Evidence map›Paper›PMID 40345609›Full record

ArticleBiological psychiatry2026

Transdiagnostic and Disorder-Level Genome-Wide Association Studies Enhance Precision of Substance Use and Psychiatric Genetic Risk Profiles in African and European Ancestries.

Yousef Khan, Christal N Davis, Zeal Jinwala, Kyra L Feuer, Sylvanus Toikumo, Emily E Hartwell, Sandra Sanchez-Roige, Roseann E Peterson, Alexander S Hatoum, Henry R Kranzler and 1 more

Abstract read
In one paragraph

Article in Biological psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yousef KhanDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Christal N DavisDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Zeal JinwalaDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Kyra L FeuerDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania.
Sylvanus ToikumoDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Emily E HartwellDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Sandra Sanchez-RoigeDepartment of Psychiatry, University of California San Diego, La Jolla, California; Division of Genetic Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; Genomic Medicine, University of California San Diego, La Jolla, California.
Roseann E PetersonInstitute for Department of Psychiatry and Behavioral Sciences, Institute for Genomics in Health, SUNY Downstate Health Sciences University, Brooklyn, New York.
Alexander S HatoumDepartment of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, Missouri.
Henry R KranzlerDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania.
Rachel L KemberDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania; Mental Illness Research, Education and Clinical Center, Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania. Electronic address: rkember@pennmedicine.upenn.edu.

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Project 5 - Genetic architecture of alcohol use disorder using cross-trait genetic correlations and public next-generation sequencing studiesP50AA022537 · NIAAA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Amy Wolven Lasek · 2014 to 2026
$19.6M
Cross-Population Working Group on Genes and Environment in Major Depression (POP-GEM): Advancing the Understating of Etiology through DiversityR01MH125938 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI Roseann Elizabeth Peterson · 2022 to 2026
$4.2M
Postdoctoral Training Program in Genomic MedicineT32HG009495 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI Katherine L. Nathanson, Bogdan Pasaniuc · 2017 to 2026
$4.2M
4/7-PsycheMERGE: Advancing Precision PsychiatryR01MH137212 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Rachel Lorraine Kember · 2024 to 2026
$1.5M
Characterizing the phenotypic spectrum associated with genetic liability for alcohol use disorderK01AA028292 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KEMBER, RACHEL LORRAINE · 2021 to 2024
$505k
BLRD VA I01 BX003341CSRD VA IK2 CX002336NCATS NIH HHS UL1 TR001878NHGRI NIH HHS T32 HG009495NIAAA NIH HHS K01 AA028292NIAAA NIH HHS P50 AA022537NIMH NIH HHS R01 MH125938NIMH NIH HHS R01 MH137212
6 · The paper itself

Abstract

backgroundSubstance use disorders (SUDs) and psychiatric disorders frequently co-occur, and their etiology likely reflects both transdiagnostic (i.e., common/shared) and disorder-level (i.e., independent/nonshared) genetic influences. Understanding the genetic influences that are shared and those that operate independently of the shared risk could enhance precision in diagnosis, prevention, and treatment, but this remains underexplored, particularly in non-European ancestry groups.

methodsWe applied genomic structural equation modeling to examine the common and independent genetic architecture among SUDs and psychotic, mood, and anxiety disorders using summary statistics from genome-wide association studies (GWASs) conducted in European ancestry (EUR) and African ancestry (AFR) individuals. To characterize the biological and phenotypic associations, we used FUMA, conducted genetic correlations, and performed phenome-wide association studies (PheWASs).

resultsIn EUR individuals, transdiagnostic genetic factors represented SUDs, psychotic disorders, and mood/anxiety disorders, with a GWAS identifying 2 novel lead single nucleotide polymorphisms (SNPs) for the mood factor. In AFR individuals, genetic factors represented SUDs and psychiatric disorders, and a GWAS identified 1 novel lead SNP for the SUD factor. In EUR individuals, second-order factor models showed phenotypic and genotypic associations with a broad range of physical and mental health traits. Finally, genetic correlations and PheWASs highlighted how common and independent genetic factors for SUDs and psychotic disorders were differentially associated with psychiatric, sociodemographic, and medical phenotypes.

conclusionsCombining transdiagnostic and disorder-level genetic approaches can improve our understanding of co-occurring conditions and increase the specificity of genetic discovery, which is critical for identifying more effective prevention and treatment strategies to reduce the burden of these disorders.

Indexed as

Black PeopleMental DisordersSubstance-Related DisordersWhite PeopleAdultAnxiety DisordersFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMaleMood DisordersPolymorphism, Single NucleotidePsychotic DisordersAnxietyBipolarDepressiongSEMMoodSubstance use

Identifiers

PMID40345609
PMCPMC13088903

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.