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https://doi.org/10.1038/s41593-022-01042-4
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Under the influence of genes and a varying environment, human
brain structure changes throughout the lifespan. Even in adult-
hood, when the brain seems relatively stable, individuals dif-
fer in the profile and rate of brain changes1. Longitudinal studies are
crucial to identify genetic and environmental factors that influence
the rate of these brain changes throughout development2 and aging3.
Inter-individual differences in brain development are associated with
general cognitive function4,5 and risk for psychiatric disorders6,7 and
neurological diseases8,9. Genetic factors involved in brain development
and aging overlap with those for cognition10 and risk for neuropsychi-
atric disorders11. A recent cross-sectional study showed brain age to be
advanced in several brain disorders. Brain age is an estimate of biologi-
cal age based on brain structure, which can deviate from chronological
age. Several shared loci were found between the genome-wide asso-
ciation study (GWAS) summary statistics for advanced brain age and
psychiatric disorders12. However, information is still lacking on which
genetic variants influence an individual’s brain changes throughout
life, because this requires longitudinal data. Discovering genetic fac-
tors that explain variation between individuals in brain structural
changes may reveal key biological pathways that drive normal devel-
opment and aging and may contribute to identifying disease risk and
resilience— a crucial goal given the urgent need for new treatments for
aberrant brain development and aging worldwide.
As part of the Enhancing NeuroImaging Genetics through Meta-
Analysis (ENIGMA) consortium13, the ENIGMA Plasticity
Working Group quantified the overall genetic contribution to
longitudinal brain changes by combining evidence from multiple
twin cohorts across the world14. Most global and subcortical brain
measures showed genetic influences on change over time, with a
higher genetic contribution in the elderly (heritability, 16–42%).
Genetic factors that influence longitudinal changes were partially
independent of those that influence baseline volumes of brain
structures, suggesting that there might be genetic variants that spe-
cifically affect the rate of development or aging. However, the genes
involved in these processes are still not known, with only a single,
small-scale GWAS performed for longitudinal volume change in
gray and white matter of the cerebrum, basal ganglia and cerebel-
lum15. In this study, we set out to find genetic variants that may
influence rates of brain changes over time, using genome-wide
analysis in individuals scanned with magnetic resonance imag-
ing (MRI) on more than one occasion. We also aimed to identify
age-dependent effects of genomic variation on longitudinal brain
changes in mostly healthy populations, but also populations with
neurological and psychiatric disorders.
In our GWAS meta-analysis, we sought genetic loci associated
with annual change rates in eight global and seven subcortical mor-
phological brain measures in a coordinated two-phased analysis
using data from 40 longitudinal cohorts (Extended Data Fig. 1 and
Supplementary Table 1). We extracted global and subcortical brain
measures, and assessed annual change rates, using additive genetic
association analyses to estimate the effects of genetic variants on the
rates of change within each cohort. As brain change is not constant
over age1, and gene expression also changes during development and
aging16, we determined whether the estimated genetic variants were
age dependent—that is, differentially affected rates of brain changes
at different stages of life—by using genome-wide meta-regression
models with linear or quadratic age effects (Methods). It must be
noted that, although the cohorts analyzed in this study together cover
the full lifespan, there is relatively little age overlap between them.
This implies that we cannot rule out that cohort-specific character-
istics other than age could influence our meta-regression findings.
We employed a rolling cumulative meta-analysis and meta-
regression approach17. In phase 1, for which data collection ended
on 1 February 2019, we analyzed the cohorts of European descent
(n = 9,623). We sought replication by adding data from three addi-
tional cohorts that became available after our analysis of phase 1:
one developmental cohort (average age 10 years at baseline) and
two in aging populations (n = 5,477; all of European descent) (total
n = 15,100 in phase 2). For all follow-up analyses, we used results
from phase 2. Finally, we added cohorts of non-European ancestry
(total n = 15,640).
Longitudinal trajectories
Brain measures showed differing trajectories of change with age
(Figs. 1 and 2 and Extended Data Video 1)—monotonic increases
(lateral ventricles), monotonic decreases (cortex volume, cerebel-
lar gray matter volume, cortical thickness, surface area and total
brain volume) or increases followed by stabilization and subse-
quently decreases (cerebral and cerebellar white matter, thalamus,
caudate, putamen, nucleus accumbens, pallidum, hippocampus and
amygdala volumes). Each brain structure showed a characteristic
trajectory of change. Within two of our largest cohorts in phase 1
Genetic variants associated with longitudinal
changes in brain structure across the lifespan
Human brain structure changes throughout the lifespan. Altered brain growth or rates of decline are implicated in a vast
range of psychiatric, developmental and neurodegenerative diseases. In this study, we identified common genetic variants
that affect rates of brain growth or atrophy in what is, to our knowledge, the first genome-wide association meta-analysis
of changes in brain morphology across the lifespan. Longitudinal magnetic resonance imaging data from 15,640 individuals
were used to compute rates of change for 15 brain structures. The most robustly identified genes GPR139, DACH1 and APOE
are associated with metabolic processes. We demonstrate global genetic overlap with depression, schizophrenia, cognitive
functioning, insomnia, height, body mass index and smoking. Gene set findings implicate both early brain development and
neurodegenerative processes in the rates of brain changes. Identifying variants involved in structural brain changes may help
to determine biological pathways underlying optimal and dysfunctional brain development and aging.
NATURE NEUROSCIENCE | VOL 25 | APRIL 2022 | 421–432 | www.nature.com/natureneuroscience 421
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