Obsessive-compulsive behaviors (OCB) are common in children and adolescents. In addition to being the core features of obsessive-compulsive disorder (OCD), OCB are often associated in youth with tic, grooming, generalized anxiety, and autistic spectrum disorders. This competitive renewal application combines the unique clinical assessment, magnetic resonance imaging, and genetics expertise of three performance sites: Wayne State University (WSU), University of Michigan (UM), and the Hospital for Sick Children, affiliated with the University of Toronto (UT). The overall goal of this project - which extends prior and existing NIMH-funded research including Drs. Rosenberg and Diwadkar's neurodiagnostic imaging-genetic studies (K24MH02037; R01MH59299), Dr. Hanna's family, molecular genetic, and action monitoring studies (R01MH53876; R01MH59299; K20MH01065; R01MH101493) and Dr. Arnold and colleagues' extensive genetic studies in pediatric OCD (R01MH59299; R01MH101493) - is to exploit the emerging field of imaging genetics to 1) determine the relationship between alterations in functional connectivity of fronto-striatal-thalamic circuitry (FSTC) as measured by task and resting state functional magnetic resonance imaging (fMRI) and childhood OCB; 2) identify common, rare, and novel genetic variants associated with alterations in connectivity of FSTC as measured by fMRI; 3) clarify whether fMRI measured alterations in FSTC are potential intermediate phenotypes of OCB by determining whether they mediate the effects of genetic variants on OCB; and 4) combine structural MRI data from this study and our previous imaging genetics study to identify genetic variants associated with anterior cingulate volume and other FSTC structures in 1000 youth. The Child Behavior Checklist Obsessive-Compulsive Scale (CBCL-OCS) shows substantial heritability in pediatric twin studies. Heritability of structural and functional abnormalities in STC has also been demonstrated in OCD patients and their unaffected relatives. By using a research design consistent with the Research Domain Criteria (RDoC), targeted high field (3 Tesla) fMRI at WSU will be combined with comprehensive genomic assessment in 200 child psychiatric outpatients with CBCL-OCS scores = 5, 200 child psychiatric outpatients with CBL-OCS scores < 5, and 200 matched healthy controls aged 8-18 years. We will examine for common and rare genomic variants associated with FSTC dysregulation and conduct whole genome sequencing (WGS) in 60 subjects with FSTC dysregulation in the highest 10% of the distribution and compare to 60 subjects with FSTC dysregulation in the lowest 10% of the distribution to identify rare and novel variants of possible clinical significance. This unique study enacts the call for translational approaches to mental illness outlined in PAR- 14-165 by examining multiple genomic variants in FSTC in a spectrum of common but understudied disorders in youth. Our work will provide a better understanding of the impact of genetic variants on FSTC dysregulation in the pathogenesis of OCB and lead to new diagnostic, treatment, and prevention strategies.

Public Health Relevance

Obsessive-compulsive behaviors (OCB) are common in children and adolescents and are frequently associated with severe psychopathology. There is an urgent need for studies that can lead to a greater understanding of the pathogenesis of these behaviors and that can improve our ability to better diagnose, treat and prevent the disorders associated with them. By combining functional magnetic resonance imaging and genetics, we can better understand the susceptibility to OCB and, in turn, develop more effective treatments for these severe forms of childhood psychopathology.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH085321-09
Application #
9474220
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Prabhakar, Janani
Project Start
2009-09-11
Project End
2020-04-30
Budget Start
2018-05-01
Budget End
2019-04-30
Support Year
9
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Psychiatry
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Friedman, Amy L; Burgess, Ashley; Ramaseshan, Karthik et al. (2017) Brain network dysfunction in youth with obsessive-compulsive disorder induced by simple uni-manual behavior: The role of the dorsal anterior cingulate cortex. Psychiatry Res Neuroimaging 260:6-15
Boedhoe, Premika S W; Schmaal, Lianne; Abe, Yoshinari et al. (2017) Distinct Subcortical Volume Alterations in Pediatric and Adult OCD: A Worldwide Meta- and Mega-Analysis. Am J Psychiatry 174:60-69
Noh, Hyun Ji; Tang, Ruqi; Flannick, Jason et al. (2017) Integrating evolutionary and regulatory information with a multispecies approach implicates genes and pathways in obsessive-compulsive disorder. Nat Commun 8:774
Bunford, Nora; Kujawa, Autumn; Fitzgerald, Kate D et al. (2017) Neural Reactivity to Angry Faces Predicts Treatment Response in Pediatric Anxiety. J Abnorm Child Psychol 45:385-395
Kujawa, Autumn; Swain, James E; Hanna, Gregory L et al. (2016) Prefrontal Reactivity to Social Signals of Threat as a Predictor of Treatment Response in Anxious Youth. Neuropsychopharmacology 41:1983-90
Hanna, Gregory L; Gehring, William J (2016) The NIMH Research Domain Criteria initiative and error-related brain activity. Psychophysiology 53:386-8
Kujawa, Autumn; Weinberg, Anna; Bunford, Nora et al. (2016) Error-related brain activity in youth and young adults before and after treatment for generalized or social anxiety disorder. Prog Neuropsychopharmacol Biol Psychiatry 71:162-8
Hanna, Gregory L; Liu, Yanni; Isaacs, Yona E et al. (2016) Withdrawn/Depressed Behaviors and Error-Related Brain Activity in Youth With Obsessive-Compulsive Disorder. J Am Acad Child Adolesc Psychiatry 55:906-913.e2
Gazzellone, Matthew J; Zarrei, Mehdi; Burton, Christie L et al. (2016) Uncovering obsessive-compulsive disorder risk genes in a pediatric cohort by high-resolution analysis of copy number variation. J Neurodev Disord 8:36
Hanna, Gregory L (2015) Comorbid tics have no effect on response to cognitive-behavioral therapy in youth with obsessive-compulsive disorder. Evid Based Ment Health 18:85

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