Current evidence emerging from genome-wide association studies indicates that the genetic underpinnings of complex traits are likely attributable to genetic variation that changes gene expression, rather than (or in combination with) variation that changes protein-coding sequences. This is particularly compelling with respect to psychiatric disorders, as genetic changes in regulatory regions may result in differential transcriptional responses to developmental cues and environmental/psychosocial stressors. Until recently, however, the link between transcriptional regulation and psychiatric genetic risk has been understudied. Multiple obstacles have contributed to the paucity of research in this area, including challenges in identifying the positions of remote (distal from the promoter) regulatory elements (e.g. enhancers) and their target genes and the underrepresentation of neural cell types and brain tissues in epigenome projects -the availability of high-quality brain tissues for epigenetic and transcriptome profiling, particularly for the adolescent and developing brain, has been limited. Further challenges have arisen in the prediction and testing of the functional impact of DNA variation with respect to multiple aspects of transcriptional control, including regulatory-element interaction (e.g. between enhancers and promoters), transcription factor binding and DNA methylation. Further, the brain has uncommon DNA-methylation marks with unique genomic distributions not found in other tissues -current evidence suggests the involvement of non-CG methylation and 5-hydroxymethylation in neurodevelopmental processes but much remains unknown. We review here knowledge gaps as well as both technological and resource obstacles that will need to be overcome in order to elucidate the involvement of brain-relevant gene-regulatory variants in genetic risk for psychiatric disorders.
Keywords:5-Hydroxymethylation, adolescent brain, enhancers, epigenetics, gene expression, gene regulation, methylation, non-CG methylation, non-coding RNA, psychiatric disorders, transcriptome
Received 7 August 2015, revised 19 October 2015, accepted for publication 28 October 2015Changes in gene expression are now acknowledged as a major contributor to the genetic risk for complex genetic traits. In this article, we review the key evidence supporting this, as well as mechanisms by which DNA variation influences gene expression and methodologies for studying these relationships. We note that a comprehensive review of the genetic findings for psychiatric disorders is beyond the scope of this review, as is a comprehensive review of epigenetic regulation. Instead, we focus this review on classes of transcripts and epigenetic marks that are prevalent in brain and that may make unique contributions to brain function. We also focus on methods that, in our opinion, are likely to make the greatest contributions to moving the field forward. Finally, we outline a number of obstacles that currently stand in the way of fully elucidating the relationships b...