<p>Psychiatric disorders are highly heritable and polygenic, influenced by environmental factors and often comorbid. Large-scale genome-wide association studies (GWASs) through consortium efforts have identified genetic risk loci and revealed the underlying biology of psychiatric disorders and traits. However, over 85% of psychiatric GWAS participants are of European ancestry, limiting the applicability of these findings to non-European populations. Latin America and the Caribbean, regions marked by diverse genetic admixture, distinct environments and healthcare disparities, remain critically understudied in psychiatric genomics. This threatens access to precision psychiatry, where diversity is crucial for innovation and equity. This Review evaluates the current state and advancements in psychiatric genomics within Latin America and the Caribbean, discusses the prevalence and burden of psychiatric disorders, explores contributions to psychiatric GWASs from these regions and highlights methods that account for genetic diversity. We also identify existing gaps and challenges and propose recommendations to promote equity in psychiatric genomics.</p>

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Psychiatric genetics in the diverse landscape of Latin American populations

  • Estela M. Bruxel,
  • Diego L. Rovaris,
  • Sintia I. Belangero,
  • Gabriela Chavarría-Soley,
  • Alfredo B. Cuellar-Barboza,
  • José J. Martínez-Magaña,
  • Sheila T. Nagamatsu,
  • Caroline M. Nievergelt,
  • Diana L. Núñez-Ríos,
  • Vanessa K. Ota,
  • Roseann E. Peterson,
  • Laura G. Sloofman,
  • Amy M. Adams,
  • Elinette Albino,
  • Angel T. Alvarado,
  • Diego Andrade-Brito,
  • Paola Y. Arguello-Pascualli,
  • Cibele E. Bandeira,
  • Claiton H. D. Bau,
  • Cynthia M. Bulik,
  • Joseph D. Buxbaum,
  • Carolina Cappi,
  • Nadia S. Corral-Frias,
  • Alejo Corrales,
  • Fabiana Corsi-Zuelli,
  • James J. Crowley,
  • Renata B. Cupertino,
  • Bruna S. da Silva,
  • Suzannah S. De Almeida,
  • Juan F. De la Hoz,
  • Diego A. Forero,
  • Gabriel R. Fries,
  • Joel Gelernter,
  • Yeimy González-Giraldo,
  • Eugenio H. Grevet,
  • Dorothy E. Grice,
  • Adriana Hernández-Garayua,
  • John M. Hettema,
  • Agustín Ibáñez,
  • Iuliana Ionita-Laza,
  • Maria Claudia Lattig,
  • Yago C. Lima,
  • Yi-Sian Lin,
  • Sandra López-León,
  • Camila M. Loureiro,
  • Verónica Martínez-Cerdeño,
  • Gabriela A. Martínez-Levy,
  • Kyle Melin,
  • Daniel Moreno-De-Luca,
  • Carolina Muniz Carvalho,
  • Ana Maria Olivares,
  • Victor F. Oliveira,
  • Rafaella Ormond,
  • Abraham A. Palmer,
  • Alana C. Panzenhagen,
  • Maria Rita Passos-Bueno,
  • Qian Peng,
  • Eduardo Pérez-Palma,
  • Miguel L. Prieto,
  • Panos Roussos,
  • Sandra Sanchez-Roige,
  • Hernando Santamaría-García,
  • Flávio M. Shansis,
  • Rachel R. Sharp,
  • Eric A. Storch,
  • Maria Eduarda A. Tavares,
  • Grace E. Tietz,
  • Bianca A. Torres-Hernández,
  • Luciana Tovo-Rodrigues,
  • Pilar Trelles,
  • Eva M. Trujillo-ChiVacuan,
  • Maria M. Velásquez,
  • Fernando Vera-Urbina,
  • Georgios Voloudakis,
  • Talia Wegman-Ostrosky,
  • Jenny Zhen-Duan,
  • Hang Zhou,
  • Bruna S. da Silva,
  • Suzannah S. De Almeida,
  • Juan F. De la Hoz,
  • Marcos L. Santoro,
  • Humberto Nicolini,
  • Elizabeth G. Atkinson,
  • Paola Giusti-Rodríguez,
  • Janitza L. Montalvo-Ortiz

摘要

Psychiatric disorders are highly heritable and polygenic, influenced by environmental factors and often comorbid. Large-scale genome-wide association studies (GWASs) through consortium efforts have identified genetic risk loci and revealed the underlying biology of psychiatric disorders and traits. However, over 85% of psychiatric GWAS participants are of European ancestry, limiting the applicability of these findings to non-European populations. Latin America and the Caribbean, regions marked by diverse genetic admixture, distinct environments and healthcare disparities, remain critically understudied in psychiatric genomics. This threatens access to precision psychiatry, where diversity is crucial for innovation and equity. This Review evaluates the current state and advancements in psychiatric genomics within Latin America and the Caribbean, discusses the prevalence and burden of psychiatric disorders, explores contributions to psychiatric GWASs from these regions and highlights methods that account for genetic diversity. We also identify existing gaps and challenges and propose recommendations to promote equity in psychiatric genomics.