RT Journal Article SR Electronic T1 Enrichment of somatic mutations in schizophrenia brain targets prenatally active transcription factor bindings sites JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.02.23.481681 DO 10.1101/2022.02.23.481681 A1 Eduardo A. Maury A1 Attila Jones A1 Vladimir Seplyarskiy A1 Chaggai Rosenbluh A1 Taejong Bae A1 Yifan Wang A1 Alexej Abyzov A1 Sattar Khoshkoo A1 Yasmine Chahine A1 Brain Somatic Mosaicism Network A1 Peter J. Park A1 Schahram Akbarian A1 Eunjung Alice Lee A1 Shamil R. Sunyaev A1 Christopher A. Walsh A1 Andrew Chess YR 2022 UL http://biorxiv.org/content/early/2022/02/23/2022.02.23.481681.abstract AB Schizophrenia (SCZ) is a complex neuropsychiatric disorder in which both germline genetic mutations and maternal factors, such as infection and immune activation, have been implicated, but how these two strikingly different mechanisms might converge on the same phenotype is unknown. During development, cells accumulate somatic, mosaic mutations in ways that can be shaped by the cellular environment or endogenous processes, but these early developmental mutational patterns have not been studied in SCZ. Here we analyzed deep (267x) whole-genome sequencing (WGS) of DNA from cerebral cortical neurons isolated from 61 SCZ and 25 control postmortem brains to capture mutations occurring before or during fetal neurogenesis. SCZ cases showed a >15% increase in genome-wide sSNV compared to controls (p < 2e-10). Remarkably, mosaic T>G mutations and CpG transversions (CpG>GpG or CpG>ApG) were 79- and 62-fold enriched, respectively, at transcription factor binding sites (TFBS) in SCZ, but not in controls. The pattern of T>G mutations resembles mutational processes in cancer attributed to oxidative damage that is sterically blocked from DNA repair by transcription factors (TFs) bound to damaged DNA. The CpG transversions similarly suggest unfinished DNA demethylation resulting in abasic sites that can also be blocked from repair by bound TFs. Allele frequency analysis suggests that both localized mutational spikes occur in the first trimester. We call this prenatal mutational process “skiagenesis” (from the Greek skia, meaning shadow), as these mutations occur in the shadow of bound TFs. Skiagenesis reflects as-yet unidentified prenatal factors and is associated with SCZ risk in a subset (∼13%) of cases. In turn, mutational disruption of key TFBS active in fetal brain is well positioned to create SCZ-specific gene dysregulation in concert with germline risk genes. Skiagenesis provides a fingerprint for exploring how epigenomic regulation and prenatal factors such as maternal infection or immune activation may shape the developmental mutational landscape of human brain.Competing Interest StatementThe authors have declared no competing interest.