RT Journal Article SR Electronic T1 An integrated molecular landscape implicates the regulation of dendritic spine formation through insulin-related signalling in obsessive–compulsive disorder JF Journal of Psychiatry and Neuroscience JO J Psychiatry Neurosci FD Canadian Medical Association SP 280 OP 285 DO 10.1503/jpn.140327 VO 41 IS 4 A1 Ilse van de Vondervoort A1 Geert Poelmans A1 Armaz Aschrafi A1 David L. Pauls A1 Jan K. Buitelaar A1 Jeffrey C. Glennon A1 Barbara Franke YR 2016 UL http://jpn.ca/content/41/4/280.abstract AB Background: Obsessive–compulsive disorder (OCD) is a neuropsychiatric disorder with onset in childhood and is characterized by obsessions (recurrent, intrusive, persistent thoughts, impulses and/or ideas that often cause anxiety or distress) and compulsions (ritualized and stereotypic behaviours or mental acts that are often performed to relieve anxiety or distress associated with obsessions). Although OCD is a heritable disorder, its complex molecular etiology is poorly understood.Methods: We combined enrichment analyses and an elaborate literature review of the top-ranked genes emerging from the 2 published genome-wide association studies of OCD and candidate genes implicated through other evidence in order to identify biological processes that, when dysregulated, increase the risk for OCD.Results: The resulting molecular protein landscape was enriched for proteins involved in regulating postsynaptic dendritic spine formation — and hence synaptic plasticity — through insulin-dependent molecular signalling cascades.Limitations: This study is a first attempt to integrate molecuar information from different sources in order to identify biological mechanisms underlying OCD etiology. Our findings are constrained by the limited information from hypothesis-free studies and the incompleteness and existing limitations of the OCD literature and the gene function annotations of gene enrichment tools. As this study was solely based on in silico analyses, experimental validation of the provided hypotheses is warranted.Conclusion: Our work suggests a key role for insulin and insulin-related signalling in OCD etiology and — if confirmed by independent studies — could eventually pave the way for the development of novel OCD treatments.