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Review
. 2025 Aug;12(8):600-610.
doi: 10.1016/S2215-0366(25)00124-5. Epub 2025 Jun 26.

The Psychiatric Genomics Consortium: discoveries and directions

Affiliations
Review

The Psychiatric Genomics Consortium: discoveries and directions

Arpana Agrawal et al. Lancet Psychiatry. 2025 Aug.

Erratum in

Abstract

Research by the Psychiatric Genomics Consortium (PGC) has advanced the discovery of common and rare genetic variations that contribute to the susceptibility to many psychiatric disorders and neurodevelopmental conditions. This Review reflects on major findings from the past 5 years of research by the PGC in five priority areas: discovery of common variants using genome-wide association studies; rare variation and its interplay with polygenic risk; using genetics to go beyond diagnostic boundaries; ascribing functional attributes to genomic discoveries; and developing and implementing processes for data sharing, outreach to various communities, and training. The insights gained in these domains frame the agenda for the next phase of PGC research. In addition to accelerating integrative findings of common and rare variants within, and across, multiple psychiatric disorders and neurodevelopmental conditions, the next phase will use multiple populations to elucidate genetic causes, integrate results with rapidly accumulating multimodal functional genomics data to gain mechanistic understanding, convert genetic findings to clinically actionable phenotypes, such as treatment response, and address the emerging use of polygenic scores. Together, these next steps will highlight the biological underpinnings of psychiatric disorders and neurodevelopmental conditions, which continue to contribute to global morbidity and mortality.

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Conflict of interest statement

Declaration of interests CMB is a royalty recipient from Pearson Education and is supported by the National Institutes of Mental Health (NIMH; R01MH136149, R01MH134039, R56MH129437, R01MH120170, R01MH124871, and R01MH124871). OAA is a consultant to Cortechs.ai and Precision Health; has received speaker's honoraria from Lilly, Janssen, Lundbeck, and Otsuka; has a patent for Intranasal Administration (US20160310683 A1); and is the National Principal Investigator for clinical trials: esketamine treatment in depression (Janssen Pharmaceuticals), MDMA-assisted therapy for PTSD (MAPS), and Connex trial for cognition in schizophrenia (Boehringer Ingelheim). KWC is a consultant to Sword Health and is an unpaid board member of the International Society of Psychiatric Genetics. HLD reports funding from Novo Nordisk Foundation. LKD reports honoraria from the University of North Carolina, University of Texas, and University of Pennsylvania BF has received educational speaker fees and travel support from Medice. M-EL receives royalties from Cambridge University Press. MCO'D reports a research grant from Akrivia Health and has received a research grant from Takeda Pharmaceuticals within the past 3 years. JWS is a member of the Scientific Advisory Board of Sensorium Therapeutics (with stock options) and has received grant support from Biogen. JTRW consults, and has a research grant from, Akrivia Health and has received a research grant from Takeda Pharmaceuticals within the past 3 years. PFS is a consultant and shareholder of Neumora Therapeutics (past 3 years). OAA reports funding from the Research Council of Norway (324252 and 324499), EU Horizon Research and Innovation Action Grants (964874), Stiftelsen Kristian Gerhard Jebsen, NIMH (51R01MH124839), South-East Norway Health Authority (2023-031), Nordforsk (164218), and Nasjonalforeningen. ARD reports funding from NIMH (R01MH123619 and R01MH132733). PG-R reports funding from NIMH (U01MH125062 and R01MH125236) and the Brain and Behavior Research Foundation. JMH reports funding from NIMH (5R01MH124847). JG reports funding from the National Institute of Drug Abuse (NIDA;R01DA058862). JH-L reports funding from the Knut and Alice Wallenberg Foundation (KAW 2023–0288), Swedish Research Council (2024-03567 and 2022-00445), and Swedish Brain Foundation (FO2024-0144-HK-49). ECJ is supported by funding from NIDA (K01DA051759). CML reports funding from NIMH (R01MH124871) and the Wellcome Trust (226770/Z/22/Z). AMM reports funding from the Wellcome Trust (226770/Z/22/Z, 223165/Z/21/Z, and 220857/Z/20/Z) and UK Research and Innovation (MR/Z000548/1, MR/Z50354X/1, MR/Z503563/1, and MR/W014386/1). JLM-O reports funding from NIDA (1DP1DA058737), the US Department of Veterans Affairs (IK2 CX002095), and the National Institutes of Health (NIH; 1OT2OD037644-01). NM reports funding from NIMH (R01MH124839 and R01MH132733). KSO'C reports funding from NIMH (5R01MH124839-02) and the Research Council of Norway (334920). REP reports funding from NIH and NIMH (R01MH125938), and the Brain and Behavior Research Foundation (28632; P&S Fund). HW reports funding from NIMH (R01MH122509) and the National Human Genome Research Institute (NHGRI; UM1HG012003). JS is funded by a grant from NIMH (MH119746). RS is funded by the Centre for Brain and Mind grant of the Rohini Nilekani Philanthropies. BV is funded by the DBT/Wellcome Trust India Alliance Intermediate Clinical Fellowship (IA/CPHI/20/1/505266). CMN reports funding from NIMH (R01MH106595). EGA is supported by NIH and NHGRI (R01HG012869). The PGC is funded by NIH (MH124871, MH124851, MH124839, MH124847, MH124873, MH124875, and DA054869). All other authors declare no competing interests.

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