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Association of RANBP1 haplotype with smooth pursuit eye movement abnormality.

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Neuropsychiatric Genetics
Association of RANBP1 Haplotype With Smooth
Pursuit Eye Movement Abnormality
Hyun Sub Cheong,1 Byung Lae Park,1 Eun Mi Kim,1 Chul Soo Park,2 Jin-Wook Sohn,2 Bong-Jo Kim,2
Jae Won Kim,3 Ki-Hoon Kim,4 Tae-Min Shin,4 Ihn-Geun Choi,5 Sang-Woo Han,6 Jaeuk Hwang,6
InSong Koh,7 Hyoung Doo Shin,1,8** and Sung-Il Woo6*
Department of Genetic Epidemiology, SNP Genetics, Inc., Seoul, Republic of Korea
Department of Psychiatry, College of Medicine, Gyeongsang National University, Jinju, Gyeongsang Nam Do, Republic of Korea
Division of Life Science, Research Institute of Life Science, Gyeongsang National University, Jinju, Gyeongsang Nam Do, Republic of Korea
Department of Biomedical Engineering, Yonsei University, Wonju, Republic of Korea
Department of Neuropsychiatry, Hallym University, Han-Gang Sacred Heart Hospital, Seoul, Republic of Korea
Department of Neuropsychiatry, Soonchunhyang University Hospital, Seoul, Republic of Korea
Department of Physiology, College of Medicine, Hanyang University, Seoul, Republic of Korea
Department of Life Science, Sogang University, Seoul, Republic of Korea
Received 7 April 2010; Accepted 30 September 2010
Schizophrenia is a multifactorial disorder and smooth pursuit
eye movement (SPEM) disturbance is proposed as one of the
most consistent neurophysiological endophenotype in schizophrenia. The aim of this study was to examine the genetic
association of RANBP1 polymorphisms with the risk of schizophrenia and with the risk of SPEM abnormality in schizophrenia
patients in a Korean population. Two SNPs of RANBP1 were
genotyped by TaqMan assay. Their genetic effect of single/
haplotype polymorphisms on the risk of schizophrenia and
SPEM abnormality from 354 patients and 396 controls were
performed using c2 and multiple regression analyses.
Although no RANBP1 polymorphisms were associated with
the risk of schizophrenia, a common haplotype, RANBP1-ht2
(rs2238798G–rs175162T), showed significant association with
the risk of SPEM abnormality among schizophrenia patients
after multiple correction (Pcorr ¼ 0.002–0.0003). The results of
present study provide the evidence that RANBP1 on 22q11.21
locus might be causally related to the SPEM abnormality rather
than the development of schizophrenia. 2010 Wiley-Liss, Inc.
Key words: RANBP1; schizophrenia; single-nucleotide polymorphism; smooth pursuit eye movement
Schizophrenia (MIM 181500) is regarded as a multifactorial disorder
[McGrath et al., 2004] with heterogenous clinical subtypes. Smooth
pursuit eye movement (SPEM) disturbance may be a neurophysiological endophenotype which is an intermediate variable linking
schizophrenia phenotype more directly to the corresponding
genotypes. SPEM disturbance is reportedly found in approximately
40–80% of patients of schizophrenia and <10% of healthy control
2010 Wiley-Liss, Inc.
How to Cite this Article:
Cheong HS, Park BL, Kim EM, Park CS, Sohn
J-W, Kim B-J, Kim JW, Kim K-H, Shin T-M,
Choi I-G, Han S-W, Hwang J, Koh I, Shin DH,
Woo S-I. 2011. Association of RANBP1
Haplotype With Smooth Pursuit Eye
Movement Abnormality.
Am J Med Genet Part B 156:67–71.
subjects [Holzman, 2000; Rybakowski et al., 2002]. However, the
genetic origin for SPEM abnormality has been poorly understood
and only a few researches such as the association studies with COMT
and ZDHHC8 polymorphisms had been performed [Park et al., 2009;
Vorstman et al., 2009; Shin et al., 2010].
Additional Supporting Information may be found in the online version of
this article.
Grant sponsor: Korea Science and Engineering Foundation (KOSEF);
Grant sponsor: Korean Government (MEST); Grant Number: 20090080157.
*Correspondence to:
Dr. Sung-Il Woo, Department of Neuropsychiatry, Soonchunhyang
University Hospital, 657, Hannam-dong, Yongsan-gu, Seoul 140-743,
Republic of Korea. E-mail:
**Correspondence to:
Dr. Hyoung Doo Shin, Department of Life Science, Sogang University,
Seoul 121-742, Republic of Korea. E-mail:
Published online 2 November 2010 in Wiley Online Library
DOI 10.1002/ajmg.b.31139
RAN-binding protein 1 (RANBP1; MIM# 601180), a member
of proteins regulating the binding and hydrolysis of GTP by
Ras-related proteins, regulates nucleotide turnover on RAN resulting from the stimulation of hydrolysis by RANGAP1 and inhibition
of RCC1 activity [Bischoff et al., 1995]. RANBP1 is found in
complexes with RAN and transport factors [Plafker and Macara,
2002], and it may contribute to the modulation of the assembly
and disassembly of these complexes [Chi et al., 1996; Kehlenbach
et al., 1999]. RANBP1 is located in the microdeleted region of
22q11 locus, the deletion of which causes the Velo-cardio-facial
syndrome (VCFS) characterized by high rates of schizophrenia
[Murphy, 2002], and many studies have focused on the associations
of the genes on the microdeletion locus of 22q11 with VCFS,
and especially with schizophrenia [Badner and Gershon, 2002;
Lewis et al., 2003; Mukai et al., 2004; Liu et al., 2007; Kempf
et al., 2008; Meltzer et al., 2008; Park et al., 2009; Coman et al.,
2010; Shin et al., 2010]. In a previous study [Liu et al., 2002],
a RANBP1 polymorphism (rs175163) was associated with
schizophrenia vulnerability in non-22q11 deleted individuals. Our
previous study also showed that ZDHHC8 SNPs, a nearby (4 kb)
gene of RANBP1 were associated with SPEM abnormality in
Korean schizophrenia patients [Shin et al., 2010]. Based on these
previous studies about schizophrenia and SPEM abnormality, it
is hypothesized that RANBP1 plays an important role in the
development of schizophrenia.
In the present study, we analyzed the association of RANBP1
polymorphisms with the risk of schizophrenia and the quality of
SPEM function to find the gene involved in schizophrenia development and SPEM abnormality in the Korean population.
All individuals included in this study were of Korean ethnic
origin; they consisted of 354 schizophrenia patients (176 males
and 178 females) and 396 control subjects (224 males and 172
females). Schizophrenia patients were recruited from three mental
hospitals: Keyo Hospital (Kyunggi-Do, Korea), Jinju Mental Hospital, and Soonyoung Hospital (Gyeongsang Nam Do, Korea). The
ages of the schizophrenic group were in the range of 23–76 years
(mean age ¼ 44.0 years, SD ¼ 9.3). The schizophrenia diagnoses
were based on the DSM-IV criteria [American Psychiatric Association, 1994], which were applied by two trained psychiatrists
following a prior clinical diagnosis of schizophrenia. Patients
with complicating diagnoses of mental retardation, organic brain
damage, drug or alcohol abuse, neurological disorders, autoimmune disorders, and those with low comprehension skills were
excluded. Patients with drug side effects such as tardive dyskinesia,
extrapyramidal symptoms, and oculogyric crisis were also excluded
from the study.
The controls were unrelated healthy employees of the Center for
Health Promotion of Seoul National University Hospital (Seoul,
Korea), with an age range of 28–80 years (mean age ¼ 54.6 years,
SD ¼ 9.3). Trained clinicians evaluated each control subject using
the Structured Clinical Interview for DSM-IV, non-patient edition
(SCID-NP), to ensure that the individual did not have an ongoing
or previous psychiatric illness. The institutional review board of
each hospital approved the study, and all subjects provided
informed consent.
The Measurement of Smooth Pursuit Eye
Movement (SPEM)
We evaluated SPEM of schizophrenia patients by electrooculographic recordings (EOG) of eye movement and calculated
the natural logarithmic values of the signal/noise ratio (Ln S/N
ratio). Using this method, the global quantitative SPEM
abnormality can be scored and analyzed as the Ln S/N ratio. Subjects
were seated in a darkened, quiet room, in front of a 19-in. computer
monitor situated at a distance of 40 cm away. Patients were
instructed to observe the moving target spot as closely as possible
during the pursuit task. The green target spot (0.8 cm 1 cm)
appeared at the center of the computer monitor for 0.5 sec and
then moved horizontally back and forth into 18.2 of visual arc to
each side of the monitor screen at a constant speed of 28.2 /sec.
Using Biopac MP150 (BIOPAC Systems, Goleta, CA), the electrophysiologic analog signals of SPEM were amplified and sampled at
400 Hz and converted into digitized files. A measurement time of
15 sec during the SPEM task were resampled at 4 Hz and passed
through a 2 Hz low-pass filter. After application of Fast Fourier
Transformation (FFT) to the EOG data, the Ln S/N ratio was
calculated from analysis of the power spectrum curves. SPEM data
were collected in 166 schizophrenic patients (81 males and 85
females) receiving stable doses of typical antipsychotic medications
for at least 2 weeks. For additional statistical analysis, patients were
divided into three groups with equal number of subjects (good:
4.49 0.25, intermediate: 3.92 0.16, and poor SPEM function:
2.96 0.66) according to their SPEM function using the Ln S/N
ratio values of 3.60 and 4.20.
Single Nucleotide Polymorphism (SNP)
Among 61 dbSNPs detected, 7 were reported in 2 Asian groups
(Han Chinese and Japanese) in the HapMap database (release #27).
Only two polymorphisms (rs2238798 and rs175162) of RANBP1
were selected based on their minor allele frequencies (freq. > 10%)
in Asian and LD. Although all of dbSNPs were not considered, the
two tagging SNPs were selected to capture all common RANBP1
SNPs in the HapMap database. rs175162 is in absolute LD (linkage
disequilibrium) with rs175163 which showed an association with
schizophrenia susceptibility in European population [Liu et al.,
2002] (Supplementary Fig. 1A,C). SNPs were genotyped using
TaqMan [Livak, 1999] assay. Genotyping quality control was
performed in 10% of the samples by duplicate checking (rate of
concordance in duplicates >99%). Assay IDs of rs2238798
and rs175162 were ‘‘C__16173148_10’’ and ‘‘C___2613312_1_,’’
respectively (Applied Biosystems, Foster City, CA).
We examined Lewontin’s D0 (|D0 |) and the linkage disequilibrium
coefficient r2 between all pairs of bi-allelic loci [Hedrick, 1987].
Haplotypes were inferred using the algorithm developed by
the Broad Institute, Haploview [Barrett et al., 2005]. The allelic
distributions of polymorphisms and haplotypes among patients
with schizophrenia and normal subjects were evaluated by c2
analyses (two-tailed) and logistic regression models calculating
ORs, 95% CIs, and corresponding P-values using age and sex as
covariates. Multiple regressions were used for association analyses
of SPEM reliability adjusting for age and sex as covariates among
schizophrenia patients. Statistical power of single associations was
calculated with false positive rate of 5%, disease lifetime prevalence
of 0.4% [McGrath et al., 2004], given minor allele frequencies and
sample sizes, and assuming a relative risk of 1.5, using PGA (Power
for Genetic Association Analyses) software [Menashe et al., 2008].
Current study examined the association of RANBP1 polymorphisms with the risk of schizophrenia and the SPEM abnormality
in Korean population. Two tagging SNPs were selected from
International HapMap database and genotyped in Korean
schizophrenia patients and controls (Supplementary Fig. 1A).
The minor allele frequencies were 0.498 (rs2238798) and 0.132
(rs175162), respectively (n ¼ 750), and genotype distributions were
in Hardy–Weinberg equilibrium (P > 0.05) (Supplementary Table
I). Measured linkage disequilibrium among two SNPs by calculating Lewontin’s D0 and r2 values (Supplementary Fig. 1C), revealed
that these SNPs were in complete LD (|D0 | ¼ 1 and r2 „ 1). Among
three haplotypes constructed, only RANBP1-ht2 was used for
further analyses because RANBP1-ht1 and ht3 were equivalent to
rs2238798 and rs175162, respectively (Supplementary Fig. 1B).
Allele frequencies of rs2238798, rs175162, and RANBP1-ht2 were
compared among schizophrenia patients and population control
groups using c2 analysis. None of them showed a significant
association with risk of schizophrenia (statistical powers were
above 80%) (Table I). In further analysis, association of RANBP1
polymorphisms with the Ln S/N ratio of SPEM were analyzed using
multiple regression models controlling for age and sex as covariates.
The obtained P values were corrected for multiple testing by
Bonferroni method. After correction for multiple testing, RANBP1
-ht2 was significantly associated with the low Ln S/N ratio of SPEM
(Pcorr ¼ 0.002–0.0003) among schizophrenia patients. The Ln S/N
ratio of RANBP1-ht2 bearing subjects was lower than that of
RANBP1-ht2 non-bearing subjects, for example, 3.58 0.81 of ht2
-bearing subjects versus 3.88 0.75 of other subjects (Table II).
When patients were subgrouped into three categories based on
SPEM index (equal distribution of the number of subjects), similar
results were obtained (Pcorr ¼ 0.0006; Supplementary Table II).
Previously many genetic studies were performed focusing on the
association of schizophrenia with genes (COMT, HTF9C, PRODH,
RANBP1, SULT4A1, and ZDHHC8) at the microdeletion locus of
22q11 [Liu et al., 2002, 2007; Mukai et al., 2004; Kempf et al., 2008;
Meltzer et al., 2008; Park et al., 2009; Coman et al., 2010; Shin et al.,
2010]. Among these previous studies, an intronic SNP, rs175163
of RANBP1 was shown to be associated with schizophrenia
susceptibility in European population [Liu et al., 2002]. But, in
the current study, rs2238798 and rs175162 was not associated with
the risk of schizophrenia in the Korean population (rs175162 is in
absolute LD with rs175163 in Asian of international HapMap data).
The different ethnicity may be a major factor responsible for the
discrepancy between the two study populations.
In our previous reports about the association of COMT and
ZDHHC8 with SPEM abnormality in schizophrenia patients, only
ZDHHC8 polymorphisms showed strong association with SPEM
abnormality in schizophrenia group [Park et al., 2009; Shin et al.,
2010]. To further understand the genetic effects of the nearby
gene upon SPEM abnormality in schizophrenia, we carried out an
association analysis between RANBP1 and SPEM abnormality
among Korean schizophrenic patients. The result of our study of
Korean subjects indicated that RANBP1 haplotype might also be the
genetic factor for SPEM abnormality in schizophrenia.
The mechanisms involved in the association of RANBP1 with
SPEM abnormality is not currently understood, but our study
clearly indicates that RANBP1 haplotype has an influence on
SPEM abnormality in Korean subjects with strong association
(Pcorr ¼ 0.002–0.0003). We can hypothesize that haplotypes of
polymorphisms in the intron region might impact gene function
by affecting the mRNA stability. In addition, although it is true that
the haplotype itself may be functional and directly affect the
expression of the phenotype, a more likely event is that the allele
TABLE I. Association Analysis of RANBP1 Polymorphisms With the Risk of Schizophrenia in Korean Population
ht2 [G-T]
MAF, minor allele frequency; SZO, schizophrenia patient; PC, population control.
345 (49.6%)
351 (50.4%)
610 (87.1%)
90 (12.9%)
449 (63.4%)
259 (36.6%)
396 (50.8%)
384 (49.2%)
680 (86.5%)
106 (13.5%)
499 (63.0%)
293 (37.0%)
P of chi-square
power (%)
TABLE II. Regression Analysis of RANBP1 Polymorphisms With Eye-Movement Controlling Age and Sex as Covariates in Korean Population
ht2 [G-T]
42 (3.61 0.76)
130 (3.69 0.80)
64 (4.04 0.63)
84 (3.76 0.84)
31 (4.05 0.74)
77 (3.60 0.86)
40 (3.93 0.69)
5 (3.88 0.33)
25 (3.55 0.76)
P-value was calculated from multiple linear regression analyses controlling for age and sex as covariates.
Pa, Pb, and Pc refer to P-values of codominant, dominant, and recessive models, respectively.
C/C, C/R, and R/R refer to major homozygote, heterozygote, and minor homozygote, respectively.
Mean SD of Ln S/N ratio values of each genotypes are shown in parenthesis.
Pcorr represents the simple corrected P-value (Bonferroni methods, P-value 3).
Significant associations are shown in boldface (P-value 0.05).
is in linkage disequilibrium with another allele at a nearby gene,
ZDHHC8 which was associated with SPEM abnormality in our
previous study [Shin et al., 2010]. Four SNPs (rs175169, rs175174,
rs175175, and rs175179) and one haplotype (ht4) of ZDHHC8 were
strongly associated with the risk of SPEM abnormality. Linkage
disequilibrium analysis suggest that there is one LD block covering a
27 kb region beginning with rs2238798 in RANBP1 and ending with
rs2292570 in ZDHHC8 (Supplementary Fig. 1D). This LD structure
between RANBP1 and ZDHHC8 reveals evidence for the association between RANBP1 polymorphism and SPEM abnormality.
Our method of measuring the SPEM function is a global
measurement of the SPEM, which is adequate for genetic analysis.
Among schizophrenia patients, we evaluated the degree of
SPEM impairment based on the Ln S/N ratio of the SPEM curves.
However, we did not perform the association analysis of the
SPEM function abnormality with RANBP1 SNPs in normal controls. Considering the low incidence of SPEM impairment <10% in
normal controls, relatively small number of subjects and low
statistical power, the association analysis in normal control subjects
would be not appropriate.
In summary, we scrutinized the association of RANBP1 polymorphisms with the risk of schizophrenia and the abnormality of SPEM
quality among schizophrenic patients in Korean population. Although
no association of RANBP1 polymorphisms with the risk of schizophrenia were observed, we presented the possibility for the genetic
association with SPEM abnormality in Korean schizophrenia patients.
The results of this study further suggest the evidence that ZDHHC8–
RanBP1 gene locus among the 22q11 microdeleted region are specifically linked to SPEM dysfunction in the schizophrenia patients.
This work was supported by a grant from Korea Science and
Engineering Foundation (KOSEF) funded by the Korean Government (MEST) (No. 2009-0080157).
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