Schizophrenia-associated DNA methylation differences in the cortex are neuron-specific

Schizophrenia is a complex neuropsychiatric disorder in which genetic risk is thought to converge on cell type-specific regulatory mechanisms in the brain. We performed a cell type-resolved epigenome-wide association study (EWAS) of schizophrenia using fluorescence-activated nuclei sorting (FANS) to isolate neuron-enriched (NeuN+), oligodendrocyte-enriched (SOX10+) and other glial-enriched (NeuN−/SOX10−) nuclei populations alongside total prefrontal cortex nuclei fractions from 216 donors (104 schizophrenia cases and 112 controls). We identified 16 differentially methylated positions (DMPs) in neuron-enriched nuclei at experiment-wide significance and more than 400 additional neuronal DMPs at a discovery threshold. In contrast, no significant associations were identified in oligodendrocyte-enriched, glial-enriched or total nuclei fractions, demonstrating that schizophrenia-associated cortical methylomic variation is highly neuron-specific and largely masked in bulk tissue analyses. Neuronal DMPs exhibited a significant bias towards hypomethylation in schizophrenia and were enriched at loci implicated by genetic studies, including CACNA1C, CACNA1G and TRIO . Pathway analyses implicated genes involved in neurodevelopment, cell adhesion, synapse organisation, neurotransmission and synaptic plasticity. Schizophrenia-associated DNA methylation signatures identified in prefrontal cortex neurons showed correlated effects in neuronal nuclei isolated from the hippocampus and striatum, indicating partial conservation of disease-associated epigenetic alterations across brain regions. Together, these findings provide strong evidence for widespread neuron-specific epigenetic dysregulation in schizophrenia and highlight the importance of cell type-resolved approaches for elucidating the molecular mechanisms underlying psychiatric disease.