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Nature human behaviour
Published

Genome-wide meta-analysis of quantitatively measured generalized anxiety symptoms in individuals of European ancestry

Authors

Megan Skelton, Brittany L Mitchell, Elham Assary, Danyang Li, Genevieve Morneau-Vaillancourt, Alan E Murphy, Abigail R Ter Kuile, Rujia Wang, Mark J Adams, Enda M Byrne, Elizabeth C Corfield, Poppy Z Grimes, Laurie J Hannigan, Jihua Hu, Kadri Kõiv, Alex S F Kwong, Sergi Papiol, Johanne H Pettersen, Giorgio Pistis, Enrique Castelao, Nora I Strom, Peter J van der Most, Anxiety Disorders Working Group of the Psychiatric Genomics Consortium, GLAD+ authors, Lifelines Cohort Study, NIHR BioResource, PROTECT-AD Consortium, Ole A Andreassen, Angelika Erhardt-Lehmann, Alexandra Havdahl, Nathan Skene, Brad Verhulst, Heike Weber, Chérie Armour, Helga Ask, William E Copeland, Udo Dannlowski, Jürgen Deckert, Katharina Domschke, Ian B Hickie, Kelli Lehto, Tina B Lonsdorf, Ulrike Lueken, Michelle K Lupton, Sarah E Medland, Andrew M McIntosh, Albertine J Oldehinkel, Martin Preisig, Andreas Reif, Harold Snieder, James T R Walters, Naomi R Wray, Catharina A Hartman, Nicholas G Martin, John M Hettema, Gerome Breen, Jonathan R I Coleman, Thalia C Eley

Abstract

Nat Hum Behav. 2026 Jun 9. doi: 10.1038/s41562-026-02476-7. Online ahead of print.

ABSTRACT

Anxiety is heritable and exists on a continuum, with symptoms ranging from adaptive threat response to clinical disorder. Here we performed a genome-wide association meta-analysis of generalized anxiety symptom severity in 693,869 individuals of European ancestry from 14 cohorts. We identified 80 independent genome-wide significant variants within 74 loci, 39 of which were newly associated with anxiety. SNP-based heritability was 5.9% (posterior s.d. = 0.15%). Polygenic scores were significantly associated with anxiety symptom severity and disorder in European, African and South Asian ancestry samples (R2 = 1.2-2.9%). Significant genetic correlations (rg) were estimated with mental and physical health traits, including case-control anxiety, neuroticism and depression (rg = 0.71-0.85), irritable bowel syndrome (rg = 0.57), coronary artery disease, endometriosis and migraine (rg = 0.20-0.27). Gene-based and pathway analyses implicated synaptic and axonal processes, with enriched expression in the brain. These findings highlight the discovery power gained from analysing a quantitative trait rather than a case-control phenotype in anxiety genetics.

PMID:42265330 | DOI:10.1038/s41562-026-02476-7

UK DRI Authors

Dr Nathan Skene

Group Leader

Identifying the cell types and intracellular processes affected by the genetic loci which underlie neurodegenerative diseases

Dr Nathan Skene