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Cross-trait analyses reveal complex genetic overlaps between cortical morphology and psychiatric disorders.

Cross-trait analyses reveal complex genetic overlaps between cortical morphology and psychiatric dis…
Photo by Steve A Johnson / Unsplash
Key Takeaway
Note that complex genetic architectures likely limit the predictive performance of brain morphology for psychiatric disorders.

This study utilized cross-trait analyses to investigate genetic loci shared between cortical morphology, including surface area and thickness, and a spectrum of psychiatric disorders. The population and specific sample size were not reported in the provided data. The primary outcome assessed pairwise genetic overlaps between cortical metrics and conditions including schizophrenia, bipolar disorder, internalizing disorders, and neurodevelopmental disorders.

Main results indicated substantial pairwise genetic overlaps, yet these effects lacked a uniform direction, showing roughly 50% concordance. Analysis of genetic loci shared between cortical morphology and internalizing disorders or schizophrenia/bipolar disorder revealed more loci with localized effects. Conversely, fewer loci were shared with neurodevelopmental disorders, but these exhibited more widespread effects. Additionally, 17 genomic loci were identified as shared across all disorders, with most demonstrating opposing directional effects across different cortical regions.

Safety and tolerability data were not reported. A key limitation identified was that directional heterogeneity within and across pleiotropic loci reveals complex shared genetic architectures. This complexity likely limits the genetic predictive performance of brain morphology for psychiatric disorders. Consequently, clinicians should interpret these findings with caution regarding the utility of cortical morphology as a standalone genetic predictor for these conditions.

Study Details

EvidenceLevel 5
PublishedApr 2026
View Original Abstract ↓
The shared genetic liability between cortical morphology and psychiatric disorders remains unclear. We aimed to identify whether the genetic loci shared between cortical morphology and six psychiatric disorders show regional or global effects. We identified substantial pairwise genetic overlaps of cortical surface area or thickness with psychiatric disorders; however, these loci lacked a uniform direction (~50% concordance). Cross-trait analyses revealed distinct architectures: internalizing disorders and schizophrenia/bipolar disorder shared more genetic loci with localized effects, whereas neurodevelopmental disorders shared fewer loci but more with widespread effects. We identified 17 genomic loci shared across all disorders, most of which had opposing directional effects across cortical regions. Only one locus (rs2431112) had region-specific and unidirectional effects (reduced primary visual and posterior cingulate surface area). This directional heterogeneity within and across pleiotropic loci reveals complex shared genetic architectures and likely limits the genetic predictive performance of brain morphology for psychiatric disorders.
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