pHealth terminology

Endophenotype

  • intermediate phenotype - quantitative biological trait that is reliable in reflecting the function of a discrete biological system, and is reasonably heritable, and is much more closely related to the root cause of the disease than the broad clinical phenotype.
  • biological or psychological phenomena of a disorder believed to be in the causal chain between genetic contributions to a disorder and diagnosable symptoms of psychopathology.
  • measurable biomarkers that are correlated with an illness, in part because of the shared underlying genetic influences.
  • What conditions need to be met?
    • Associated with illness in the population
    • Heritable
    • Primarily state-independent
    • Co-segregate with illness in families
    • Found in unaffected family members at a higher rate than general pop.
    • Examples of endophenotypes for MDD (major depressive disorder): learning/memory impairments, reduced reward functioning, increased stress sensitivity, REM sleep abnormalities, dysfunctions in serotonergic, catecholaminergic, HPA axis, corticotropin-releasing hormone systems, intracellular signal transduction measures.

Sources of endophenoytpes:

  • Stress data - cortisol
  • arousal/attention - pupil dilation
  • Reaction time / accuracy - behavior
  • Strength - grip force
  • Pulse/heart rate
  • Oxygen
  • Speech/voice data
  • Handwriting
  • Plasma (inflammation markers)
  • Saliva
  • Movement - sleep cycles
  • Temperature
  • Skin conductance (galvanic skin response)
  • Transcriptomics
  • fMRI BOLD signal
  • Cortical thickness/anatomy
  • Mobility data (tracked with phone)
  • Internet search history (tracked with phone)
  • Social media engagement (reddit, facebook etc)
  • Electronic health records (hospital admissions etc.)
  • Single nucleotide polymorphisms (SNPs)

Inflammation markers

  • Cytokine, chemokine, interleukin, interferon, tumor necrosis factor, colony-stimulating factor, growth factor (IGF, VEGF, NGF, FGF, TNF)
  • You can assess inflammation/cytokine/chemokine factors in plasma or serum samples.

Polygenic risk score

  • represents the total number of genetic variants that an individual has to assess their heritable risk of developing a particular disease.