Deciphering the Influence of Socioeconomic Status on Brain Structure: Insights from Mendelian Randomization

Socioeconomic status (SES) influences physical and mental health, however its relation with brain structure is less well documented. Here, we examine the role of SES on brain structure using Mendelian randomisation. First, we conduct a multivariate genome-wide association study of SES using individual, household, and area-based measures of SES, with an effective sample size of n=893,604. We identify 469 loci associated with SES and distil these loci into those that are common across measures of SES and those specific to each indicator. Second, using an independent sample of ∼35,000 we provide evidence to suggest that total brain volume is a causal factor in higher SES, and that SES is protective against white matter hyperintensities as a proportion of intracranial volume (WMHicv). Third, we find evidence that whilst differences in cognitive ability explain some of the causal effect of SES on WMHicv, differences in SES still afford a protective effect against WMHicv, independent of that made by cognitive ability.