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Genetic architecture of Tourette syndrome: our current understanding

Published online by Cambridge University Press:  22 February 2021

Laura Domènech
Affiliation:
Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Boston, MA, USA
Carolina Cappi
Affiliation:
Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA The Mindich Child Health and Development Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Psychiatry, School of Medicine, University of São Paulo, São Paulo, Brazil
Matt Halvorsen*
Affiliation:
Department of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
*
Author for correspondence: Matt Halvorsen, E-mail: mhalvors@email.unc.edu

Abstract

Tourette syndrome (TS) is a severe neuropsychiatric disorder characterized by recurrent, involuntary physical and verbal tics. With a prevalence as high as 1% in children, a deeper understanding of the etiology of the disorder and contributions to risk is critical. Here, we cover the current body of knowledge in scientific literature regarding the genetics of TS. We first review the history and diagnostic criteria for TS cases. We then cover the prevalence, and begin to address the etiology of the disorder. We highlight long-standing evidence for a genetic contribution to TS risk from epidemiology studies focused on twins, families, and population-scale data. Finally, we summarize current large-scale genetic studies of TS along specific classes of genetic variation, including common variation, rare copy number variation, and de novo variation that impact protein-coding sequence. Although these variants do not account for the entirety of TS genetic risk, current evidence is clear that each class of variation is a factor in the overall risk architecture across TS cases.

Type
Invited Review
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

*

All co-authors contributed equally to this manuscript.

References

125 Years of Tourette Syndrome: The Discovery, Early History and Future of the Disorder. (n.d.). Quarterly Newsletter of the Tourette Association, 38(3). Retrieved from https://tourette.org/resource/125-years-tourette-syndrome-discovery-early-history-future-disorder/Google Scholar
Albin, R. L., & Mink, J. W. (2006). Recent advances in Tourette syndrome research. Trends in Neurosciences, 29(3), 175182. https://doi.org/10.1016/j.tins.2006.01.001CrossRefGoogle ScholarPubMed
American Psychiatric Association. (1952). Diagnostic and statistical manual of mental disorders (1st ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596.Google Scholar
1000 Genomes Project Consortium, Auton, A., Brooks, L. D., Durbin, R. M., Garrison, E. P., Kang, H. M., … Abecasis, G. R. (2015). A global reference for human genetic variation. Nature, 526(7571), 6874. https://doi.org/10.1038/nature15393Google ScholarPubMed
Browne, H. A., Hansen, S. N., Buxbaum, J. D., Gair, S. L., Nissen, J. B., Nikolajsen, K. H., … Grice, D. E. (2015). Familial clustering of tic disorders and obsessive-compulsive disorder. JAMA Psychiatry, 72(4), 359366. https://doi.org/10.1001/jamapsychiatry.2014.2656CrossRefGoogle ScholarPubMed
Bulik-Sullivan, B. K., Loh, P.-R., Finucane, H. K., Ripke, S., Yang, J., Schizophrenia Working Group of the Psychiatric Genomics Consortium, … Neale, B. M. (2015). LD score regression distinguishes confounding from polygenicity in genome-wide association studies. Nature Genetics, 47(3), 291295. https://doi.org/10.1038/ng.3211CrossRefGoogle ScholarPubMed
Coe, B. P., Stessman, H. A. F., Sulovari, A., Geisheker, M. R., Bakken, T. E., Lake, A. M., … Eichler, E. E. (2019). Neurodevelopmental disease genes implicated by de novo mutation and copy number variation morbidity. Nature Genetics, 51(1), 106116. https://doi.org/10.1038/s41588-018-0288-4CrossRefGoogle ScholarPubMed
Crittenden, J. R., & Graybiel, A. M. (2011). Basal ganglia disorders associated with imbalances in the striatal striosome and matrix compartments. Frontiers in Neuroanatomy, 5, 59. https://doi.org/10.3389/fnana.2011.00059CrossRefGoogle ScholarPubMed
Curtis, D., Robertson, M. M., & Gurling, H. M. (1992). Autosomal dominant gene transmission in a large kindred with Gilles de la Tourette syndrome. The British Journal of Psychiatry: The Journal of Mental Science, 160, 845849. https://doi.org/10.1192/bjp.160.6.845CrossRefGoogle Scholar
de Jong, S., Diniz, M. J. A., Saloma, A., Gadelha, A., Santoro, M. L., Ota, V. K., … Breen, G. (2018). Applying polygenic risk scoring for psychiatric disorders to a large family with bipolar disorder and major depressive disorder. Communications Biology, 1, 163. https://doi.org/10.1038/s42003-018-0155-yCrossRefGoogle ScholarPubMed
Demontis, D., Walters, R. K., Martin, J., Mattheisen, M., Als, T. D., Agerbo, E., … Neale, B. M. (2019). Discovery of the first genome-wide significant risk loci for attention deficit/hyperactivity disorder. Nature Genetics, 51(1), 6375. https://doi.org/10.1038/s41588-018-0269-7CrossRefGoogle ScholarPubMed
Duncan, L., Yilmaz, Z., Gaspar, H., Walters, R., Goldstein, J., Anttila, V., … Bulik, C. M. (2017). Significant locus and metabolic genetic correlations revealed in genome-wide association study of anorexia nervosa. The American Journal of Psychiatry, 174(9), 850858. https://doi.org/10.1176/appi.ajp.2017.16121402CrossRefGoogle ScholarPubMed
Eapen, V., Pauls, D. L., & Robertson, M. M. (1993). Evidence for autosomal dominant transmission in Tourette's syndrome. United Kingdom cohort study. The British Journal of Psychiatry: The Journal of Mental Science, 162, 593596. https://doi.org/10.1192/bjp.162.5.593CrossRefGoogle ScholarPubMed
Elstner, K., Selai, C. E., Trimble, M. R., & Robertson, M. M. (2001). Quality of life (QOL) of patients with Gilles de la Tourette's syndrome. Acta Psychiatrica Scandinavica, 103(1), 5259. https://doi.org/10.1034/j.1600-0447.2001.00147.xCrossRefGoogle ScholarPubMed
Ercan-Sencicek, A. G., Stillman, A. A., Ghosh, A. K., Bilguvar, K., O'Roak, B. J., Mason, C. E., … State, M. W. (2010). L-Histidine decarboxylase and Tourette's syndrome. The New England Journal of Medicine, 362(20), 19011908. https://doi.org/10.1056/NEJMoa0907006CrossRefGoogle ScholarPubMed
Felling, R. J., & Singer, H. S. (2011). Neurobiology of Tourette syndrome: Current status and need for further investigation. The Journal of Neuroscience, 31(35), 1238712395. https://doi.org/10.1523/JNEUROSCI.0150-11.2011CrossRefGoogle ScholarPubMed
Ferenczi, S.. (1921). Psycho-analytical observations on tic. International Journal of Psycho-Analysis, 2, 130.Google Scholar
Fernandez, T. V., Sanders, S. J., Yurkiewicz, I. R., Ercan-Sencicek, A. G., Kim, Y.-S., Fishman, D. O., … State, M. W. (2012). Rare copy number variants in Tourette syndrome disrupt genes in histaminergic pathways and overlap with autism. Biological Psychiatry, 71(5), 392402. https://doi.org/10.1016/j.biopsych.2011.09.034CrossRefGoogle ScholarPubMed
Fernández de la Cruz, L., Rydell, M., Runeson, B., Brander, G., Rück, C., D'Onofrio, B. M., … Mataix-Cols, D. (2017). Suicide in Tourette's and chronic tic disorders. Biological Psychiatry, 82(2), 111118. https://doi.org/10.1016/j.biopsych.2016.08.023CrossRefGoogle ScholarPubMed
Freeman, R. D., Fast, D. K., Burd, L., Kerbeshian, J., Robertson, M. M., & Sandor, P. (2000). An international perspective on Tourette syndrome: Selected findings from 3500 individuals in 22 countries. Developmental Medicine and Child Neurology, 42(7), 436447. https://doi.org/10.1017/s0012162200000839CrossRefGoogle ScholarPubMed
Groth, C., Mol Debes, N., Rask, C. U., Lange, T., & Skov, L. (2017). Course of Tourette syndrome and comorbidities in a large prospective clinical study. Journal of the American Academy of Child and Adolescent Psychiatry, 56(4), 304312. https://doi.org/10.1016/j.jaac.2017.01.010CrossRefGoogle Scholar
Grove, J., Ripke, S., Als, T. D., Mattheisen, M., Walters, R. K., Won, H., … Børglum, A. D. (2019). Identification of common genetic risk variants for autism spectrum disorder. Nature Genetics, 51(3), 431444. https://doi.org/10.1038/s41588-019-0344-8CrossRefGoogle ScholarPubMed
Guyatt, A. L., Stergiakouli, E., Martin, J., Walters, J., O'Donovan, M., Owen, M., … Gaunt, T. R. (2018). Association of copy number variation across the genome with neuropsychiatric traits in the general population. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 177(5), 489502. https://doi.org/10.1002/ajmg.b.32637CrossRefGoogle ScholarPubMed
Halvorsen, M., Huh, R., Oskolkov, N., Wen, J., Netotea, S., Giusti-Rodriguez, P., … Szatkiewicz, J. P. (2020). Increased burden of ultra-rare structural variants localizing to boundaries of topologically associated domains in schizophrenia. Nature Communications, 11(1), 1842. https://doi.org/10.1038/s41467-020-15707-wCrossRefGoogle Scholar
Hirschtritt, M. E., Lee, P. C., Pauls, D. L., Dion, Y., Grados, M. A., Illmann, C., … Tourette Syndrome Association International Consortium for Genetics. (2015). Lifetime prevalence, age of risk, and genetic relationships of comorbid psychiatric disorders in Tourette syndrome. JAMA Psychiatry, 72(4), 325333. https://doi.org/10.1001/jamapsychiatry.2014.2650CrossRefGoogle ScholarPubMed
Huang, A. Y., Yu, D., Davis, L. K., Sul, J. H., Tsetsos, F., Ramensky, V., … Gilles de la Tourette Syndrome GWAS Replication Initiative (GGRI). (2017). Rare copy number variants in NRXN1 and CNTN6 increase risk for Tourette syndrome. Neuron, 94(6), 11011111, e7. https://doi.org/10.1016/j.neuron.2017.06.010CrossRefGoogle ScholarPubMed
Iakoucheva, L. M., Muotri, A. R., & Sebat, J. (2019). Getting to the cores of autism. Cell, 178(6), 12871298. https://doi.org/10.1016/j.cell.2019.07.037CrossRefGoogle Scholar
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., … Wang, P. (2010). Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders. The American Journal of Psychiatry, 167(7), 748751. https://doi.org/10.1176/appi.ajp.2010.09091379CrossRefGoogle Scholar
International Obsessive Compulsive Disorder Foundation Genetics Collaborative (IOCDF-GC) and OCD Collaborative Genetics Association Studies (OCGAS). (2018). Revealing the complex genetic architecture of obsessive-compulsive disorder using meta-analysis. Molecular Psychiatry, 23(5), 11811188. https://doi.org/10.1038/mp.2017.154CrossRefGoogle Scholar
Kalanithi, P. S. A., Zheng, W., Kataoka, Y., DiFiglia, M., Grantz, H., Saper, C. B., … Vaccarino, F. M. (2005). Altered parvalbumin-positive neuron distribution in basal ganglia of individuals with Tourette syndrome. Proceedings of the National Academy of Sciences of the United States of America, 102(37), 1330713312. https://doi.org/10.1073/pnas.0502624102CrossRefGoogle ScholarPubMed
Kataoka, Y., Kalanithi, P. S. A., Grantz, H., Schwartz, M. L., Saper, C., Leckman, J. F., & Vaccarino, F. M. (2010). Decreased number of parvalbumin and cholinergic interneurons in the striatum of individuals with Tourette syndrome. The Journal of Comparative Neurology, 518(3), 277291. https://doi.org/10.1002/cne.22206CrossRefGoogle ScholarPubMed
Knight, T., Steeves, T., Day, L., Lowerison, M., Jette, N., & Pringsheim, T. (2012). Prevalence of tic disorders: A systematic review and meta-analysis. Pediatric Neurology, 47(2), 7790. https://doi.org/10.1016/j.pediatrneurol.2012.05.002CrossRefGoogle ScholarPubMed
Kurlan, R., Behr, J., Medved, L., Shoulson, I., Pauls, D., Kidd, J. R., & Kidd, K. K. (1986). Familial Tourette's syndrome: Report of a large pedigree and potential for linkage analysis. Neurology, 36(6), 772776. https://doi.org/10.1212/wnl.36.6.772CrossRefGoogle ScholarPubMed
Kushner, H. I. (2000). A brief history of Tourette syndrome. Revista Brasileira de Psiquiatria, 22(2), 7679. https://doi.org/10.1590/S1516-44462000000200008CrossRefGoogle Scholar
Leckman, J. F., Bloch, M. H., Scahill, L., & King, R. A. (2006). Tourette syndrome: The self under siege. Journal of Child Neurology, 21(8), 642649. https://doi.org/10.1177/08830738060210081001CrossRefGoogle ScholarPubMed
Leckman, J. F., Riddle, M. A., Hardin, M. T., Ort, S. I., Swartz, K. L., Stevenson, J., & Cohen, D. J. (1989). The Yale Global Tic Severity Scale: Initial testing of a clinician-rated scale of tic severity. Journal of the American Academy of Child and Adolescent Psychiatry, 28(4), 566573. https://doi.org/10.1097/00004583-198907000-00015CrossRefGoogle ScholarPubMed
Leckman, J. F., Walker, D. E., & Cohen, D. J. (1993). Premonitory urges in Tourette's syndrome. The American Journal of Psychiatry, 150(1), 98102. https://doi.org/10.1176/ajp.150.1.98Google ScholarPubMed
Leckman, J. F., Zhang, H., Vitale, A., Lahnin, F., Lynch, K., Bondi, C., … Peterson, B. S. (1998). Course of tic severity in Tourette syndrome: The first two decades. Pediatrics, 102(1 Pt 1), 1419. https://doi.org/10.1542/peds.102.1.14CrossRefGoogle ScholarPubMed
Lennington, J. B., Coppola, G., Kataoka-Sasaki, Y., Fernandez, T. V., Palejev, D., Li, Y., … Vaccarino, F. M. (2016). Transcriptome analysis of the human striatum in Tourette syndrome. Biological Psychiatry, 79(5), 372382. https://doi.org/10.1016/j.biopsych.2014.07.018CrossRefGoogle ScholarPubMed
Levy, R. J., Xu, B., Gogos, J. A., & Karayiorgou, M. (2012). Copy number variation and psychiatric disease risk. Methods in Molecular Biology (Clifton, N.J.), 838, 97113. https://doi.org/10.1007/978-1-61779-507-7_4CrossRefGoogle ScholarPubMed
Lichtenstein, P., Carlström, E., Råstam, M., Gillberg, C., & Anckarsäter, H. (2010). The genetics of autism spectrum disorders and related neuropsychiatric disorders in childhood. The American Journal of Psychiatry, 167(11), 13571363. https://doi.org/10.1176/appi.ajp.2010.10020223CrossRefGoogle ScholarPubMed
Liu, S., Tian, M., He, F., Li, J., Xie, H., Liu, W., … Guan, J.-S. (2020). Mutations in ASH1L confer susceptibility to Tourette syndrome. Molecular Psychiatry, 25(2), 476490. https://doi.org/10.1038/s41380-019-0560-8CrossRefGoogle ScholarPubMed
Martin, J., Tammimies, K., Karlsson, R., Lu, Y., Larsson, H., Lichtenstein, P., & Magnusson, P. K. E. (2019). Copy number variation and neuropsychiatric problems in females and males in the general population. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 180(6), 341350. https://doi.org/10.1002/ajmg.b.32685CrossRefGoogle ScholarPubMed
Mataix-Cols, D., Isomura, K., Pérez-Vigil, A., Chang, Z., Rück, C., Larsson, K. J., … Lichtenstein, P. (2015). Familial risks of Tourette syndrome and chronic Tic disorders. A population-based cohort study. JAMA Psychiatry, 72(8), 787793. https://doi.org/10.1001/jamapsychiatry.2015.0627CrossRefGoogle ScholarPubMed
McGrath, L. M., Yu, D., Marshall, C., Davis, L. K., Thiruvahindrapuram, B., Li, B., … Scharf, J. M. (2014). Copy number variation in obsessive-compulsive disorder and Tourette syndrome: A cross-disorder study. Journal of the American Academy of Child and Adolescent Psychiatry, 53(8), 910919. https://doi.org/10.1016/j.jaac.2014.04.022CrossRefGoogle ScholarPubMed
McNaught, K. S. P., & Mink, J. W. (2011). Advances in understanding and treatment of Tourette syndrome. Nature Reviews. Neurology, 7(12), 667676. https://doi.org/10.1038/nrneurol.2011.167CrossRefGoogle ScholarPubMed
Meier, S. M., Dalsgaard, S., Mortensen, P. B., Leckman, J. F., & Plessen, K. J. (2017). Mortality risk in a nationwide cohort of individuals with tic disorders and with Tourette syndrome. Movement Disorders, 32(4), 605609. https://doi.org/10.1002/mds.26939CrossRefGoogle Scholar
Mills, R. E., Walter, K., Stewart, C., Handsaker, R. E., Chen, K., Alkan, C., … 1000 Genomes Project. (2011). Mapping copy number variation by population-scale genome sequencing. Nature, 470(7332), 5965. https://doi.org/10.1038/nature09708CrossRefGoogle ScholarPubMed
Nag, A., Bochukova, E. G., Kremeyer, B., Campbell, D. D., Muller, H., Valencia-Duarte, A. V., … Ruiz-Linares, A. (2013). CNV Analysis in Tourette syndrome implicates large genomic rearrangements in COL8A1 and NRXN1. PLoS One, 8(3), e59061. https://doi.org/10.1371/journal.pone.0059061CrossRefGoogle ScholarPubMed
O'Rourke, J. A., Scharf, J. M., Yu, D., & Pauls, D. L. (2009). The genetics of Tourette syndrome: A review. Journal of Psychosomatic Research, 67(6), 533545. https://doi.org/10.1016/j.jpsychores.2009.06.006CrossRefGoogle ScholarPubMed
Peterson, B. S., Thomas, P., Kane, M. J., Scahill, L., Zhang, H., Bronen, R., … Staib, L. (2003). Basal ganglia volumes in patients with Gilles de la Tourette syndrome. Archives of General Psychiatry, 60(4), 415424. https://doi.org/10.1001/archpsyc.60.4.415CrossRefGoogle ScholarPubMed
Polderman, T. J. C., Benyamin, B., de Leeuw, C. A., Sullivan, P. F., van Bochoven, A., Visscher, P. M., & Posthuma, D. (2015). Meta-analysis of the heritability of human traits based on fifty years of twin studies. Nature Genetics, 47(7), 702709. https://doi.org/10.1038/ng.3285CrossRefGoogle ScholarPubMed
Price, R. A., Kidd, K. K., Cohen, D. J., Pauls, D. L., & Leckman, J. F. (1985). A twin study of Tourette syndrome. Archives of General Psychiatry, 42(8), 815820. https://doi.org/10.1001/archpsyc.1985.01790310077011CrossRefGoogle ScholarPubMed
Qi, Y., Zheng, Y., Li, Z., & Xiong, L. (2017). Progress in genetic studies of Tourette's syndrome. Brain Sciences, 7(10), 134. https://doi.org/10.3390/brainsci7100134.CrossRefGoogle ScholarPubMed
Redon, R., Ishikawa, S., Fitch, K. R., Feuk, L., Perry, G. H., Andrews, T. D., … Hurles, M. E. (2006). Global variation in copy number in the human genome. Nature, 444(7118), 444454. https://doi.org/10.1038/nature05329CrossRefGoogle ScholarPubMed
Robertson, M. M. (2000). Tourette syndrome, associated conditions and the complexities of treatment. Brain: A Journal of Neurology, 123(Pt 3), 425462. https://doi.org/10.1093/brain/123.3.425CrossRefGoogle ScholarPubMed
Robertson, M. M. (2008). The prevalence and epidemiology of Gilles de la Tourette syndrome. Part 1: The epidemiological and prevalence studies. Journal of Psychosomatic Research, 65(5), 461472. https://doi.org/10.1016/j.jpsychores.2008.03.006CrossRefGoogle ScholarPubMed
Robertson, M. M., Eapen, V., Singer, H. S., Martino, D., Scharf, J. M., Paschou, P., … Leckman, J. F. (2017). Gilles de la Tourette syndrome. Nature Reviews. Disease Primers, 3, 16097. https://doi.org/10.1038/nrdp.2016.97CrossRefGoogle ScholarPubMed
Sanders, S. J., He, X., Willsey, A. J., Ercan-Sencicek, A. G., Samocha, K. E., Cicek, A. E., … State, M. W. (2015). Insights into autism spectrum disorder genomic architecture and biology from 71 risk loci. Neuron, 87(6), 12151233. https://doi.org/10.1016/j.neuron.2015.09.016CrossRefGoogle ScholarPubMed
Satterstrom, F. K., Kosmicki, J. A., Wang, J., Breen, M. S., De Rubeis, S., An, J.-Y., … Buxbaum, J. D. (2020). Large-scale exome sequencing study implicates both developmental and functional changes in the neurobiology of autism. Cell, 180(3), 568584, e23. https://doi.org/10.1016/j.cell.2019.12.036CrossRefGoogle ScholarPubMed
Scharf, J. M., Miller, L. L., Gauvin, C. A., Alabiso, J., Mathews, C. A., & Ben-Shlomo, Y. (2015). Population prevalence of Tourette syndrome: A systematic review and meta-analysis. Movement Disorders, 30(2), 221228. https://doi.org/10.1002/mds.26089CrossRefGoogle ScholarPubMed
Scharf, J. M., Yu, D., Mathews, C. A., Neale, B. M., Stewart, S. E., Fagerness, J. A., … Pauls, D. L. (2013). Genome-wide association study of Tourette's syndrome. Molecular Psychiatry, 18(6), 721728. https://doi.org/10.1038/mp.2012.69CrossRefGoogle ScholarPubMed
Schizophrenia Working Group of the Psychiatric Genomics Consortium. (2014). Biological insights from 108 schizophrenia-associated genetic loci. Nature, 511(7510), 421427. https://doi.org/10.1038/nature13595CrossRefGoogle Scholar
Shapiro, A. K., & Shapiro, E. (1968). Treatment of Gilles de la Tourette's syndrome with haloperidol. The British Journal of Psychiatry: The Journal of Mental Science, 114(508), 345350. https://doi.org/10.1192/bjp.114.508.345CrossRefGoogle ScholarPubMed
Singer, H. S. (2013). Motor control, habits, complex motor stereotypies, and Tourette syndrome. Annals of the New York Academy of Sciences, 1304, 2231. https://doi.org/10.1111/nyas.12281CrossRefGoogle ScholarPubMed
Stafford, M., & Cavanna, A. E. (2020). Prevalence and clinical correlates of self-injurious behavior in Tourette syndrome. Neuroscience and Biobehavioral Reviews, 113, 299307. https://doi.org/10.1016/j.neubiorev.2020.03.022CrossRefGoogle ScholarPubMed
Stahl, E. A., Breen, G., Forstner, A. J., McQuillin, A., Ripke, S., Trubetskoy, V., … Bipolar Disorder Working Group of the Psychiatric Genomics Consortium. (2019). Genome-wide association study identifies 30 loci associated with bipolar disorder. Nature Genetics, 51(5), 793803. https://doi.org/10.1038/s41588-019-0397-8CrossRefGoogle ScholarPubMed
Sudmant, P. H., Rausch, T., Gardner, E. J., Handsaker, R. E., Abyzov, A., Huddleston, J., … Korbel, J. O. (2015). An integrated map of structural variation in 2504 human genomes. Nature, 526(7571), 7581. https://doi.org/10.1038/nature15394CrossRefGoogle ScholarPubMed
Sun, N., Nasello, C., Deng, L., Wang, N., Zhang, Y., Xu, Z., … Tischfield, J. A. (2018). The PNKD gene is associated with Tourette disorder or tic disorder in a multiplex family. Molecular Psychiatry, 23(6), 14871495. https://doi.org/10.1038/mp.2017.179CrossRefGoogle ScholarPubMed
Sundaram, S. K., Huq, A. M., Sun, Z., Yu, W., Bennett, L., Wilson, B. J., … Chugani, H. T. (2011). Exome sequencing of a pedigree with Tourette syndrome or chronic tic disorder. Annals of Neurology, 69(5), 901904. https://doi.org/10.1002/ana.22398CrossRefGoogle ScholarPubMed
Sundaram, S. K., Huq, A. M., Wilson, B. J., & Chugani, H. T. (2010). Tourette syndrome is associated with recurrent exonic copy number variants. Neurology, 74(20), 15831590. https://doi.org/10.1212/WNL.0b013e3181e0f147CrossRefGoogle ScholarPubMed
Szatkiewicz, J., Crowley, J. J., Adolfsson, A. N., Åberg, K. A., Alaerts, M., Genovese, G., … Sullivan, P. F. (2019). The genomics of major psychiatric disorders in a large pedigree from Northern Sweden. Translational Psychiatry, 9(1), 60. https://doi.org/10.1038/s41398-019-0414-9CrossRefGoogle Scholar
Tourette, G. (1885). Étude sur une affection nerveuse caractérisée par de l'incoordination motrice accompagnée d’écholalie et de coprolalie. 1885 (19–42).Google Scholar
Wang, S., Mandell, J. D., Kumar, Y., Sun, N., Morris, M. T., Arbelaez, J., … State, M. W. (2018). De novo sequence and copy number variants Are strongly associated with Tourette disorder and implicate cell polarity in pathogenesis. Cell Reports, 24(13), 34413454, e12. https://doi.org/10.1016/j.celrep.2018.08.082CrossRefGoogle ScholarPubMed
Willsey, A. J., Fernandez, T. V., Yu, D., King, R. A., Dietrich, A., Xing, J., … Heiman, G. A. (2017). De novo coding variants Are strongly associated with Tourette disorder. Neuron, 94(3), 486499, e9. https://doi.org/10.1016/j.neuron.2017.04.024CrossRefGoogle ScholarPubMed
Yilmaz, Z., Halvorsen, M., Bryois, J., Yu, D., Thornton, L. M., & Zerwas, S., … Eating Disorders Working Group of the Psychiatric Genomics Consortium, T. S. D. W. G. of the P. G. C. (2018). Examination of the shared genetic basis of anorexia nervosa and obsessive-compulsive disorder. Molecular Psychiatry, 53(8), 910919. https://doi.org/10.1038/s41380-018-0115-4.Google Scholar
Yu, D., Sul, J. H., Tsetsos, F., Nawaz, M. S., Huang, A. Y., Zelaya, I., … Tourette Association of America International Consortium for Genetics, the Gilles de la Tourette GWAS Replication Initiative, the Tourette International Collaborative Genetics Study, and the Psychiatric Genomics Consortium Tourette Syndrome Working Group. (2019). Interrogating the genetic determinants of Tourette's syndrome and other tic disorders through genome-wide association studies. The American Journal of Psychiatry, 176(3), 217227. https://doi.org/10.1176/appi.ajp.2018.18070857CrossRefGoogle ScholarPubMed
Zhao, X., Wang, S., Hao, J., Zhu, P., Zhang, X., & Wu, M. (2020). A whole-exome sequencing study of Tourette disorder in a Chinese population. DNA and Cell Biology, 39(1), 6368. https://doi.org/10.1089/dna.2019.4746CrossRefGoogle ScholarPubMed