Evidence map›Paper›PMID 42587009›Full record

ArticleMolecular psychiatry2026

A novel method to disentangle tightly linked risk and resilience genes for brain disorders: application to Alzheimer's disease.

Eric J Barnett, Jonathan L Hess, Jiahui Hou, Valentina Escott-Price, Christine Fennema-Notestine, William Kremen, Shu-Ju Lin, Chunling Zhang, Ditte Demontis, Anders D Børglum and 5 more

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Eric J BarnettPsychiatric Genetic Epidemiology & Neurobiology Laboratory (PsychGENe Lab), Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY, USA.
Jonathan L HessPsychiatric Genetic Epidemiology & Neurobiology Laboratory (PsychGENe Lab), Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY, USA.ORCID http://orcid.org/0000-0001-8406-632X
Jiahui HouBiomedical Informatics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Valentina Escott-PriceDementia Research Institute, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0003-1784-5483
Christine Fennema-NotestineDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
William KremenDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Shu-Ju LinDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Chunling ZhangDepartment of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA.ORCID http://orcid.org/0000-0003-2752-1028
Ditte DemontisDepartment of Biomedicine - Human Genetics, Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0001-9124-2766
Anders D BørglumDepartment of Biomedicine - Human Genetics, Aarhus University, Aarhus, Denmark.ORCID http://orcid.org/0000-0001-8627-7219
Chris GaiteriDepartment of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY, USA.
Jeremy ElmanDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Peter HolmansDivision of Psychological Medicine and Clinical Neurology and Medical Research Council (MRC) Centre for Neuropsychiatric Genetics and Genomics, School of Medicine, Cardiff University, Cardiff, UK.ORCID http://orcid.org/0000-0003-0870-9412
Stephen V FaraoneDepartment of Neuroscience and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA.ORCID http://orcid.org/0000-0002-9217-3982
Stephen J GlattPsychiatric Genetic Epidemiology & Neurobiology Laboratory (PsychGENe Lab), Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY, USA. GlattS@upstate.edu.ORCID http://orcid.org/0000-0002-0360-7567

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic risk factors for neuropsychiatric disorders are well documented. However, some individuals with high genetic risk remain unaffected, and the mechanisms underlying such resilience remain poorly understood. The presence of protective resilience factors that mitigate risk could help explain the disconnect between predicted risk and reality, particularly when genetic contributions are substantial but incompletely understood. Identifying and studying resilience factors could improve our understanding of pathology, enhance risk prediction, and inform preventive measures or treatment strategies. However, such efforts are complicated by the difficulty of identifying resilience that is separable from low risk. We developed a novel adversarial multi-task neural network model to detect genetic resilience markers. The model learns to separate high-risk unaffected individuals from affected individuals at similar risk while "unlearning" patterns found in low-risk groups using adversarial learning. In simulated and existing Alzheimer's disease (AD) datasets, we identified markers of resilience with a feature-importance-based approach that prioritized specificity, generated resilience scores, and analyzed associations with polygenic risk scores (PRS). In simulations, our model had high specificity and sensitivity in identifying resilience markers, significantly outperforming traditional approaches. Applied to AD data, the model generated genetic resilience scores protective against AD and independent of PRS. We identified five resilience-associated SNPs, including known AD-associated variants, underscoring their potential involvement in resilience. Our findings support the utility of resilience scores in modifying risk predictions, particularly for high-risk groups. Expanding this method could aid in understanding resilience mechanisms, potentially improving diagnosis, prevention, and treatment strategies for AD and other brain disorders.

Identifiers

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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.