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Original Article| Volume 63, ISSUE 1, P72-79, January 01, 2008

Genetic Variation in Catechol-O-Methyltransferase: Effects on Working Memory in Schizophrenic Patients, Their Siblings, and Healthy Controls

      Background

      Catechol-O-methyltransferase (COMT) val108/158met (rs4680) is thought to affect dopamine regulated prefrontal cortical activity during working memory (WM) tasks, and to weakly increase risk for developing schizophrenia. Recently, other single nucleotide polymorphisms (SNPs) across the gene have emerged as additional risk factors for schizophrenia: namely rs737865, rs165599, and rs2097603. In a large sample, we examined whether these SNPs affect WM.

      Methods

      Schizophrenic probands (n = 325), their nonpsychotic siblings (n = 359), and normal control subjects (n = 330) completed tests of WM function. Data were analyzed with a series of mixed model analyses of variance (ANOVAs).

      Results

      Val homozygotes performed most poorly on all conditions of the n-back, irrespective of diagnosis. Additionally, there was a trend towards a disease-only val108/158met effect on a test of attentional set-shifting; val homozygote probands performed most poorly. Significant or near-significant effects of rs737865 were found on all conditions of the n-back, with G homozygotes performing worst. There also was a disease-only COMT rs737865 effect on the 0-back. None of the other SNPs showed main effects by themselves. A haplotype constructed from promoter and val108/158met SNPs showed main effects on WM parameters, consistent with inverted U models of dopamine signaling.

      Conclusions

      We extended earlier findings of a val108/158met effect on WM function, and suggest that combinations of alleles within COMT may modulate the val108/158met effect in a nonlinear manner.

      Key Words

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      References

        • Goldberg T.E.
        • Green M.F.
        Neurocognitive functioning in patients with schizophrenia: an overview.
        in: Davis D. Coyle J. Nemeroff C. Neuropsychopharmacology: The Fifth Generation of Progress. American College of Neuropsychopharmacology, 2002: 657-669
        • Weickert TW G.T.
        • Gold J.M.
        • Bigelow L.B.
        • Egan M.F.
        • Weinberger D.R.
        Cognitive impairments in patients with schizophrenia displaying preserved and compromised intellect.
        Arch Gen Psychiatry. 2000; 57: 907-913
        • Glatt S.
        • Faraone S.V.
        • Tsuang M.T.
        Association between a functional catechol-o-methyltransferase gene polymorphism and schizophrenia: meta-analyses of case-control and family-based studies.
        Am J Psychiatry. 2003; 160: 469-476
        • Harrison P.
        • Weinberger D.R.
        Schizophrenia genes, gene expression, and neuropathology: On the matter of their convergence.
        Mol Psychiatry. 2005; 10: 40-68
        • Weinberger D.
        • Egan M.F.
        • Bertolino A.
        • Callicott J.H.
        • Mattay V.S.
        • Lipska B.K.
        • et al.
        Prefrontal neurons and the genetics of schizophrenia.
        Biol Psychiatry. 2001; 50: 825-844
        • Bilder R.M.
        • Volavka J.
        • Czobor P.
        • Malhotra A.K.
        • Kennedy J.L.
        • Ni X.Q.
        • et al.
        Neurocognitive correlates of the COMT Val158Met polymorphism in chronic schizophrenia.
        Biol Psychiatry. 2002; 52: 701-707
        • Egan M.F.
        • Goldberg T.E.
        • Kolachana B.S.
        • Callicott J.H.
        • Mazzanti C.M.
        • Straub R.E.
        • et al.
        Effect of COMT Val108/158Met genotype on frontal lobe function and risk for schizophrenia.
        Proc Natl Acad Sci. 2001; 98: 6917-6922
        • Gallinat J.
        • Bajbouj M.
        • Sander T.
        • Schlattmann P.
        • Xu K.
        • Ferro E.F.
        • et al.
        Association of the G1947A COMT (Val108/158Met) gene polymorphism with prefrontal P300 during information processing.
        Biol Psychiatry. 2003; 54: 40-48
        • Goldberg T.
        • Egan M.F.
        • Gscheidle T.
        • Coppola R.
        • Weickert T.
        • Kolachana B.S.
        • et al.
        Executive subprocesses in working memory: relationship to catechol-o-methyltransferase Val158Met genotype and schizophrenia.
        Arch Gen Psychiatry. 2003; 60: 889-896
        • Joober R.
        • Gauthier J.
        • Lal S.
        • Bloom D.
        • Lalonde P.
        • Rouleau G.
        • et al.
        Catechol-o-methyltransferase val158met gene variants associated with performance on the Wisconsin Card Sorting Test.
        Arch Gen Psychiatry. 2002; 59: 662-663
        • Malhotra A.
        • Kestler L.J.
        • Mazzanti C.
        • Bates J.A.
        • Goldberg T.
        • Goldman D.
        A functional polymorphism in the COMT gene and performance on a test of prefrontal cognition.
        Am J Psychiatry. 2002; 159: 652-654
        • Mattay V.
        • Goldberg T.E.
        • Fera F.
        • Hariri A.R.
        • Tessitore A.
        • Egan M.F.
        • et al.
        Catechol-o-methyltransferase val158met genotype and individual variation in the brain response to amphetamine.
        Proc Natl Acad Sci. 2003; 100: 6186-6191
        • Rosa A.
        • Peralta V.
        • Cuesta M.J.
        • Zarzuela A.
        • Serrano F.
        • Martinez-Larrea A.
        • et al.
        New evidence of association between COMT gene and prefrontal neurocognitive function in healthy individuals and from sibling pairs discordant for psychosis.
        Am J Psychiatry. 2004; 161: 1110-1112
        • Callicott J.H.
        • Bertolino A.
        • Mattay V.S.
        • Langheim F.J.P.
        • Duyn J.
        • Coppola R.
        • et al.
        Physiological dysfunction of the dorsolateral prefrontal cortex in schizophrenia revisited.
        Cereb Cortex. 2000; 10: 1078-1092
        • Bertolino A.
        • Esposito G.
        • Callicott J.H.
        • Mattay V.S.
        • Van Horn J.D.
        • Frank J.A.
        • et al.
        Specific relationship between prefrontal neuronal N-acetylaspartate and activation of the working memory cortical network in schizophrenia.
        Am J Psychiatry. 2000; 157: 26-33
        • Chen J.
        • Lipska B.K.
        • Halim N.
        • Ma Q.D.
        • Matsumoto M.
        • Melhem S.
        • et al.
        Functional analysis of genetic variation in catechol-o-methyltransferase (COMT): Effects on mRNA, protein, and enzyme activity in postmortem human brain.
        Am J Hum Genet. 2004; 75: 807-821
        • Li T.
        • Sham P.C.
        • Vallada H.
        • Xie T.
        • Tang X.
        • Murray R.M.
        • et al.
        Preferential transmission of the high activity allele of COMT in schizophrenia.
        Psychiatr Genet. 1996; 6: 131-133
        • Wonodi I.
        • Stine O.C.
        • Mitchell B.D.
        • Buchanan R.W.
        • Thaker G.K.
        Association between val158met polymorphism of the COMT gene and schizophrenia.
        Am J Med Genet. 2003; 120B: 47-50
        • Shifman S.
        • Bronstein M.
        • Sternfeld M.
        • Pisante-Shalom A.
        • Lev-Lehman E.
        • Weizman A.
        • et al.
        A highly significant association between a COMT haplotype and schizophrenia.
        Am J Hum Genet. 2002; 71: 1296-1302
        • Fan J.-B.
        • Zhang C.-S.
        • Gu N.-F.
        • Li X.-W.
        • Sun W.-W.
        • Wang H.-Y.
        • et al.
        Catechol-O-methyltransferase gene val/met functional polymorphism and risk of schizophrenia: A large-scale association study plus meta-analysis.
        Biol Psychiatry. 2005; 57: 139-144
        • Craddock N.
        • Owen M.J.
        • O’Donovan M.C.
        The catechol-O-methyltransferase (COMT) gene as a candidate for psychiatric phenotypes: Evidence and lessons.
        Mol Psychiatry. 2006; 11: 446-458
        • Bray N.
        • Buckland P.R.
        • Williams N.M.
        • Williams H.J.
        • Norton N.
        • Owen M.J.
        • et al.
        A haplotype implicated in schizophrenia susceptibility is associated with reduced COMT expression in human brain.
        Am J Hum Genet. 2003; 73: 152-161
        • DeMille M.M.C.
        • Kidd J.R.
        • Ruggeri V.
        • Palmatier M.A.
        • Goldman D.
        • Odunsi A.
        • et al.
        Population variation in linkage disequilibrium across the COMT gene considering Promoter region and coding region variation.
        Hum Genet. 2002; 111: 521-537
        • Palmatier M.
        • Pakstis A.J.
        • Speed W.
        • Paschou P.
        • Goldman D.
        • Odunsi A.
        • et al.
        COMT haplotypes suggest P2 Promoter region relevance for schizophrenia.
        Mol Psychiatry. 2004; 9: 859-870
        • Blasi G.
        • Mattay V.S.
        • Bertolino A.
        • Elvevaag B.
        • Callicott J.H.
        • Das S.
        • et al.
        Effect of catecholo-o-methyltransferase val158met genotype on attentional control.
        J Neurosci. 2005; 25: 5038-5045
        • Baunez C.
        • Robbins T.W.
        Effects of dopamine depletion of the dorsal striatum and further interaction with subthalamic nucleus lesions in an attentional task in the rat.
        Neuroscience. 1999; 92: 1343-1356
        • Crofts H.S.
        • Dalley J.W.
        • Collins P.
        • Van Denderen J.C.M.
        • Everitt B.J.
        • Robbins T.W.
        • et al.
        Differential effects of 6-OHDA lesions of the frontal cortex and caudate nucleus on the ability to acquire an attentional set.
        Cereb Cortex. 2001; 11: 1015-1026
        • Chudasama Y.
        • Robbins T.W.
        Psychopharmacological approaches to modulating attention in the five-choice serial reaction time task: implications for schizophrenia.
        Psychopharmacology. 2004; 174: 86-98
        • Nieoullon A.
        Dopamine and the regulation of cognition and attention.
        Prog Neurobiol. 2002; 67: 53-83
        • Servan-Schreiber D.
        • Carter C.S.
        • Bruno R.M.
        • Cohen J.D.
        Dopamine and the mechanisms of cognition: Part II.
        Biol Psychiatry. 1998; 43: 723-729
        • Li T.
        • Ball D.
        • Zhao J.
        • Murray R.M.
        • Liu X.
        • Sham P.C.
        • et al.
        Family-based linkage disequilibrium mapping using SNP marker haplotypes: Application to a potential locus for schizophrenia at chromosome 22q11.
        Mol Psychiatry. 2000; 5: 77-84
        • Goldman-Rakic P.S.
        The cortical dopamine system: Role in memory and cognition.
        Adv Pharmacol. 1998; 42: 707-711
        • Meyer-Lindenberg A.
        • Nichols T.
        • Callicott J.
        • Ding J.
        • Kolachana B.
        • Buckholtz J.
        • et al.
        Impact of complex genetic variation in COMT on human brain function.
        Mol Psychiatry. 2006; 11: 867-877
        • Egan M.F.
        • Goldberg T.E.
        • Gscheidle T.
        • Weirich M.
        • Bigelow L.B.
        • Weinberger D.R.
        Relative risk of attention deficits in siblings of patients with schizophrenia.
        Am J Psychiatry. 2000; 157: 1309-1316
        • Palmatier M.
        • Kang A.M.
        • Kidd K.K.
        Global variation in the frequencies of functionally different catechol-o-methyltransferase alleles.
        Biol Psychiatry. 1999; 46: 557-567
        • First M.B.
        • Gibbon M.
        • Spitzer R.L.
        • Williams J.B.W.
        User’s Guide for the SCID-I for DSM-IV Axis I Disorders-Research Version.
        Biometrics Research, New York1996
        • Heaton R.K.
        • Chelune G.J.
        • Talley J.L.
        • Kay G.G.
        • Curtis G.
        Wisconsin Card Sorting Test (WCST) Manual-Revised and Expanded.
        Psychological Assessment Resources, Odessa, FL1993
        • Gordon M.
        CPT.
        Gordon Diagnostic Systems, Syracuse, NY1988
        • Wechsler D.
        WAIS-R Manual.
        Psychological Corporation, New York, NY1981
        • Sahakian B.J.
        • Owen A.M.
        Computerized assessment in neuropsychiatry using CANTAB: discussion paper.
        J R Soc Med. 1992; 85: 399-402
        • Apud J.A.
        • Mattay V.S.
        • Chen J.
        • Kolachana B.S.
        • Callicott J.H.
        • Rasetti R.
        • et al.
        Tolcapone improves cognition and cortical information processing in normal human subjects.
        Neuropsychopharmacology. 2007; 32: 1011-1020
        • Chen X.
        • Wang X.
        • O’Neill A.F.
        • Walsh D.
        • Kendler K.S.
        Variants on the catechol-o-methyltransferase (COMT) gene are associated with schizophrenia in Irish high-density families.
        Mol Psychiatry. 2004; 9: 962-967
        • Littell R.C.
        • Milliken G.A.
        • Stroup W.W.
        • Wolfingwer R.D.
        SAS System for Mixed Models (Version 6.12).
        SAS Institute, Inc, Cary, NC1996
        • Eisenberg J.
        • Mei-Tal G.
        • Steinberg A.
        • Tartakovsky E.
        • Zohar A.
        • Gritsenko I.
        • et al.
        Haplotype relative risk study of catechol-o-methyltransferase (COMT) and attention deficit hyperactivity disorder (ADHD): Association of the high-enzyme activity val allele with ADHD impulsive-hyperactive phenotype.
        Am J Med Genet. 1999; 88: 497-502
        • Jazbec S.
        • Pantelis C.
        • Robbins T.
        • Weickert T.
        • Weinberger D.R.
        • Goldberg T.E.
        Intra-dimensional/extradimensional set-shifting performance in schizophrenia: impact of distractors.
        Schizophr Res. 2007; 89: 339-349
        • Tsai S.
        • Yu Y.W.
        • Chen T.J.
        • Chen J.Y.
        • Liou Y.J.
        • Chen M.C.
        • et al.
        Association study of a functional catechol-O-methyltransferase-gene polymorphism and cognitive function in healthy females.
        Neurosci Lett. 2003; 338: 123-126
        • Ho B.
        • Wassink T.H.
        • O’Leary D.S.
        • Sheffield V.C.
        • Andreasen N.C.
        Catechol-o-methyltransferase val(158)met gene polymorphism in schizophrenia: working memory, frontal lobe MRI morphology and frontal cerebral blood flow.
        Mol Psychiatry. 2005; 10: 287-298
        • Stefanis N.
        • van Os J.
        • Avramopoulos D.
        • Smyrnis N.
        • Evdokimidis I.
        • Hantoumi I.
        • et al.
        Variation in catechol-o-methyltransferase val158met genotype associated with schizotypy but not cognition: A population study in 543 young men.
        Biol Psychiatry. 2004; 56: 510-515
        • Chan R.C.K.
        • Chen R.Y.L.
        • Chen E.Y.H.
        • Hui T.C.K.
        • Cheung E.F.C.
        • Cheung H.K.
        • et al.
        The differential clinical and neurocognitive profiles of COMT SNP rs165599 genotypes in schizophrenia.
        J Int Neuropsychol Soc. 2005; 11: 202-204
        • Tunbridge E.
        • Harrison P.J.
        • Weinberger D.R.
        Catechol-o-Methyltransferase, cognition, and psychosis: Val158Met and beyond.
        Biol Psychiatry. 2006; 60: 141-151
        • Meyer-Lindenberg A.
        • Kohn P.D.
        • Kolachana B.
        • Kippenhan S.
        • McInerney-Leo A.
        • Nussbaum R.
        • et al.
        Midbrain dopamine and prefrontal function in humans: Interaction and modulation by COMT genotype.
        Nat Neurosci. 2005; 8: 594-596
        • Bilder R.M.
        • Volavka J.
        • Lachman H.M.
        • Grace A.A.
        The catechol-O-methyltransferase polymorphism: Relations to the tonic-phasic dopamine hypothesis and neurpsychiatric phenotypes.
        Neuropsychopharmacology. 2004; 29: 1943-1961