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Record W4411389345 · doi:10.1101/2025.06.15.25329656

Genome-wide meta-analysis identifies genetic risk factors and implicates multiple body systems in panic attacks and disorder

2025· preprint· en· W4411389345 on OpenAlexaff
Brittany L. Mitchell, Megan Skelton, Rujia Wang, Abigail ter Kuile, Alan E Murphy, Geneviève Morneau‐Vaillancourt, Danyang Li, Elham Assary, Matthew Hotopf, Jihua Hu, Chérie Armour, Andrew M. McIntosh, James Walters, Donald M. Lyall, Daniel J. Smıth, Nathalie Kingston, John R. Bradley, Gursharan Kalsi, Sang Hyuck Lee, Yuhao Lin, Evangelos Vassos, Saakshi Kakar, Laura Meldrum, Iona Smith, G. Ventura, Catherine M. Olsen, David C. Whiteman, Sarah E. Medland, Penelope A. Lind, Enda M. Byrne, Ian B. Hickie, Naomi R. Wray, Lukáš Mach, Michela Noseda, Andreas J. Forstner, Harold Snieder, Catharina A. Hartman, Nicholas G. Martin, Jürgen Deckert, Nathan Skene, Jonathan R. I. Coleman, Thalia C. Eley, Gerome Breen

Bibliographic record

VenuemedRxiv · 2025
Typepreprint
Languageen
FieldEnvironmental Science
TopicHealth, Environment, Cognitive Aging
Canadian institutionsNutrasourceDouglas Mental Health University Institute
FundersNational Health and Medical Research CouncilMedical Research CouncilNIHR BioResourceKing's College LondonDepartment of Health and Social CareNational Institute for Health and Care ResearchQueensland HealthNHS Blood and Transplant
KeywordsPanic disorderMeta-analysisPanicGenome-wide association studyGenomeBiologyMedicineComputational biologyGeneticsPsychologyPsychiatryGeneAnxietyInternal medicineSingle-nucleotide polymorphismGenotype

Abstract

fetched live from OpenAlex

Introductory paragraph Panic attacks, sudden episodes of intense fear accompanied by physical and psychological symptoms, affect approximately 23% of the population 1,2 . Panic disorder, diagnosed in 2– 4% 3 , involves recurrent attacks followed by persistent worry about further attacks, leading to functional impairment and avoidance behaviours 1,2 . We conducted genome-wide association meta-analyses of panic attacks and panic disorder (61,746 and 29,775 cases, respectively, and 105,814 controls), identifying the first genome-wide significant variants for both traits (16 for panic attacks; 7 for panic disorder). Geneset analysis using single-cell RNA sequencing data implicated afferent neurons from the eye, heart, and lung in panic attacks, suggesting a critical role for sensory processing and interoceptive awareness. Further analyses suggested that these associations generalize to other psychiatric disorders. These findings offer novel insights into the biological mechanisms underlying panic, the role of afferent neurons, and may inform the development of more targeted and effective interventions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.013
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.002
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.032
GPT teacher head0.277
Teacher spread0.245 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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