1 Andrew M McIntosh A1 Yuri Milaneschi A1 Ole Mors A1 Sara Mostafavi A1 Bertram Müller-Myhsok A1 Nancy L Pedersen A1 Brenda WJH Penninx A1 James B Potash A1 Martin Preisig A1 Stephan Ripke A1 Jianxin Shi A1 Stanley I Shyn A1 Jordan W Smoller A1 Fabian Streit A1 Patrick F Sullivan A1 Henning Tiemeier A1 Rudolf Uher A1 Sandra Van der Auwera A1 Myrna M Weissman A1 Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium A1 Paul F O’Reilly A1 Cathryn M Lewis YR 2018 UL http://biorxiv.org/content/early/2018/11/19/469023.abstract AB Background The prevalence of depression is higher in individuals suffering from autoimmune diseases, but the mechanisms underlying the observed comorbidities are unknown. Epidemiological findings point to a bi-directional relationship - that depression increases the risk of developing an autoimmune disease, and vice-versa. Shared genetic etiology is a plausible explanation for the overlap between depression and autoimmune diseases. In this study we tested whether genetic variation in the Major Histocompatibility Complex (MHC), which is associated with risk for autoimmune diseases, is also associated with risk for depression.Method We fine-mapped the classical MHC (chr6: 29.6-33.1 Mb), imputing 216 Human Leukocyte Antigen (HLA) alleles and four Complement Component 4 (C4) haplotypes in studies from the Psychiatric Genomics Consortium (PGC) Major Depressive Disorder (MDD) working group and the UK Biobank (UKB). In the 26 PGC-MDD studies, cases met a lifetime diagnosis of MDD, determined by a structured diagnostic interview. In the UKB, cases and controls were identified from an online mental health questionnaire. The total sample size was 45,149 depression cases and 86,698 controls. We tested for association between depression status and imputed MHC variants in each study and performed an inverse-variance weighted meta-analysis across the PGC-MDD and UKB samples, applying both a conservative region-wide significance threshold (3.9-e6) and a candidate threshold (1.6e-4).Results No HLA alleles or C4 haplotypes were associated with depression at the conservative threshold in the PGC, UKB or meta-analysis. HLA-B*08:01 was associated with modest protection for depression at the candidate threshold in the meta-analysis. Under the conservative threshold, 70 SNPs were detected in the UKB and 143 SNPs were detected in the meta-analysis, mirroring previous findings from highly powered GWAS of depression.Discussion We found no evidence that HLA alleles, which play a major role in the genetic susceptibility to autoimmune diseases, or C4 haplotypes, which are strongly associated with schizophrenia, confer risk for depression. These results indicate that autoimmune diseases and depression do not share common risk loci of moderate or large effect in the MHC.