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Karger Publishers, Neuropsychobiology, 4(64), p. 183-194, 2011

DOI: 10.1159/000326692

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Convergent Genomic Studies Identify Association of GRIK2 and NPAS2 with Chronic Fatigue Syndrome

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<i>Background:</i> There is no consistent evidence of specific gene(s) or molecular pathways that contribute to the pathogenesis, therapeutic intervention or diagnosis of chronic fatigue syndrome (CFS). While multiple studies support a role for genetic variation in CFS, genome-wide efforts to identify associated loci remain unexplored. We employed a novel convergent functional genomics approach that incorporates the findings from single-nucleotide polymorphism (SNP) and mRNA expression studies to identify associations between CFS and novel candidate genes for further investigation. <i>Methods:</i> We evaluated 116,204 SNPs in 40 CFS and 40 nonfatigued control subjects along with mRNA expression of 20,160 genes in a subset of these subjects (35 CFS subjects and 27 controls) derived from a population-based study. <i>Results:</i> Sixty-five SNPs were nominally associated with CFS (p < 0.001), and 165 genes were differentially expressed (≧4-fold; p ≤ 0.05) in peripheral blood mononuclear cells of CFS subjects. Two genes, glutamate receptor, ionotropic, kinase 2<i> (GRIK2)</i> and neuronal PAS domain protein 2<i> (NPAS2),</i> were identified by both SNP and gene expression analyses. Subjects with the G allele of rs2247215 <i>(GRIK2)</i> were more likely to have CFS (p = 0.0005), and CFS subjects showed decreased <i>GRIK2</i> expression (10-fold; p = 0.015). Subjects with the T allele of rs356653 <i>(NPAS2)</i> were more likely to have CFS (p = 0.0007), and <i>NPAS2</i> expression was increased (10-fold; p = 0.027) in those with CFS. <i>Conclusion:</i> Using an integrated genomic strategy, this study suggests a possible role for genes involved in glutamatergic neurotransmission and circadian rhythm in CFS and supports further study of novel candidate genes in independent populations of CFS subjects.