Genetic associations with cortical thickness and surface area and their distinct developmental trajectories

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We conducted genome-wide association meta-analyses for 64 cortical traits in 100,628 participants and identified 213 loci for cortical thickness and 417 loci for surface area (45 and 79 new loci), mapping to 184 and 431 genes (82 overlaps), respectively. Although thickness- and area-related genes exhibited similar functional enrichments, their cell type-specific expression curves during development showed distinct associations with growth-rate curves, with thickness growth showing a greater proportion of correlations with gene expression in inhibitory neurons. Even the shared genes influenced thickness growth and area expansion through distinct cell types and temporal lags. These findings indicate that the differing developmental trajectories of cortical thickness and surface area may arise from distinct cell type-specific gene expression and temporal dynamics. Biological sciences/Genetics/Genetic association study Biological sciences/Neuroscience/Genetics of the nervous system Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Introduction The expansion and elaboration of the cerebral cortex are hallmarks of human evolution, underpinning higher-level cognitive functions 1 . The enlargement of the human cerebral cortex is primarily driven by a dramatic expansion of surface area (SA), accompanied by a moderate increase in cortical thickness (CT). For instance, humans demonstrate an approximately 1000-fold increase in SA and a twofold increase in CT relative to mice 1 , 2 . Additionally, humans exhibit a more prolonged cortical developmental trajectory than other species, resulting in a larger number of neurons, a higher proportion of glial cells, and more complex neuronal morphologies and synaptic connections 3 . Furthermore, in the human cerebral cortex, SA expansion continues for a much longer period than CT growth. For example, according to brain charts of mean CT and total SA derived from 123,984 magnetic resonance imaging (MRI) scans spanning the age range from mid-gestation to 100 postnatal years 4 , SA expansion peaked at approximately 11.0 years, while CT growth peaked around 1.7 years. However, the mechanisms underlying the distinct developmental timelines of CT and SA remain poorly understood. Twin and family-based studies indicate that image-derived phenotypes (IDPs) for both CT and SA are highly heritable 5 . Consequently, genome-wide association studies (GWASs) have been conducted on these IDPs, identifying hundreds of loci associated with CT and SA 6–16 . Although these findings advance our understanding of the genetic architecture underlying inter-individual differences in CT and SA, current sample sizes remain insufficient to detect all genetic variants accounting for their heritability, calling for larger-scale GWASs. Additionally, the cerebral cortex is key for cognitive function and vulnerable to neuropsychiatric disorders 17 , 18 ; therefore, linking CT- and SA-related genetic variants to neurocognition and neuropsychiatric diseases is valuable and may shed light on their genetic and neural mechanisms. Using single-nucleus RNA sequencing (snRNA-seq) data from the human cerebral cortex across developmental periods, previous studies have identified numerous genes whose cell type-specific expression is related to cortical development 19 – 21 . However, these studies cannot distinguish genes associated with CT growth from those associated with SA expansion, a limitation that may be addressed by integrating GWAS findings for CT-IDPs and SA-IDPs. Because both CT and SA growth rates are regulated by gene expression, investigating the associations of cell type-specific gene expression curves with CT and SA growth-rate curves within the same timeframe may reveal the genetic mechanisms driving CT and SA development at the cellular level. In this study, we conducted the largest GWAS meta-analyses to date on 68 cortical IDPs in 100,628 participants to identify genetic loci associated with CT and SA, and mapped these loci to genes. We then examined associations between cell type-specific gene expression curves and CT and SA growth-rate curves from fetal to adult stages to elucidate genetic mechanisms underlying CT and SA development. Results Genetic associations with CT and SA We assessed cortical morphology using 68 bilateral averaged cortical IDPs, including the CT and SA of 33 distinct cortical regions (Fig. 1 a) from the Desikan-Killiany atlas 22 , and the mean CT and total SA of the entire cerebral cortex. In the discovery phase, we performed GWAS meta-analyses on cortical IDPs in 80,935 individuals of European ancestry (EUR) by integrating data from the UK Biobank (UKB) cohort (n = 52,278), the Enhancing Neuroimaging Genetics through Meta-Analysis (ENIGMA) consortium (n = 23,909), and the Adolescent Brain Cognitive Development (ABCD) study (n = 4,748). The intercepts of Linkage Disequilibrium (LD) score regression (LDSC) for all GWASs were close to 1 (Table S1 ), providing evidence for no population stratification. We estimated single nucleotide polymorphism (SNP)-based heritability for each cortical IDP, with h 2 ranging from 0.08 to 0.36 (Table S2). These GWASs identified 2,028 significant variant-trait associations ( P < 7.35 × 10 − 10 , Bonferroni correction for 68 IDPs; Fig. S1 and Table S3), with 1,606 associations for SA (Fig. 1 b) and 422 for CT (Fig. 1 c). These associations were merged into 1,508 trait-associated loci (1,154 for SA and 354 for CT; Fig. 1 d). Of the 354 CT-associated loci, only 75 (21.19%) overlapped with SA-associated loci for the same cortical region (Fig. 1 d), indicating that CT and SA of the same cortical region are primarily controlled by different genetic loci. After merging association signals (loci) for SA-IDPs and CT-IDPs, respectively, we identified 787 independent association signals (417 loci) for SA and 300 association signals (213 loci) for CT, including 137 overlapping loci. Of these, 79 SA- and 45 CT-related loci have not previously been reported at P < 7.35 × 10 − 10 . In the replication phase, we validated the discovered variant-trait associations in 19,693 mixed-ancestry participants, including 8,333 non-White British participants from UKB, 4,329 multi-ancestry participants from ABCD, and 7,031 East Asian participants from the Chinese Imaging Genetics (CHIMGEN) study. Among the 2,022 discovered associations available for replication, we found high concordance ( r = 0.88; Fig. S2) of effect sizes between the discovery and replication samples. We defined replication by considering both lead and high-LD variants ( r 2 > 0.6), and validated 1,306 (64.59%) variant-trait associations at P < 0.05 with consistent effect direction. Consequently, the EUR-GWAS summary statistics for the 68 cortical IDPs, derived from the discovery sample, were used in all subsequent analyses. We utilized C-GWAS 23 to conduct multivariate GWAS ( P < 5 × 10 − 8 ) for the 34 CT-IDPs and the 34 SA-IDPs, respectively. We found 1,989 genetic associations (772 loci) for SA and 835 genetic associations (498 loci) for CT, including 410 overlapping loci (Table S4). Of these, 280 SA-related and 202 CT-related loci were not found in univariate GWASs, comprising 106 SA-related and 45 CT-related loci (Fig. 1 e) that have not been reported previously ( P < 5 × 10 − 8 ). We also investigated genetic correlations ( P c < 0.05, Bonferroni corrected) within and between CT-IDPs and SA-IDPs. Among the genetic correlations between CT and SA within the same region, we identified 16 negative and 6 positive genetic correlations (Fig. S3). The extensive negative genetic correlations aligned with a prior study 7 and were primarily present in late-maturing association cortices (e.g., frontal and parietal regions), whereas positive genetic correlations were mainly observed in early-maturing somatosensory and visual areas 24 . These findings indicate that genetic variants associated with SA expansion may contribute to cortical thinning in association cortices, but to cortical thickening in sensory cortices. For within-measure genetic correlations between cortical regions (Fig. S4), we found positive genetic correlations for CT or SA between physically adjacent regions, suggesting that SA expansion or CT increases in these regions share the same genetic substrates. Variant prioritization and annotation After excluding loci in the major histocompatibility complex (MHC) region, we applied the Sum of Single Effects (SuSiE) model 25 to perform statistical fine mapping for 1,501 trait-associated loci (1,151 for SA and 350 for CT) from EUR-GWASs. For each locus, we estimated the posterior inclusion probability (PIP) of each variant within the locus and calculated its 95% credible set of causal variants. We found 1,203 credible causal variants (PIP > 0.8) for SA and 366 for CT (Fig. 2 a), including 81 shared by both CT and SA. For instance, rs2279829 in the 3'-UTR of ZIC4 was a causal variant (all PIPs > 0.8) for seven SA-IDPs, and ZIC4 plays a key role in neural development 26 . A missense mutation (rs13107325) in SLC39A8 was a causal variant for eight CT-IDPs (all PIPs > 0.8). SLC39A8 encodes a membrane transporter critical for manganese homeostasis and glycosylation; its deficiency in humans is linked to abnormal brain development 27 . The rs2696531 in the 3'-UTR of ARL17B was a causal variant for four SA-IDPs and three CT-IDPs. ARL17B is a risk gene for neurodegenerative diseases 28 . We used FUMA 29 to perform functional annotation of causal variants within 95% credible sets for CT- and SA-associated loci, respectively. ANNOVAR 30 was utilized to categorize variants by genic position, while combined annotation-dependent depletion (CADD) score 31 was applied to assess their pathogenicity. We identified 128 missense variants in 96 genes for SA and 46 missense variants in 41 genes for CT, including 12 shared missense variants in 12 unique genes (Table S5). Using PIP > 0.8 to filter causal missense variants with high confidence, we identified 14 credible causal missense variants for SA and six for CT, comprising three shared variants (Fig. 2 a). The three shared missense variants included rs1801133 (PIP max = 0.98 for SA, PIP max = 0.99 for CT, CADD = 25.5) in MTHFR , rs10283100 (PIP max = 1 for SA, PIP max = 0.99 for CT, CADD = 22.4) in ENPP2 , and rs35891966 (PIP = 0.99 both SA and CT, CADD = 28.1) in NAV2 . All three genes are involved in brain development: MTHFR in neural tube development 32 , ENPP2 in the localization and adhesion of neuronal progenitors 33 , and NAV2 in neurite outgrowth and axonal elongation 34 . The rs2066827 was identified as a SA-only missense variant (PIP max = 1, CADD = 18.05) in CDKN1B , which plays a role in neural progenitor proliferation, cell cycle progression, and neuron migration 35 – 37 . The rs2286471 was identified as a CT-only missense variant (PIP max = 1, CADD = 18.05) in NPW , a key regulator of the hypothalamic-pituitary-adrenal (HPA) axis 38 , with a profound influence on cortical development 39 . For 1,501 trait-associated loci, we used OPERA 40 to jointly analyze GWAS signals and multi-omics quantitative trait loci (xQTLs) of the human cerebral cortex to identify molecular phenotypes that share genetic signals with cortical IDPs. We included QTLs of DNA methylation (meQTLs, n = 1,160) 41 , histone acetylation (haQTLs, n = 561) 42 , chromatin accessibility (caQTLs, n = 272) 43 , gene expression (eQTLs, n = 2,865) 44 , and protein (pQTLs, n = 1,277) 45 . For each GWAS signal for cortical IDPs, we calculated the joint posterior probability of association (PPA) for every combination of molecular phenotypes. For pleiotropic associations with PPA > 0.9, we performed a multi-trait HEIDI test to exclude the LD-related false positive findings ( P HEIDI ≤ 0.01). We found that 631 GWAS signals were shared with at least one molecular phenotype (PPA > 0.9 and P HEIDI > 0.01), of which 27 were shared with four or more molecular phenotypes (Table S6). For instance, a GWAS signal (lead SNP: rs17055142 at chr8; gene: STMN4 ) for mean CT was associated with all five molecular phenotypes (joint PPA = 0.99, P HEIDI = 0.12; Fig. 2 b), and another GWAS signal (lead SNP: rs7550758 at chr1; gene: ATP13A2 ) for the SA of the pars triangularis in the inferior frontal cortex was associated with four molecular phenotypes (joint PPA = 0.99, P HEIDI = 0.13; Fig. 2 c). STMN4 plays a key role in microtubule depolymerization and neuron projection development 46 , while ATP13A2 maintains neuronal integrity 47 and has been linked to an early onset form of Parkinson's disease (PD) 48 . Several GWAS signals from both CT and SA traits converged on molecular phenotypes of KANSL1 , a gene involved in the regulation of synaptic structure 49 . We used the FLAMES 50 framework for gene prioritization by integrating SNP-to-gene evidence and convergence-based evidence into a single prediction for each fine-mapped GWAS signal. FLAMES identified 431 unique genes for SA-IDPs and 184 for CT-IDPs, with 82 overlapping genes (Table S7). We used WebGestalt 51 to perform statistical over-representation analysis to identify the biological processes enriched by these genes. We identified 403 significant pathways for SA and 53 for CT ( P c < 0.05, Bonferroni-corrected; Table S8), including 52 overlapping pathways (Fig. 2 d). The shared pathways primarily comprised neurodevelopmental processes, such as neurogenesis ( P c = 3.09 \(\:\times\:\) 10 − 25 for SA and P c = 6.52 \(\:\times\:\) 10 − 9 for CT), neuron differentiation ( P c = 3.34 \(\:\times\:\) 10 − 21 for SA and P c = 3.71 \(\:\times\:\) 10 − 6 for CT), and neuron development ( P c = 8.14 \(\:\times\:\) 10 − 13 for SA and P c = 1.23 \(\:\times\:\) 10 − 3 for CT); signaling pathways, such as the Wnt signaling pathway ( P c = 2.51 \(\:\times\:\) 10 − 13 for SA and P c = 2.55 \(\:\times\:\) 10 − 4 for CT); neuronal projection development, including neuron projection morphogenesis ( P c = 2.93 \(\:\times\:\) 10 − 14 for SA and P c = 2.89 \(\:\times\:\) 10 − 6 for CT) and axonogenesis ( P c = 5.81 \(\:\times\:\) 10 − 9 for SA and P c = 7.73 \(\:\times\:\) 10 − 3 for CT); and cell migration ( P c = 1.10 \(\:\times\:\) 10 − 21 for SA and P c = 1.58 \(\:\times\:\) 10 − 6 for CT). The high proportion (98.1%) of overlap between CT-related and SA-related pathways indicates that enrichment analysis cannot distinguish the genetic mechanisms underlying CT and SA. Cell type-specific gene expression and CT and SA growth-rates We investigated genetic mechanisms underlying the distinct developmental trajectories of CT and SA by integrating cell type-specific expression trajectories of the prioritized CT-related and SA-related genes across developmental periods with lifetime growth-rate curves of CT and SA. We focused on 102 CT-related, 349 SA-related, and 82 CT-SA shared genes that were prioritized from CT-GWASs and SA-GWASs, respectively. We subsequently obtained their cell type-specific gene expression trajectories across six developmental periods (fetal, neonatal, infancy, childhood, adolescence, and adult) in 14 major cell clusters from the human prefrontal cortex 19 . The 14 major clusters were derived from 17 cell clusters (Fig. 3 a) after integrating three categories of immature neurons (PN-dev, CGE-dev, and MGE-dev) into their respective mature neuronal categories for gene expression curve fitting. The lifetime growth-rate curves of mean CT and total SA were derived from brain charts for the human lifespan 4 . For each cell type, we generated cell type-specific time-expression curve of each gene from the 22nd week of gestation to 40 years 19 . Developmental ages were arcsinh-transformed to expand the scale of early developmental windows, thereby capturing the accelerated pace of early-life developmental dynamics. Gene expression values were extracted at 100 uniformly distributed time points across this transformed temporal axis, and corresponding growth-rate values for CT and SA were subsequently quantified at the same time points 4 . The first time point lacked a growth-rate value since derivatives require prior data points, leaving 99 values for correlation analysis. We then calculated cross-correlations between cell type-specific gene expression values (x) and growth-rate values (y) across the 99 time points. For each lag 𝑘, the coefficient r xy ( k ) was defined as normalized cross-correlation coefficients. We defined the optimal lag as the value of k that produced the largest absolute correlation. Cross-correlations were considered significant if the maximal coefficient satisfied | r xy ( k )| > 0.8. We then validated the main findings by extracting cell type-specific gene expression values for the same 99 time points from an independent snRNA-seq dataset 20 . In the discovery snRNA-seq dataset 19 , we found 1,380 cross-correlations between cell type-specific expression of 304 SA-related genes and SA growth-rate, and 301 cross-correlations between cell type-specific expression of 84 CT-related genes and CT growth-rate (Table S9). We categorized these correlations by cell types (Fig. 3 b) and calculated the relative proportion of correlations for each cell type (Fig. 3 c). We also calculated the relative proportions of correlations for three major categories (excitatory neurons, inhibitory neurons, and glial cells, Fig. 3 c). Among the 1,380 SA correlations, the proportion were 36.74% for inhibitory neurons, 33.41% for excitatory neurons, and 29.86% for glial cells (Fig. 3 c). NCAM1 expression in excitatory neurons (L2/3-CUX2) showed the strongest positive correlation with SA growth-rate ( r xy ( 0 ) = 0.996; Fig. 3 d). Among the 301 CT correlations (Fig. 3 e), the proportion was much higher in inhibitory neurons (47.84%) than in excitatory neurons (27.24%) or glial cells (24.92%, Fig. 3 f). For example, SYBU expression in PV-SCUBE3 inhibitory neurons exhibited a negative correlation with CT growth-rate ( r xy ( 0 ) = -0.97; Fig. 3 g). Given the distinct cell type definitions in the replication dataset 20 , we focused our validation on the proportion of CT- and SA-related cross-correlations. We observed similar SA and CT correlation distributions across the three cell categories (Fig. S5). The proportions of SA correlations were 44.82% for inhibitory neurons, 36.35% for excitatory neurons, and 18.83% for glial cells, and the proportions of CT correlations were 52.84% for inhibitory neurons, 28.22% for excitatory neurons, and 18.94% for glial cells. The differences in the proportions of SA and CT correlations across major cell categories may contribute to the developmental timeline differences between SA expansion and CT growth. Among the 82 CT-SA shared genes, we identified 362 cross-correlations for SA and 284 cross-correlations for CT (Fig. 4 a), with only 72 overlapping correlations in the discovery dataset. In the validation dataset, we replicated this pattern by identifying 368 cross-correlations for SA and 529 cross-correlations for CT (Fig. 4 b), with only 51 overlapping correlations. These findings indicate that most of these CT-SA shared genes identified by GWASs act within distinct cell types. For instance, NAV2 was identified as a CT-SA shared gene. Its expression in excitatory neurons correlated with SA growth-rate ( r xy(−5 ) = 0.94; Fig. 4 c), while its expression in inhibitory neurons correlated with CT growth-rate ( r xy(0 ) = -0.91; Fig. 4 d). Among the 72 CT-SA shared cross-correlations identified in the discovery dataset (Fig. 4 a) and the 51 CT-SA shared cross-correlations identified in the validation dataset (Fig. 4 b), most (all in discovery and 46 in validation) showed zero-lag relative to CT growth-rate, but all showed negative lags relative to SA growth-rate. For instance, DACT1 expression in ID2 neurons preceded SA growth-rate by 9-time units ( r xy(−9 ) = 0.81; Fig. 4 e), while it was correlated with CT growth-rate with zero-lag ( r xy(0 ) = 0.87; Fig. 4 f). These results suggest that even the CT-SA shared gene expression within the same cell type may influence CT growth and SA expansion with distinct temporal lags. Genetic correlation and colocalization between cortical and other traits For the 68 cortical traits, we computed their genetic correlations with three cognitive traits and eight neuropsychiatric disorders. We found 37 significant genetic correlations ( P < 6.68 \(\:\times\:\) 10 − 5 , Bonferroni corrected), including 18 correlations for SA and 19 for CT traits (Fig. 5 a-b and Table S11). The total SA showed positive genetic correlation with all cognitive traits: years of schooling ( r g = 0.24, P = 5.87 \(\:\times\:\) 10 − 87 ), intelligence ( r g = 0.25, P = 2.11 \(\:\times\:\) 10 − 67 ), and cognitive performance ( r g = 0.26, P = 1.11 \(\:\times\:\) 10 − 81 ). However, total SA showed mixed correlations with neuropsychiatric disorders: negative correlations with attention-deficit/hyperactivity disorder (ADHD, r g = -0.21, P = 3.18 \(\:\times\:\) 10 − 24 ) and depression ( r g = -0.09, P = 2.63 \(\:\times\:\) 10 − 7 ) and a positive correlation with PD ( r g = 0.20, P = 2.21 \(\:\times\:\) 10 − 5 ). The SA of the pars orbitalis, inferior parietal lobule, insula, entorhinal cortex, and superior temporal gyrus showed positive correlations with cognitive traits, while the SA of the precuneus, isthmus cingulate, lingual gyrus, and pericalcarine cortex exhibited negative correlations with cognitive traits (Fig. 5 a). The CT of the rostral anterior cingulate, superior and inferior parietal, and lateral occipital cortices showed negative genetic correlations with cognitive traits, with the strongest correlation between the inferior parietal CT and years of schooling ( r g = -0.14, P = 4.45 \(\:\times\:\) 10 − 16 ) (Fig. 5 b-c). Conversely, the precentral and superior temporal CT showed positive genetic correlations with cognitive traits. As for neuropsychiatric disorders, the rostral anterior cingulate ( r g = 0.13, P = 2.17 \(\:\times\:\) 10 − 6 ) and precentral ( r g = -0.11 P = 1.05 \(\:\times\:\) 10 − 5 ) cortices exhibited genetic correlations with ADHD. The medial orbitofrontal cortex ( r g = -0.07, P = 3.32 \(\:\times\:\) 10 − 6 ) and pars orbitalis ( r g = -0.09, P = 3.97 \(\:\times\:\) 10 − 5 ) exhibited genetic correlations with schizophrenia. The superior parietal CT showed genetic associations with depression ( r g = 0.08, P = 7.65 \(\:\times\:\) 10 − 6 ). These findings indicated that SA and CT exhibited complex genetic correlation patterns with cognitive functions and neuropsychiatric disorders. For each trait-associated locus (1,151 for SA and 350 for CT), we performed multi-trait colocalization with three cognitive traits and eight neuropsychiatric disorders. We identified 60 colocalizations with a posterior probability of full colocalization (PPFC) ≥ 0.8 (Fig. 5 d and Table S12), including 41 for SA and 19 for CT. Among these colocalizations, 12 SA-related and 12 CT-related traits were colocalized with two or more cognitive and neuropsychiatric phenotypes. SA traits were colocalized with all cognitive traits (years of schooling, intelligence, and cognitive performance) and with five neuropsychiatric disorders (depression, ADHD, bipolar disorder, schizophrenia, and autism spectrum disorder (ASD)). For example, total SA colocalized with cognitive performance and intelligence (PPFC = 0.99), with the highest posterior probability at rs11079849 in IGF2BP1 (Fig. 5 e); paracentral SA colocalized with schizophrenia (PPFC = 0.99), with the highest posterior probability at a missense variant (rs11692435) in ACTR1B ; and total SA colocalized with ADHD, cognitive performance, intelligence, and years of schooling (PPFC = 0.95) at a shared locus in ARHGAP39 . CT traits showed colocalizations with all cognitive traits and schizophrenia. For instance, the mean CT colocalized with years of schooling (PPFC = 0.98), exhibiting the highest posterior probability at a missense variant (rs10901333) in LAMC3 ; and CT in the caudal middle frontal cortex colocalized with schizophrenia, cognitive performance, intelligence, and years of schooling (PPFC = 0.99), with the highest posterior probability at a missense variant (rs13107325) in SLC39A8 (Fig. 5 f). Discussion In this study, we conducted the largest-to-date GWAS meta-analyses on 68 SA and CT traits in 100,628 participants, identifying 417 SA-associated and 213 CT-associated loci. Compared with previous studies 6 – 16 , we found 79 and 45 new loci associated with SA and CT traits, respectively, which advance our understanding of the genetic architecture of these two morphological measures of the human cerebral cortex. We also conducted several post-GWAS analyses to enhance understanding of the genetic mechanisms underlying SA and CT development. For instance, fine mapping prioritized 1,203 causal variants for SA and 366 for CT, including 128 missense variants in 96 genes for SA and 46 missense variants in 41 genes for CT. Some of these genes (e.g., MTHFR , ENPP2 , NAV2 , and CDKN1B ) have been linked to brain development 35 – 37 . These findings provide more candidate variants and genes for functional experiments to investigate the genetic control of cortical development. We also examined pleiotropic associations of SA-and CT-associated loci with DNA methylation, histone acetylation, chromatin accessibility, gene expression, and protein expression, annotating 631 loci with at least one molecular phenotype, 27 of which were shared across four or more phenotypes. The results may inform future studies on the molecular pathways by which genetic variation affects cortical morphology. We prioritized 431 genes for SA and 184 for CT, with 82 shared genes, which can enhance biological interpretation of GWAS findings. We revealed that CT-related genes exhibited substantial overlap (52/53, 98.1%) with SA-related genes in functional enrichment for biological processes. These results indicate that conventional enrichment analysis cannot distinguish biological processes specific to CT growth and SA expansion. We investigated functional significance of cortical GWAS findings, and found genetic correlations and colocalizations between cortical traits and cognitive and neuropsychiatric phenotypes, including several multi-trait colocalizations with both categories of phenotypes. These findings may inform genetic and neural mechanisms underlying cognitive impairment in neuropsychiatric disorders. The most important contribution of this study to the field of genetic studies of the human cerebral cortex is the identification of potential genetic mechanisms underlying SA expansion and CT growth during development. For the first time, we calculated the cross-correlations to connect CT and SA growth-rate trajectories 4 to cell type-specific expression curves 19 , 20 of the CT- and SA-related genes across developmental periods. We identified 1,380 and 301 correlations between cell type-specific expression of 304 SA-related genes and SA growth-rate, and between cell type-specific expression of 84 CT-related genes and CT growth-rate, respectively. These findings indicate that distinct genes may affect CT and SA growth-rates through their cell type-specific expression. SA and CT differences in developmental trajectories may also be attributed to the cell-type differences between CT and SA cross-correlations. For instance, we found that a greater proportion of CT correlations were observed for inhibitory neurons compared with SA correlations (discovery: 47.84% vs 36.74%; validation: 52.84% vs 44.82%). Additionally, most of the 82 CT-SA shared genes correlated with CT and SA growth-rates by affecting gene expression in distinct cell types. For example, NAV2 accelerated SA expansion through excitatory neurons, while suppressing CT growth via inhibitory neurons. For CT-SA shared gene expression within the same cell type, they influenced CT growth and SA expansion with distinct temporal lags. These results may provide insights into the genetic and cellular mechanisms governing the distinct developmental trajectories between SA and CT. Our findings expand the genetic architecture of cortical morphology by identifying novel genetic loci, implicating key causal variants, genes, and pathways, and revealing genetic and cellular mechanisms underlying human cortical development. The genetic correlations and colocalizations of CT- and SA-associated loci with cognitive functions and neuropsychiatric disorders highlight the functional implications of our findings. Declarations Acknowledgements We are grateful to ENIGMA for providing GWAS summary statistics of cortical thickness and surface area. This work was funded by the National Natural Science Foundation of China (Grant No. 82430063 and 82030053 to C.Y., 82402218 to N.L., 82472052 and 81971599 to W.Q., 82371924 to J.X. and 82202093 to J.T., the Tianjin Municipal Health Commission Science and Technology Project to N.L. (Grant No. TJWJ2025QN006), the Tianjin Medical University Young Scholar Program to N.L., the Tianjin Young Talents in Science and Technology to J.X. (Grant No. QN20230336), the National Key Project of “Inter-governmental International Scientific and Technological Innovation Cooperation” to J.X. (Grant No. 2023YFE0199700), the Natural Science Foundation of Tianjin to J.X. (25JCZDJC00640), the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences to J.X. (Grant No. 2024-JKCS-18), the Tianjin Science and Technology Commission Major Special Project in Public Health Science and Technology to J.X. (Grant No. 24ZXGQSY00050) and the Tianjin Medical University “Clinical Talent Training 123 Climbing Plan” to J.X. Author contributions Conceptualization: Chunshui Yu, Nana Liu Methodology: Nana Liu, Wen Qin,, Chunshui Yu Investigation: Nana Liu Visualization: Nana Liu Funding acquisition: Chunshui Yu, Wen Qin, Nana Liu, Jiayuan Xu, Jie Tang Project administration: Chunshui Yu, Wen Qin, Meng Liang, Jiayuan Xu, Jie Tang Supervision: Chunshui Yu, Wen Qin, Meng Liang Writing – original draft: Nana Liu Writing – review & editing: Chunshui Yu, Nana Liu All authors critically reviewed the manuscript. Nana Liu, Jiayuan Xu, Jie Tang, Jilian Fu, Sijia Wang, Yuan Ji, Hui Xue, Nannan Zhang, Qiang Xu, Lining Guo, Hao Ding, Huaigui Liu, Feng Liu, Meng Liang, Wen Qin and Chunshui Yuacquired the data. Competing interests The authors have declared that no competing interests exist. Data availability The GWAS summary statistics for cortical thickness and surface area used in this work are publicly available from the ENIGMA consortium (http://enigma.usc.edu/research/download-enigma-gwas-results/). Raw genotype and neuroimaging data for the UKB and the ABCD study were accessed under authorized applications (application no. 75556 for UKBB; application no. 17607 for ABCD). The meta-analyses summary statistics for the 68 cortical traits will be made publicly available upon publication following peer review. Two human cortex single-nucleus RNA-seq datasets are publicly accessible (https://brain.listerlab.org/ and https://cells.ucsc.edu/?ds=pre-postnatal-cortex). Code availability The software used in this study is publicly available. The sMRI process and cortical parcellation were performed using FreeSurfer (https://surfer.nmr.mgh.harvard.edu) and harmonization was conducted using Combat harmonization (v.1.0.1) (https://github.com/Jfortin1/ComBatHarmonization). Genetic data processing involved PLINK (v.2.0) (http://zzz.bwh.harvard.edu/plink), SHAPEIT2 (v.2.r904) (https://mathgen.stats.ox.ac.uk/genetics_software/shapeit/shapeit.html), IMPUTE2 (v.2.3.2) (http://mathgen.stats.ox.ac.uk/impute/impute_v2.html) and UCSC LiftOver tools (Jan.2022 release) (https://genome.ucsc.edu/cgi-bin/hgLiftOver). The R package ukbtools (v.0.11.3) (https://kenhanscombe.github.io/ukbtools) was used to estimate the relatedness of UKB participants. GWASs were performed using BGENIE (v.1.3) (https://jmarchini.org/bgenie), GCTA (v1.94.1) (https://yanglab.westlake.edu.cn/software/gcta/). Multivariate GWASs were performed using C-GWAS (v.0.9.3) (https://github.com/Fun-Gene/CGWAS). Meta-analyses were conducted using METAL (v.2011-03-25) (https://csg.sph.umich.edu/abecasis/Metal/). The post-GWAS analyses mainly involved LDSC (v.1.0.1) (https://github.com/bulik/ldsc), SuSiE (v.0.12.41) (https://github.com/stephenslab/susieR), FUMA (v.1.8.1) (https://fuma.ctglab.nl/), FLAMES (v.1.1.2) (https://github.com/Marijn-Schipper/FLAMES), WebGestalt (v.2024) (https://www.webgestalt.org/), OPERA (https://github.com/wuyangf7/OPERA), HyPrColoc (v.0.0.2) (https://jrs95.github.io/hyprcoloc/articles/hyprcoloc.html) and HDL (v.1.4.1) (https://github.com/zhenin/HDL). Analysis for RNA-seq datasets were used the published pipeline (https://zenodo.org/records/7113422). Methods Study populations The study populations for genome-wide association studies (GWASs) on image-derived phenotypes (IDPs) of cortical thickness (CT) and surface area (SA) from brain magnetic resonance imaging (MRI) data were obtained from four independent datasets: the UK biobank (UKB) study 52 , the Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA) consortium 53 , the Chinese Imaging Genetics (CHIMGEN) study 54 , and the Adolescent Brain Cognitive Development (ABCD) study 55 . A pioneer study conducted GWAS meta-analyses on 70 bilateral averaged brain IDPs (35 for CT and 35 for SA) in 33,992 European ancestry (EUR) participants (23,909 from ENIGMA and 10,083 from UKB) 7 . These 70 cortical IDPs included total SA and mean CT for the cerebral cortex, along with CT and SA from 34 regions parcellated based on the Desikan-Killiany atlas using FreeSurfer 56 . From that study 7 , we included the GWAS summary data of these IDPs, which were conducted exclusively on ENIGMA participants. For each ENIGMA site, genotype data was filtered by excluding variants with an imputation info score ≤ 0.5 and minor allele frequency (MAF) ≤ 0.005. These GWASs were conducted using an additive model, adjusting for age, age 2 , sex, sex × age, sex × age 2 , ancestry (the first four multidimensional scaling components), diagnostic status, and dummy variables for scanner. Subsequently, meta-analyses were conducted using METAL 57 . For the other three datasets, we tried to align with the ENIGMA-GWASs. As the CT and SA of the temporal pole have been deemed unreliable IDPs in the UKB study 6,58 , we performed our GWASs solely on the remaining 68 cortical IDPs. UKB UKB is a prospective study involving over 500,000 individuals aged 40 to 69 years at recruitment from the United Kingdom 52 . It gathered numerous biological phenotypes, including brain IDPs from more than 60,000 participants 59 . The study was approved by the North West Multi-centre Research Ethics Committee, and written informed consent was obtained from each participant. We accessed the data under application NO. 75556. We utilized the imputed genomic data (version 3) from 487,409 individuals and retained 486,361 individuals after excluding participants according to the UKB pipeline 60 . The excluded participants comprised individuals with discrepancies between reported and chromosome-X determined sexes; those with sex chromosome aneuploidy; those displaying excessive heterozygosity or elevated missing rates; and those without a kinship inference. All brain MRI data from UKB participants were processed using a standard pipeline 6 , resulting in various IDPs. We used the 136 CT and SA IDPs that were symmetrically distributed across the left and right cerebral hemispheres. Of the 61,850 participants with both IDP and genetic data, we excluded 31 participants due to poor image quality, 173 participants with outliers (exceeding six times the median absolute deviation from the median) in any of cortical IDPs, and 1,035 related participants, retaining 60,611 unrelated individuals (White British: n = 52,278; non-White British: n = 8,333). We then computed the 68 bilateral averaged cortical IDPs to align with those used in the ENIGMA-GWASs. Its plausibility was confirmed by the strong genetic correlations (mean = 0.83) of these IDPs from the bilateral homologous regions in the White British sample (Table S13). The White British dataset served as the discovery cohort, whereas the non-White British dataset functioned as the replication cohort. Of the non-White British dataset, 6,220 individuals (75.49%) reported White ancestry, while the remainder included 679 Asian or Asian British, 417 Black or Black British, 344 from other ethnic groups, 316 with mixed ancestry, 182 with Chinese ancestry, and 175 with unknown ancestries. For each dataset, we implemented the following procedures: ComBat harmonization was applied to these IDPs to remove between-scanner variation while preserving biological variability 61 ; normal score transformation was then applied to the harmonized data to enhance normality; and variants were filtered by only including those with minor allele frequency (MAF) > 0.005 and info > 0.5. The demographic and IDP data of included participants are presented in Table S14. ABCD The ABCD study collected a longitudinal dataset comprising nearly 12,000 participants aged 9-10 years at their baseline assessment from 21 sites 55 . Centralized institutional review board approval was obtained from the University of California San Diego, and each site also obtained local institutional review board approval. Parents or caregivers provided written informed consent, and children provided written assent. We accessed the data under application (ID 17607). After variant- and sample-level quality control procedures 62 , this study provided imputed genotype data for 11,666 participants. After excluding those with sex mismatches, a total of 11,449 participants were retained. Of these, 11,319 participants also had data on 136 cortical IDPs. According to the inclusion criteria of ABCD, we excluded 142 participants due to poor image quality, 412 because of cortical parcellation failure, 56 outliers, and 1,632 with genetic relatedness, resulting in a total of 9,077 individuals with these 68 cortical IDPs. From the raw genotyped data of 9,077 ABCD participants, we excluded variants with a call rate < 95%, MAF < 0.001, or located within genomic regions exhibiting long-range Linkage Disequilibrium (LD) 63,64 , including the MHC region. We merged the remaining variants with 1000 Genomes data, and performed LD pruning using PLINK 65 to identify independent variants with a window of 1000 variants, a step size of 80 variants, and an r 2 < 0.1. Subsequently, we used PLINK to perform Principal Component Analysis (PCA) with default parameters, calculating the top 20 principal components (PCs) based on the 100,022 independent variants from the 9,077 participants. We utilized UMAP to identify clusters in 1000 Genomes data using the first four PCs. We identified seven major populations, including the non-Finnish Europeans, Finnish Europeans, Africans, Americans, East Asians, South Asian, and Bengali. Using the first four PCs from the ABCD dataset, we projected individuals onto the seven clusters, identifying broadly homogeneous populations (Fig. S6). We defined the 4,748 non-Finnish Europeans as the discovery dataset (ABCD EUR), whereas the remaining 4,329 participants were categorized as the replication dataset (ABCD multi-ancestry cohorts), comprising 374 Finnish Europeans, 1,788 Africans, 1,980 Americans, 114 East Asians, 68 South Asians, and 5 Bengalis. The liftover tool 66 in the UCSC Genome Browser was used to map variants to build 37 of the human reference genome. We performed ComBat harmonization, normal score transformation, and variant filtration (MAF > 0.005 and info > 0.5) for the discovery and replication datasets, respectively. The demographic and IDP data of the included participants are presented in Table S14. CHIMGEN The CHIMGEN study has collected both genomic and neuroimaging data from 7,306 healthy Chinese Han participants aged 18 to 30 years 54 . Participants were recruited from 32 centers, with MRI data acquired using 30 scanners. Informed consent was obtained from all participants, and centralized ethics approval was granted by Tianjin Medical University General Hospital, with additional local ethical approvals from each center. Among the 7,306 participants, 7,195 were genotyped using the Illumina ASA-750K (Asian Screening Array). The genotype data were aligned to the human reference genome (GRCh37/hg19). In the sample-level quality control, we excluded participants with a missing rate > 3%, identity by descent (IBD) > 0.1875, PCA deviations from the Asian population, mismatches between reported and chromosome X determined sexes, or excess heterozygosity. In the variant-level quality control, we excluded variants with a call rate < 95%, MAF < 0.001, or those deviating from Hardy-Weinberg equilibrium (HWE; P < 1 × 10 -6 ). After quality control, 7,163 individuals and 549,309 variants were retained for imputation. The variants were pre-phased using SHAPEIT2 67 and imputed by IMPUTE2 68 , with the merged reference panel from the 1000 Genomes and SG10K 69 projects 70 . Among the 7,163 participants with qualified genetic data, we excluded 104 participants lacking qualified structural MRI data, 1 due to parcellation failure, and 27 outliers, resulting in 7,031 participants with these 68 cortical IDPs. We then performed ComBat harmonization, normal score transformation, and variant filtration (MAF > 0.005 and info > 0.5) for the dataset (Table S14). GWAS of cortical IDPs For the UKB White British, ABCD EUR, and CHIMGEN Han cohorts, we conducted GWAS using BGENIE v1.3 60,71 with an additive model to test the linear associations between genetic variants and cortical IDPs. For the UKB non-white British and ABCD multi-ancestry cohorts, we utilized mixed linear model 72 in GCTA 73 to perform GWASs, which prevents false-positive associations and enhances statistical power by accounting for population structure and relatedness. All GWASs were controlled for age, age 2 , sex, sex × age and sex × age 2 , PCs (40 for UKB, 10 for CHIMGEN and ABCD). GWAS meta-analysis In the discovery phase, EUR-GWAS meta-analyses of cortical IDPs were performed using summary statistics from three datasets: UKB White British, ABCD EUR, and ENIGMA. After aligning the genotype data from all datasets to the human reference genome (GRCh37/hg19), we excluded variants from ABCD EUR and ENIGMA that had allele frequency differences exceeding 0.5 or mismatched alleles when compared to UKB White British. We also removed variants with a total sample size < 10,000. We applied inverse variance weighted fixed-effects meta-analysis in METAL 57 to integrate GWAS summary statistics of cortical IDPs from 52,278 UKB White British participants and 4,748 ABCD EUR participants. We then used sample size weighted meta-analyses in METAL to combine GWAS summary statistics from 23,909 ENIGMA participants. In the replication phase, we also used sample size weighted meta-analyses to integrate GWAS summary data from CHIMGEN, UKB non-white British, and ABCD multi-ancestry populations. C-GWAS We used C-GWAS 23 to perform a multi-trait GWAS for 34 CT-IDPs and 34 SA-IDPs, respectively. C-GWAS integrates GWAS summary statistics from multiple correlated traits, enabling the effective detection of multi-trait effects across complex scenarios. As recommended 23 , we defined statistical significance as P < 5 × 10 -8 . Defining LD reference, genetic associations, and loci We utilized the imputed genotypic data from 52,278 UKB White British participants to construct an EUR-LD reference. To identify independent lead variants associated with each IDP, we applied the PLINK clumping algorithm to select LD-independent variants (r 2 0.1 within 3-Mb windows, clump P 2 = 5 × 10 -8 ) with each lead variant, forming a clump. Then, we extended a 250-kb window on both sides of each clump and merged overlapping clumps into a single locus. The association between each independent variant and the trait was defined as a variant-trait association, while all non-overlapping loci linked to the trait were defined as trait-associated loci. We performed PLINK clumping (LD r 2 > 0.1) for all variants associated with CT-IDPs and SA-IDPs, resulting in independent association signals for CT and SA, respectively. After merging overlapping loci, the remaining loci were defined as independent CT- and SA-associated loci. For CT-IDPs or SA-IDPs, a locus was considered novel if all lead variants within the locus were located more than 500 kb away from and not in LD (r 2 < 0.1) with any previously reported lead variants associated with CT-IDPs or SA-IDPs. Previously reported lead variants were extracted from GWASs on CT-IDPs and SA-IDPs 6-16 , as well as from the GWAS Catalog 74 . Heritability and GWAS assessment For each of the five sets of GWASs (UKB White British, ABCD EUR, ENIGMA, meta-analysis of UKB White British and ABCD EUR, and the final meta-analysis) in the discovery phase, we used LD score regression (LDSC) 75 with LD scores derived from the EUR reference panel of the 1000 Genomes phase 3 to estimate the LDSC intercept for each GWAS. The intercept can distinguish polygenicity from confounding biases 76 . We estimated the SNP-based heritability of each IDP based on the final meta-analysis. We conducted these analyses after excluding the MHC region (chr6:25-35 Mb) due to its extreme LD. Statistical fine mapping Statistical fine mapping was performed using the Sum of the Single Effects framework (SuSiE) model 25 . We performed fine-mapping for trait-associated loci based on EUR-GWASs and EUR-LD reference after excluding the MHC region. We executed SuSiE using z-scores as inputs and allowed a maximum of ten signals per locus. For each signal, we calculated its 95% credible set, representing the minimum number of variants whose posterior inclusion probability (PIP) for the signal summed to ≥ 0.95. Functional annotation FUMA 29 was used to perform functional annotations for the variants extracted from the 95% credible sets. FUMA is an online platform that annotates and prioritizes genetic variants by integrating comprehensive annotation data sources. Variants were annotated using ANNOVAR 30 and combined annotation-dependent depletion (CADD) scores 31 . ANNOVAR annotated each SNP according to genic position, while CADD prioritized pathogenic variants using scores > 12.37 77 . Gene prioritization was performed using the framework 50 . FLAMES leverages machine learning predictions based on biological data and integrates them with convergence evidence to interpret fine-mapped GWAS signals. The resulting genes were included in a statistical over-representation analysis ( P c 10) using the WebGestalt 51 online tool, based on Gene Ontology (GO) terms of biological processes. Multiple omics analysis The Omics PlEiotRopic Association (OPERA) 40 can integrate GWAS summary data of studied traits (cortical IDPs) with multi-omics molecular quantitative trait loci (xQTLs) data to identify shared causal variants between molecular and studied traits, providing insights into the molecular mechanisms associated with studied traits. OPERA is an extension of Summary-based Mendelian Randomization (SMR) 78 that can effectively control the false discovery rate while maintaining high detection power for association patterns. Using the estimated prior probabilities across the genome, OPERA computes a marginal posterior probability of association (PPA) for each trait pair and a joint PPA for combinations of multiple traits. PPA > 0.9 indicates pleiotropic associations between each studied trait and one or more molecular traits through shared causal variants 40 . To exclude false associations arising from LD in SNPs from xQTLs and GWAS or those from different xQTLs, a multi-trait HEIDI test was performed on associations with PPA > 0.9, applying P HEIDI > 0.01 to identify true pleiotropic associations 40 . xQTLs datasets comprised five molecular traits from the human brain tissues, including cis-eQTL data from cortical samples of 2,443 individuals 44 ; mQTLs from a meta-analysis of 1,160 brain samples 41 ; caQTLs from 272 adult prefrontal samples 43 ; pQTLs from 1,277 cortical proteomes 45 ; and haQTLs from 561 individuals in the ROSMAP study 42 . Correlation between cell type-specific gene expression and cortical growth rate For each CT- or SA-related gene prioritized using FLAMES, we extracted its cell type-specific expression data from two snRNA-seq datasets of the human cerebral cortex. One dataset for discovery was obtained from 27 donors, including more than 150,000 snRNA-seq profiles across cell types and developmental stages 19 . We included 17 major cell clusters, comprising five (L2/3-CUX2, L4-RORB, L5/6-THEMIS, L5/6-TLE4, and PN dev) for excitatory neurons, eight (VIP, ID2, LAMP5-NOS1, GGE dev, SST, PV, PV-SCUBE3, and MGE dev) for inhibitory neurons, and four (astrocytes, microglia, oligodendrocytes, and oligodendrocyte precursor cells) for glial cells. The data were obtained from five developmental stages: fetal (22nd gestation week to birth), neonatal (first month after birth), infancy (from 2nd month to 1 year), childhood (1-10 years), adolescence (10-20 years), and adult ( 20 years). Another dataset for replication was obtained from 106 donors with over 700,000 nuclei 20 , of which 79 donors and 554,624 snRNA-seq profiles were retained after excluding donors overlapping with dataset 1. The data were sampled from multiple cortical regions across an age range spanning from 14 postconceptional weeks to 54 years. The major cell types included: excitatory neurons (progenitors, L2-3, L4, L5, L5-6-IT, L6), inhibitory neurons (progenitors, VIP, CALB2, CCK, NOS, RELN, SV2C, PV, PV-MP, SST, SST-RELN), and glial cells (astrocytes, oligodendrocytes, OPCs and microglia). Detailed preprocessing of the two snRNA-seq datasets has been described previously 19,20 . To characterize cell type-specific gene expression curves during development, we created pseudo-bulk counts by aggregating nuclei (minimum 10) grouped by batches, cell types, and developmental stages. The data were filtered with edgeR 79 (filterByExpr function) to remove low-expression genes, normalized by the trimmed mean of M-values (TMM) 80 , and scaled to log 2 CPM (counts per million). Given that the replication dataset had undergone normalization and log-transformation, we aggregated snRNA-seq data into pseudo-bulk samples Based on the mean of log-transformed expression values for each gene within specific cell types and developmental stages. We used an inverse hyperbolic sine (arcsinh) transformation for age to linearize the developmental time. For each gene, we performed gene expression trend analysis using generalized additive models (GAMs) in each cell type. The pyGAM Python package was used to model continuous expression dynamics from pseudo-bulked data, with developmental trends captured by computing fitted gene expression values at arcsinh-transformed age spanning the entire developmental timeline. From the arcsinh-transformed age values, 100 evenly spaced time points were extracted. Their corresponding gene expression values at these time points were then retrieved, and the time points were converted back to the actual ages. We extracted the CT and SA growth rates at the corresponding time points, which were calculated based on over 100,000 MRI scans 4 . The first time point lacked a growth rate since derivatives require previous data points, leaving 99 values for cross-correlation analysis. Based on the trajectories of cell-type gene expression and cortical growth rates, we computed cross-correlations across the 99 time points. We calculated cross-correlations for all possible time lags using SciPy in python. In the replication stage, gene expression corresponding to the same time points of the discovery dataset were extracted for cross-correlations. Colocalization analysis We utilized HyPrColoc (Hypothesis Prioritisation for multi-trait Colocalization) 81 to identify colocalization between cortical traits and cognitive traits and neuropsychiatric disorders. The method enables multi-trait colocalization and can yield reliable results even in scenario where there is sample overlap between traits. HyPrColoc generates the posterior probability of full colocalization (PPFC), which represents the likelihood that all traits share a common causal variant. HyPrColoc also indicates the potential causal variant for colocalization, accounting for the largest proportion of PPFC. We used PPFC ≥ 0.8 as evidence of colocalization. We included EUR-GWASs for three cognitive traits (years of schooling 82 , cognitive performance 82 , and intelligence 83 ) and eight disorders (attention-deficit/hyperactivity disorder 84 , autism spectrum disorder 85 , obsessive compulsive symptoms 86 , depression 87 , bipolar disorder 88 , schizophrenia 89 , Alzheimer's disease 90 , and Parkinson's disease 91 ). Genetic correlation Genetic correlations were computed within 68 cortical IDPs, and between cortical IDPs and cognitive/neuropsychiatric disorders using the high-definition likelihood (HDL) 92 method, based on EUR-GWAS summary statistics. 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Nat Genet 52:859–864. 10.1038/s41588-020-0653-y Additional Declarations There is NO Competing Interest. Supplementary Files SupplementaryFigures.docx Supplementary Figures Cite Share Download PDF Status: Under Review Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-8949457","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Biological Sciences - Article","associatedPublications":[],"authors":[{"id":599858662,"identity":"0447baa6-d809-4549-a455-7ee755a288c9","order_by":0,"name":"Chunshui 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University","correspondingAuthor":false,"prefix":"","firstName":"Meng","middleName":"","lastName":"Liang","suffix":""},{"id":599858679,"identity":"da6dc171-07b2-496a-a33a-09c046cb49c1","order_by":17,"name":"Wen Qin","email":"","orcid":"https://orcid.org/0000-0002-9121-8296","institution":"Tianjin Medical University General Hospital","correspondingAuthor":false,"prefix":"","firstName":"Wen","middleName":"","lastName":"Qin","suffix":""}],"badges":[],"createdAt":"2026-02-23 17:16:03","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-8949457/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-8949457/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":109269359,"identity":"baa1dc63-57f3-452c-8fec-29fe747967a2","added_by":"auto","created_at":"2026-05-14 13:28:12","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":388975,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eGWAS meta-analyses of CT and SA.\u003c/strong\u003e \u003cstrong\u003ea\u003c/strong\u003e, The spatial distribution of the 33 cortical regions defined by the Desikan-Killiany atlas (excluding the temporal pole).\u003cstrong\u003e b-c\u003c/strong\u003e, Ideograms show genomic locations of lead variants of the 1,606 variant-trait associations for SA (\u003cstrong\u003eb\u003c/strong\u003e) and 422 associations for CT (\u003cstrong\u003ec\u003c/strong\u003e) (two-sided \u003cem\u003eP\u003c/em\u003e \u0026lt; 7.35 × 10\u003csup\u003e-10\u003c/sup\u003e, Bonferroni corrected). \u003cstrong\u003ed, \u003c/strong\u003eBar plot displays the number of trait-associated loci for CT, SA, or both.\u003cstrong\u003e e,\u003c/strong\u003e Manhattan plots show the -log\u003csub\u003e10 \u003c/sub\u003e(\u003cem\u003eP\u003c/em\u003e-value) of each variant from multi-trait GWAS for SA (upper panel) and CT (lower panel). The x-axis indicates genomic locations grouped by chromosome, and black lines mark the genome-wide significance threshold of 5 × 10\u003csup\u003e-8\u003c/sup\u003e. Red dots represent lead variants in new loci identified by multi-trait GWAS.\u003c/p\u003e","description":"","filename":"Figure1.png","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/ff4827d7ca221d4a348cfd81.png"},{"id":109269361,"identity":"42befda4-aed9-4e95-a62c-06be67701905","added_by":"auto","created_at":"2026-05-14 13:28:12","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":106502,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eFine mapping and functional annotation of genetic variants associated with CT and SA.\u003c/strong\u003e \u003cstrong\u003ea,\u003c/strong\u003e Genomic distribution of posterior inclusion probabilities for fine mapped variants (95% credible sets) of SA (upper panel) and CT (lower panel). Genes corresponding to missense variants with PIP \u0026gt; 0.8 are highlighted.\u003cstrong\u003e b-c,\u003c/strong\u003e Pleiotropic associations between molecular phenotypes and cortical traits at the loci containing the \u003cem\u003eSTMN4\u003c/em\u003e (\u003cstrong\u003eb\u003c/strong\u003e) and \u003cem\u003eATP13A2\u003c/em\u003e (\u003cstrong\u003ec\u003c/strong\u003e) genes. The top track shows the -log\u003csub\u003e10\u003c/sub\u003e(\u003cem\u003eP\u003c/em\u003e-values) of genetic associations with cortical traits. The other tracks show -log\u003csub\u003e10\u003c/sub\u003e(\u003cem\u003eP\u003c/em\u003e-values) of genetic associations with molecular phenotypes derived from their corresponding multi-omics datasets.\u003cstrong\u003e d,\u003c/strong\u003e The bar plots display the enriched gene ontology (GO) terms (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e \u0026lt; 0.05, Bonferroni-corrected) shared by genes associated with SA and CT, as well as the number of overlapping genes per term. The x-axis represents the number of genes for each term, while the y-axis lists the terms. Bar colors indicate the significance level for each term in the enrichment analysis.\u003c/p\u003e","description":"","filename":"Figure2.png","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/7f89552be69038721025617f.png"},{"id":109297766,"identity":"3b08a49a-a54b-4841-a0dc-63606a3ca6ce","added_by":"auto","created_at":"2026-05-15 09:04:45","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":149052,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eCross-correlations between cell type-specific gene expression curves and SA and CT growth-rate curves during human cortical development.\u003c/strong\u003e \u003cstrong\u003ea,\u003c/strong\u003e UMAP (uniform manifold approximation and projection) visualization of cortical cells, with cluster labels indicating annotated cell types (left panel) and developmental stages (right panel). \u003cstrong\u003eb-c,\u003c/strong\u003e 1,380 cell type-gene pairs associated with SA growth rate. Bar plot (\u003cstrong\u003eb\u003c/strong\u003e) shows the counts of SA cross-correlations (|\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e\u003c/sub\u003e\u003cem\u003e \u003c/em\u003e(\u003cem\u003ek\u003c/em\u003e)| \u0026gt; 0.8) for 14 cell types in the discovery dataset. Sunburst chart (\u003cstrong\u003ec\u003c/strong\u003e) showing the proportion of SA cross-correlations across major cell types (inner ring) and their subtypes (outer ring). \u003cstrong\u003ed, \u003c/strong\u003eExample developmental expression trajectories of \u003cem\u003eROBO2\u003c/em\u003e showing correlation with SA growth rate in L2/3-CUX2 excitatory neurons. \u003cstrong\u003ee-f,\u003c/strong\u003e 301 cell type-gene pairs associated with CT growth rate. Bar plot (\u003cstrong\u003ee\u003c/strong\u003e) shows the counts of CT cross-correlations (|\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e\u003c/sub\u003e\u003cem\u003e \u003c/em\u003e(\u003cem\u003ek\u003c/em\u003e)| \u0026gt; 0.8) for 14 cell types in the discovery dataset. Sunburst chart (\u003cstrong\u003ef\u003c/strong\u003e) showing the proportion of SA cross-correlations across major cell types (inner ring) and their subtypes (outer ring). \u003cstrong\u003eg, \u003c/strong\u003eExample developmental expression trajectories of \u003cem\u003eSYBU\u003c/em\u003e showing correlation with CT growth rate in PV-SCUBE3 inhibitory neurons.\u003c/p\u003e","description":"","filename":"Figure3.png","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/f7a5ec2422b8801be29fd7b4.png"},{"id":109269364,"identity":"51ffed18-c0f8-4949-b034-22b18ffac6c0","added_by":"auto","created_at":"2026-05-14 13:28:12","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":67541,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eDistinct cross-correlations of cell type-specific expression curves of CT-SA shared genes with CT and SA growth-rate curves.\u003c/strong\u003e \u003cstrong\u003ea-b,\u003c/strong\u003e Bar plot shows the number (y-axis) of significant cross-correlations (|\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e\u003c/sub\u003e\u003cem\u003e \u003c/em\u003e(\u003cem\u003ek\u003c/em\u003e)| \u0026gt; 0.8) of CT-SA shared gene expression curves with SA (upper) and CT (lower) growth-rate curves in discovery (\u003cstrong\u003ea\u003c/strong\u003e) and replication (\u003cstrong\u003eb\u003c/strong\u003e) datasets, stratified by cell types (x-axis). \u003cstrong\u003ec-d, \u003c/strong\u003eAn example showing that SA (\u003cstrong\u003ec\u003c/strong\u003e) and CT (\u003cstrong\u003ed\u003c/strong\u003e) growth-rates are influenced by the same gene expression in different cell types.\u003cstrong\u003e e-f,\u003c/strong\u003e An example showing that SA (\u003cstrong\u003ee\u003c/strong\u003e) and CT (\u003cstrong\u003ef\u003c/strong\u003e) growth-rates are influenced by the same gene expression in the same cell type with distinct temporal lags. In \u003cstrong\u003ee-f\u003c/strong\u003e, the left panel shows the cell type-specific gene expression curve and the SA or CT growth-rate curve from fetal to adult stages, while the right panel shows cross-correlations (20-time units) between the two curves. Red dotted lines mark peak\u0026nbsp;correlations and corresponding lags.\u003c/p\u003e","description":"","filename":"Figure4.png","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/cc454d42918d80c45915aa28.png"},{"id":109269366,"identity":"f0b2051e-752d-41fc-9532-c86926237052","added_by":"auto","created_at":"2026-05-14 13:28:12","extension":"png","order_by":5,"title":"Figure 5","display":"","copyAsset":false,"role":"figure","size":205384,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eGenetic correlations and colocalizations between cortical traits and brain-related traits.\u003c/strong\u003e \u003cstrong\u003ea-b, \u003c/strong\u003eHeatmaps show genetic correlations of SA (\u003cstrong\u003ea\u003c/strong\u003e) and CT (\u003cstrong\u003eb\u003c/strong\u003e) traits with three cognitive traits and eight neuropsychiatric disorders. Circle color indicates the\u003cem\u003e \u003c/em\u003esign and size of genetic correlation, while its size reflects the absolute \u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e value. Bonferroni-corrected significance: *\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e \u0026lt; 0.05, **\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec \u003c/em\u003e\u003c/sub\u003e\u0026lt; 0.01, ***\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e \u0026lt; 0.001. \u003cstrong\u003ec\u003c/strong\u003e, Brain chart shows genetic correlations of regional SA and CT with years of schooling. \u003cstrong\u003ed,\u003c/strong\u003e Ideograms illustrate colocalizations between cortical traits and brain-related traits.\u003cstrong\u003e e-f,\u003c/strong\u003e Regional plots display two examples of colocalizations of SA (\u003cstrong\u003ee\u003c/strong\u003e) and CT (\u003cstrong\u003ef\u003c/strong\u003e) with brain-related traits.\u003c/p\u003e","description":"","filename":"Figure5.png","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/9ed19d05cd29ca94e2db05be.png"},{"id":109298003,"identity":"ff24f87f-540b-4186-afeb-758ec334a0e2","added_by":"auto","created_at":"2026-05-15 09:08:08","extension":"docx","order_by":2,"title":"","display":"","copyAsset":false,"role":"supplement","size":15318118,"visible":true,"origin":"","legend":"Supplementary Figures","description":"","filename":"SupplementaryFigures.docx","url":"https://assets-eu.researchsquare.com/files/rs-8949457/v1/ccf7ed904e54c36facdd1989.docx"}],"financialInterests":"There is \u003cb\u003eNO\u003c/b\u003e Competing Interest.","formattedTitle":"Genetic associations with cortical thickness and surface area and their distinct developmental trajectories","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe expansion and elaboration of the cerebral cortex are hallmarks of human evolution, underpinning higher-level cognitive functions\u003csup\u003e\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u003c/sup\u003e. The enlargement of the human cerebral cortex is primarily driven by a dramatic expansion of surface area (SA), accompanied by a moderate increase in cortical thickness (CT). For instance, humans demonstrate an approximately 1000-fold increase in SA and a twofold increase in CT relative to mice\u003csup\u003e\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e,\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e\u003c/sup\u003e. Additionally, humans exhibit a more prolonged cortical developmental trajectory than other species, resulting in a larger number of neurons, a higher proportion of glial cells, and more complex neuronal morphologies and synaptic connections\u003csup\u003e\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e\u003c/sup\u003e. Furthermore, in the human cerebral cortex, SA expansion continues for a much longer period than CT growth. For example, according to brain charts of mean CT and total SA derived from 123,984 magnetic resonance imaging (MRI) scans spanning the age range from mid-gestation to 100 postnatal years\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e, SA expansion peaked at approximately 11.0 years, while CT growth peaked around 1.7 years. However, the mechanisms underlying the distinct developmental timelines of CT and SA remain poorly understood.\u003c/p\u003e \u003cp\u003eTwin and family-based studies indicate that image-derived phenotypes (IDPs) for both CT and SA are highly heritable\u003csup\u003e\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e\u003c/sup\u003e. Consequently, genome-wide association studies (GWASs) have been conducted on these IDPs, identifying hundreds of loci associated with CT and SA\u003csup\u003e6\u0026ndash;16\u003c/sup\u003e. Although these findings advance our understanding of the genetic architecture underlying inter-individual differences in CT and SA, current sample sizes remain insufficient to detect all genetic variants accounting for their heritability, calling for larger-scale GWASs. Additionally, the cerebral cortex is key for cognitive function and vulnerable to neuropsychiatric disorders\u003csup\u003e\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e,\u003cspan citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e\u003c/sup\u003e; therefore, linking CT- and SA-related genetic variants to neurocognition and neuropsychiatric diseases is valuable and may shed light on their genetic and neural mechanisms.\u003c/p\u003e \u003cp\u003eUsing single-nucleus RNA sequencing (snRNA-seq) data from the human cerebral cortex across developmental periods, previous studies have identified numerous genes whose cell type-specific expression is related to cortical development\u003csup\u003e\u003cspan additionalcitationids=\"CR20\" citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e. However, these studies cannot distinguish genes associated with CT growth from those associated with SA expansion, a limitation that may be addressed by integrating GWAS findings for CT-IDPs and SA-IDPs. Because both CT and SA growth rates are regulated by gene expression, investigating the associations of cell type-specific gene expression curves with CT and SA growth-rate curves within the same timeframe may reveal the genetic mechanisms driving CT and SA development at the cellular level.\u003c/p\u003e \u003cp\u003eIn this study, we conducted the largest GWAS meta-analyses to date on 68 cortical IDPs in 100,628 participants to identify genetic loci associated with CT and SA, and mapped these loci to genes. We then examined associations between cell type-specific gene expression curves and CT and SA growth-rate curves from fetal to adult stages to elucidate genetic mechanisms underlying CT and SA development.\u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eGenetic associations with CT and SA\u003c/h2\u003e \u003cp\u003eWe assessed cortical morphology using 68 bilateral averaged cortical IDPs, including the CT and SA of 33 distinct cortical regions (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ea) from the Desikan-Killiany atlas\u003csup\u003e\u003cspan citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u003c/sup\u003e, and the mean CT and total SA of the entire cerebral cortex. In the discovery phase, we performed GWAS meta-analyses on cortical IDPs in 80,935 individuals of European ancestry (EUR) by integrating data from the UK Biobank (UKB) cohort (n\u0026thinsp;=\u0026thinsp;52,278), the Enhancing Neuroimaging Genetics through Meta-Analysis (ENIGMA) consortium (n\u0026thinsp;=\u0026thinsp;23,909), and the Adolescent Brain Cognitive Development (ABCD) study (n\u0026thinsp;=\u0026thinsp;4,748). The intercepts of Linkage Disequilibrium (LD) score regression (LDSC) for all GWASs were close to 1 (Table \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003e), providing evidence for no population stratification. We estimated single nucleotide polymorphism (SNP)-based heritability for each cortical IDP, with \u003cem\u003eh\u003c/em\u003e\u003csup\u003e\u003cem\u003e2\u003c/em\u003e\u003c/sup\u003e ranging from 0.08 to 0.36 (Table S2). These GWASs identified 2,028 significant variant-trait associations (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;7.35 \u0026times; 10\u003csup\u003e\u0026minus;\u0026thinsp;10\u003c/sup\u003e, Bonferroni correction for 68 IDPs; Fig. \u003cspan refid=\"MOESM1\" class=\"InternalRef\"\u003eS1\u003c/span\u003e and Table S3), with 1,606 associations for SA (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eb) and 422 for CT (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ec). These associations were merged into 1,508 trait-associated loci (1,154 for SA and 354 for CT; Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ed). Of the 354 CT-associated loci, only 75 (21.19%) overlapped with SA-associated loci for the same cortical region (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ed), indicating that CT and SA of the same cortical region are primarily controlled by different genetic loci. After merging association signals (loci) for SA-IDPs and CT-IDPs, respectively, we identified 787 independent association signals (417 loci) for SA and 300 association signals (213 loci) for CT, including 137 overlapping loci. Of these, 79 SA- and 45 CT-related loci have not previously been reported at \u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;7.35 \u0026times; 10\u003csup\u003e\u0026minus;\u0026thinsp;10\u003c/sup\u003e. In the replication phase, we validated the discovered variant-trait associations in 19,693 mixed-ancestry participants, including 8,333 non-White British participants from UKB, 4,329 multi-ancestry participants from ABCD, and 7,031 East Asian participants from the Chinese Imaging Genetics (CHIMGEN) study. Among the 2,022 discovered associations available for replication, we found high concordance (\u003cem\u003er\u003c/em\u003e\u0026thinsp;=\u0026thinsp;0.88; Fig. S2) of effect sizes between the discovery and replication samples. We defined replication by considering both lead and high-LD variants (\u003cem\u003er\u003c/em\u003e\u003csup\u003e\u003cem\u003e2\u003c/em\u003e\u003c/sup\u003e\u0026thinsp;\u0026gt;\u0026thinsp;0.6), and validated 1,306 (64.59%) variant-trait associations at \u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05 with consistent effect direction. Consequently, the EUR-GWAS summary statistics for the 68 cortical IDPs, derived from the discovery sample, were used in all subsequent analyses.\u003c/p\u003e \u003cp\u003eWe utilized C-GWAS\u003csup\u003e\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e\u003c/sup\u003e to conduct multivariate GWAS (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;5 \u0026times; 10\u003csup\u003e\u0026minus;\u0026thinsp;8\u003c/sup\u003e) for the 34 CT-IDPs and the 34 SA-IDPs, respectively. We found 1,989 genetic associations (772 loci) for SA and 835 genetic associations (498 loci) for CT, including 410 overlapping loci (Table S4). Of these, 280 SA-related and 202 CT-related loci were not found in univariate GWASs, comprising 106 SA-related and 45 CT-related loci (Fig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003ee) that have not been reported previously (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;5 \u0026times; 10\u003csup\u003e\u0026minus;\u0026thinsp;8\u003c/sup\u003e).\u003c/p\u003e \u003cp\u003eWe also investigated genetic correlations (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e \u0026lt; 0.05, Bonferroni corrected) within and between CT-IDPs and SA-IDPs. Among the genetic correlations between CT and SA within the same region, we identified 16 negative and 6 positive genetic correlations (Fig. S3). The extensive negative genetic correlations aligned with a prior study\u003csup\u003e\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e\u003c/sup\u003e and were primarily present in late-maturing association cortices (e.g., frontal and parietal regions), whereas positive genetic correlations were mainly observed in early-maturing somatosensory and visual areas\u003csup\u003e\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e\u003c/sup\u003e. These findings indicate that genetic variants associated with SA expansion may contribute to cortical thinning in association cortices, but to cortical thickening in sensory cortices. For within-measure genetic correlations between cortical regions (Fig. S4), we found positive genetic correlations for CT or SA between physically adjacent regions, suggesting that SA expansion or CT increases in these regions share the same genetic substrates.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eVariant prioritization and annotation\u003c/h3\u003e\n\u003cp\u003eAfter excluding loci in the major histocompatibility complex (MHC) region, we applied the Sum of Single Effects (SuSiE) model\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e to perform statistical fine mapping for 1,501 trait-associated loci (1,151 for SA and 350 for CT) from EUR-GWASs. For each locus, we estimated the posterior inclusion probability (PIP) of each variant within the locus and calculated its 95% credible set of causal variants. We found 1,203 credible causal variants (PIP\u0026thinsp;\u0026gt;\u0026thinsp;0.8) for SA and 366 for CT (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ea), including 81 shared by both CT and SA. For instance, rs2279829 in the 3'-UTR of \u003cem\u003eZIC4\u003c/em\u003e was a causal variant (all PIPs\u0026thinsp;\u0026gt;\u0026thinsp;0.8) for seven SA-IDPs, and \u003cem\u003eZIC4\u003c/em\u003e plays a key role in neural development\u003csup\u003e\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e\u003c/sup\u003e. A missense mutation (rs13107325) in \u003cem\u003eSLC39A8\u003c/em\u003e was a causal variant for eight CT-IDPs (all PIPs\u0026thinsp;\u0026gt;\u0026thinsp;0.8). \u003cem\u003eSLC39A8\u003c/em\u003e encodes a membrane transporter critical for manganese homeostasis and glycosylation; its deficiency in humans is linked to abnormal brain development\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e. The rs2696531 in the 3'-UTR of \u003cem\u003eARL17B\u003c/em\u003e was a causal variant for four SA-IDPs and three CT-IDPs. \u003cem\u003eARL17B\u003c/em\u003e is a risk gene for neurodegenerative diseases\u003csup\u003e\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eWe used FUMA\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e\u003c/sup\u003e to perform functional annotation of causal variants within 95% credible sets for CT- and SA-associated loci, respectively. ANNOVAR\u003csup\u003e\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e\u003c/sup\u003e was utilized to categorize variants by genic position, while combined annotation-dependent depletion (CADD) score\u003csup\u003e\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e\u003c/sup\u003e was applied to assess their pathogenicity. We identified 128 missense variants in 96 genes for SA and 46 missense variants in 41 genes for CT, including 12 shared missense variants in 12 unique genes (Table S5). Using PIP\u0026thinsp;\u0026gt;\u0026thinsp;0.8 to filter causal missense variants with high confidence, we identified 14 credible causal missense variants for SA and six for CT, comprising three shared variants (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ea). The three shared missense variants included rs1801133 (PIP\u003csub\u003emax\u003c/sub\u003e = 0.98 for SA, PIP\u003csub\u003emax\u003c/sub\u003e = 0.99 for CT, CADD\u0026thinsp;=\u0026thinsp;25.5) in \u003cem\u003eMTHFR\u003c/em\u003e, rs10283100 (PIP\u003csub\u003emax\u003c/sub\u003e = 1 for SA, PIP\u003csub\u003emax\u003c/sub\u003e = 0.99 for CT, CADD\u0026thinsp;=\u0026thinsp;22.4) in \u003cem\u003eENPP2\u003c/em\u003e, and rs35891966 (PIP\u0026thinsp;=\u0026thinsp;0.99 both SA and CT, CADD\u0026thinsp;=\u0026thinsp;28.1) in \u003cem\u003eNAV2\u003c/em\u003e. All three genes are involved in brain development: \u003cem\u003eMTHFR\u003c/em\u003e in neural tube development\u003csup\u003e\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e\u003c/sup\u003e, \u003cem\u003eENPP2\u003c/em\u003e in the localization and adhesion of neuronal progenitors\u003csup\u003e\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e\u003c/sup\u003e, and \u003cem\u003eNAV2\u003c/em\u003e in neurite outgrowth and axonal elongation\u003csup\u003e\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e\u003c/sup\u003e. The rs2066827 was identified as a SA-only missense variant (PIP\u003csub\u003emax\u003c/sub\u003e = 1, CADD\u0026thinsp;=\u0026thinsp;18.05) in \u003cem\u003eCDKN1B\u003c/em\u003e, which plays a role in neural progenitor proliferation, cell cycle progression, and neuron migration\u003csup\u003e\u003cspan additionalcitationids=\"CR36\" citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e\u003c/sup\u003e. The rs2286471 was identified as a CT-only missense variant (PIP\u003csub\u003emax\u003c/sub\u003e = 1, CADD\u0026thinsp;=\u0026thinsp;18.05) in \u003cem\u003eNPW\u003c/em\u003e, a key regulator of the hypothalamic-pituitary-adrenal (HPA) axis\u003csup\u003e\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e\u003c/sup\u003e, with a profound influence on cortical development\u003csup\u003e\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eFor 1,501 trait-associated loci, we used OPERA\u003csup\u003e\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e\u003c/sup\u003e to jointly analyze GWAS signals and multi-omics quantitative trait loci (xQTLs) of the human cerebral cortex to identify molecular phenotypes that share genetic signals with cortical IDPs. We included QTLs of DNA methylation (meQTLs, n\u0026thinsp;=\u0026thinsp;1,160)\u003csup\u003e41\u003c/sup\u003e, histone acetylation (haQTLs, n\u0026thinsp;=\u0026thinsp;561)\u003csup\u003e42\u003c/sup\u003e, chromatin accessibility (caQTLs, n\u0026thinsp;=\u0026thinsp;272)\u003csup\u003e43\u003c/sup\u003e, gene expression (eQTLs, n\u0026thinsp;=\u0026thinsp;2,865)\u003csup\u003e44\u003c/sup\u003e, and protein (pQTLs, n\u0026thinsp;=\u0026thinsp;1,277)\u003csup\u003e45\u003c/sup\u003e. For each GWAS signal for cortical IDPs, we calculated the joint posterior probability of association (PPA) for every combination of molecular phenotypes. For pleiotropic associations with PPA\u0026thinsp;\u0026gt;\u0026thinsp;0.9, we performed a multi-trait HEIDI test to exclude the LD-related false positive findings (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003eHEIDI\u003c/em\u003e\u003c/sub\u003e \u0026le; 0.01). We found that 631 GWAS signals were shared with at least one molecular phenotype (PPA\u0026thinsp;\u0026gt;\u0026thinsp;0.9 and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003eHEIDI\u003c/em\u003e\u003c/sub\u003e \u0026gt; 0.01), of which 27 were shared with four or more molecular phenotypes (Table S6). For instance, a GWAS signal (lead SNP: rs17055142 at chr8; gene: \u003cem\u003eSTMN4\u003c/em\u003e) for mean CT was associated with all five molecular phenotypes (joint PPA\u0026thinsp;=\u0026thinsp;0.99, \u003cem\u003eP\u003c/em\u003e\u003csub\u003eHEIDI\u003c/sub\u003e = 0.12; Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eb), and another GWAS signal (lead SNP: rs7550758 at chr1; gene: \u003cem\u003eATP13A2\u003c/em\u003e) for the SA of the pars triangularis in the inferior frontal cortex was associated with four molecular phenotypes (joint PPA\u0026thinsp;=\u0026thinsp;0.99, \u003cem\u003eP\u003c/em\u003e\u003csub\u003eHEIDI\u003c/sub\u003e = 0.13; Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ec). \u003cem\u003eSTMN4\u003c/em\u003e plays a key role in microtubule depolymerization and neuron projection development\u003csup\u003e\u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e\u003c/sup\u003e, while \u003cem\u003eATP13A2\u003c/em\u003e maintains neuronal integrity\u003csup\u003e\u003cspan citationid=\"CR47\" class=\"CitationRef\"\u003e47\u003c/span\u003e\u003c/sup\u003e and has been linked to an early onset form of Parkinson's disease (PD)\u003csup\u003e\u003cspan citationid=\"CR48\" class=\"CitationRef\"\u003e48\u003c/span\u003e\u003c/sup\u003e. Several GWAS signals from both CT and SA traits converged on molecular phenotypes of \u003cem\u003eKANSL1\u003c/em\u003e, a gene involved in the regulation of synaptic structure\u003csup\u003e\u003cspan citationid=\"CR49\" class=\"CitationRef\"\u003e49\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eWe used the FLAMES\u003csup\u003e\u003cspan citationid=\"CR50\" class=\"CitationRef\"\u003e50\u003c/span\u003e\u003c/sup\u003e framework for gene prioritization by integrating SNP-to-gene evidence and convergence-based evidence into a single prediction for each fine-mapped GWAS signal. FLAMES identified 431 unique genes for SA-IDPs and 184 for CT-IDPs, with 82 overlapping genes (Table S7). We used WebGestalt\u003csup\u003e\u003cspan citationid=\"CR51\" class=\"CitationRef\"\u003e51\u003c/span\u003e\u003c/sup\u003e to perform statistical over-representation analysis to identify the biological processes enriched by these genes. We identified 403 significant pathways for SA and 53 for CT (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e \u0026lt; 0.05, Bonferroni-corrected; Table S8), including 52 overlapping pathways (Fig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003ed). The shared pathways primarily comprised neurodevelopmental processes, such as neurogenesis (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 3.09 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;25\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 6.52 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;9\u003c/sup\u003e for CT), neuron differentiation (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 3.34 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;21\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 3.71 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e for CT), and neuron development (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 8.14 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;13\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 1.23 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;3\u003c/sup\u003e for CT); signaling pathways, such as the Wnt signaling pathway (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 2.51 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;13\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 2.55 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;4\u003c/sup\u003e for CT); neuronal projection development, including neuron projection morphogenesis (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 2.93 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;14\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 2.89 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e for CT) and axonogenesis (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 5.81 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;9\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 7.73 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;3\u003c/sup\u003e for CT); and cell migration (\u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 1.10 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;21\u003c/sup\u003e for SA and \u003cem\u003eP\u003c/em\u003e\u003csub\u003e\u003cem\u003ec\u003c/em\u003e\u003c/sub\u003e = 1.58 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e for CT). The high proportion (98.1%) of overlap between CT-related and SA-related pathways indicates that enrichment analysis cannot distinguish the genetic mechanisms underlying CT and SA.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\n\u003ch3\u003eCell type-specific gene expression and CT and SA growth-rates\u003c/h3\u003e\n\u003cp\u003eWe investigated genetic mechanisms underlying the distinct developmental trajectories of CT and SA by integrating cell type-specific expression trajectories of the prioritized CT-related and SA-related genes across developmental periods with lifetime growth-rate curves of CT and SA. We focused on 102 CT-related, 349 SA-related, and 82 CT-SA shared genes that were prioritized from CT-GWASs and SA-GWASs, respectively. We subsequently obtained their cell type-specific gene expression trajectories across six developmental periods (fetal, neonatal, infancy, childhood, adolescence, and adult) in 14 major cell clusters from the human prefrontal cortex\u003csup\u003e\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e. The 14 major clusters were derived from 17 cell clusters (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ea) after integrating three categories of immature neurons (PN-dev, CGE-dev, and MGE-dev) into their respective mature neuronal categories for gene expression curve fitting. The lifetime growth-rate curves of mean CT and total SA were derived from brain charts for the human lifespan\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eFor each cell type, we generated cell type-specific time-expression curve of each gene from the 22nd week of gestation to 40 years\u003csup\u003e\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e. Developmental ages were arcsinh-transformed to expand the scale of early developmental windows, thereby capturing the accelerated pace of early-life developmental dynamics. Gene expression values were extracted at 100 uniformly distributed time points across this transformed temporal axis, and corresponding growth-rate values for CT and SA were subsequently quantified at the same time points\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e. The first time point lacked a growth-rate value since derivatives require prior data points, leaving 99 values for correlation analysis. We then calculated cross-correlations between cell type-specific gene expression values (x) and growth-rate values (y) across the 99 time points. For each lag \u0026#119896;, the coefficient \u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e\u003c/sub\u003e (\u003cem\u003ek\u003c/em\u003e) was defined as normalized cross-correlation coefficients. We defined the optimal lag as the value of \u003cem\u003ek\u003c/em\u003e that produced the largest absolute correlation. Cross-correlations were considered significant if the maximal coefficient satisfied |\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e\u003c/sub\u003e (\u003cem\u003ek\u003c/em\u003e)| \u0026gt; 0.8. We then validated the main findings by extracting cell type-specific gene expression values for the same 99 time points from an independent snRNA-seq dataset\u003csup\u003e\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eIn the discovery snRNA-seq dataset\u003csup\u003e\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e\u003c/sup\u003e, we found 1,380 cross-correlations between cell type-specific expression of 304 SA-related genes and SA growth-rate, and 301 cross-correlations between cell type-specific expression of 84 CT-related genes and CT growth-rate (Table S9). We categorized these correlations by cell types (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eb) and calculated the relative proportion of correlations for each cell type (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ec). We also calculated the relative proportions of correlations for three major categories (excitatory neurons, inhibitory neurons, and glial cells, Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ec). Among the 1,380 SA correlations, the proportion were 36.74% for inhibitory neurons, 33.41% for excitatory neurons, and 29.86% for glial cells (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ec). \u003cem\u003eNCAM1\u003c/em\u003e expression in excitatory neurons (L2/3-CUX2) showed the strongest positive correlation with SA growth-rate (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e (\u003cem\u003e0\u003c/em\u003e)\u003c/sub\u003e\u0026thinsp;=\u0026thinsp;0.996; Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ed). Among the 301 CT correlations (Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ee), the proportion was much higher in inhibitory neurons (47.84%) than in excitatory neurons (27.24%) or glial cells (24.92%, Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003ef). For example, \u003cem\u003eSYBU\u003c/em\u003e expression in PV-SCUBE3 inhibitory neurons exhibited a negative correlation with CT growth-rate (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy\u003c/em\u003e (\u003cem\u003e0\u003c/em\u003e)\u003c/sub\u003e = -0.97; Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eg). Given the distinct cell type definitions in the replication dataset\u003csup\u003e\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u003c/sup\u003e, we focused our validation on the proportion of CT- and SA-related cross-correlations. We observed similar SA and CT correlation distributions across the three cell categories (Fig. S5). The proportions of SA correlations were 44.82% for inhibitory neurons, 36.35% for excitatory neurons, and 18.83% for glial cells, and the proportions of CT correlations were 52.84% for inhibitory neurons, 28.22% for excitatory neurons, and 18.94% for glial cells. The differences in the proportions of SA and CT correlations across major cell categories may contribute to the developmental timeline differences between SA expansion and CT growth.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eAmong the 82 CT-SA shared genes, we identified 362 cross-correlations for SA and 284 cross-correlations for CT (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ea), with only 72 overlapping correlations in the discovery dataset. In the validation dataset, we replicated this pattern by identifying 368 cross-correlations for SA and 529 cross-correlations for CT (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eb), with only 51 overlapping correlations. These findings indicate that most of these CT-SA shared genes identified by GWASs act within distinct cell types. For instance, \u003cem\u003eNAV2\u003c/em\u003e was identified as a CT-SA shared gene. Its expression in excitatory neurons correlated with SA growth-rate (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy(\u0026minus;5\u003c/em\u003e)\u003c/sub\u003e\u0026thinsp;=\u0026thinsp;0.94; Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ec), while its expression in inhibitory neurons correlated with CT growth-rate (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy(0\u003c/em\u003e)\u003c/sub\u003e = -0.91; Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ed). Among the 72 CT-SA shared cross-correlations identified in the discovery dataset (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ea) and the 51 CT-SA shared cross-correlations identified in the validation dataset (Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eb), most (all in discovery and 46 in validation) showed zero-lag relative to CT growth-rate, but all showed negative lags relative to SA growth-rate. For instance, \u003cem\u003eDACT1\u003c/em\u003e expression in ID2 neurons preceded SA growth-rate by 9-time units (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy(\u0026minus;9\u003c/em\u003e)\u003c/sub\u003e\u0026thinsp;=\u0026thinsp;0.81; Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ee), while it was correlated with CT growth-rate with zero-lag (\u003cem\u003er\u003c/em\u003e\u003csub\u003e\u003cem\u003exy(0\u003c/em\u003e)\u003c/sub\u003e\u0026thinsp;=\u0026thinsp;0.87; Fig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003ef). These results suggest that even the CT-SA shared gene expression within the same cell type may influence CT growth and SA expansion with distinct temporal lags.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\n\u003ch3\u003eGenetic correlation and colocalization between cortical and other traits\u003c/h3\u003e\n\u003cp\u003eFor the 68 cortical traits, we computed their genetic correlations with three cognitive traits and eight neuropsychiatric disorders. We found 37 significant genetic correlations (\u003cem\u003eP\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;6.68 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;5\u003c/sup\u003e, Bonferroni corrected), including 18 correlations for SA and 19 for CT traits (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ea-b and Table S11). The total SA showed positive genetic correlation with all cognitive traits: years of schooling (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.24, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;5.87 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;87\u003c/sup\u003e), intelligence (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.25, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;2.11 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;67\u003c/sup\u003e), and cognitive performance (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.26, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;1.11 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;81\u003c/sup\u003e). However, total SA showed mixed correlations with neuropsychiatric disorders: negative correlations with attention-deficit/hyperactivity disorder (ADHD, \u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.21, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;3.18 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;24\u003c/sup\u003e) and depression (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.09, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;2.63 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;7\u003c/sup\u003e) and a positive correlation with PD (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.20, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;2.21 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;5\u003c/sup\u003e). The SA of the pars orbitalis, inferior parietal lobule, insula, entorhinal cortex, and superior temporal gyrus showed positive correlations with cognitive traits, while the SA of the precuneus, isthmus cingulate, lingual gyrus, and pericalcarine cortex exhibited negative correlations with cognitive traits (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ea). The CT of the rostral anterior cingulate, superior and inferior parietal, and lateral occipital cortices showed negative genetic correlations with cognitive traits, with the strongest correlation between the inferior parietal CT and years of schooling (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.14, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;4.45 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;16\u003c/sup\u003e) (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003eb-c). Conversely, the precentral and superior temporal CT showed positive genetic correlations with cognitive traits. As for neuropsychiatric disorders, the rostral anterior cingulate (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.13, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;2.17 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e) and precentral (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.11 \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;1.05 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;5\u003c/sup\u003e) cortices exhibited genetic correlations with ADHD. The medial orbitofrontal cortex (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.07, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;3.32 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e) and pars orbitalis (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = -0.09, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;3.97 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;5\u003c/sup\u003e) exhibited genetic correlations with schizophrenia. The superior parietal CT showed genetic associations with depression (\u003cem\u003er\u003c/em\u003e\u003csub\u003eg\u003c/sub\u003e = 0.08, \u003cem\u003eP\u003c/em\u003e\u0026thinsp;=\u0026thinsp;7.65 \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(\\:\\times\\:\\)\u003c/span\u003e\u003c/span\u003e 10\u003csup\u003e\u0026minus;\u0026thinsp;6\u003c/sup\u003e). These findings indicated that SA and CT exhibited complex genetic correlation patterns with cognitive functions and neuropsychiatric disorders.\u003c/p\u003e \u003cp\u003eFor each trait-associated locus (1,151 for SA and 350 for CT), we performed multi-trait colocalization with three cognitive traits and eight neuropsychiatric disorders. We identified 60 colocalizations with a posterior probability of full colocalization (PPFC)\u0026thinsp;\u0026ge;\u0026thinsp;0.8 (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ed and Table S12), including 41 for SA and 19 for CT. Among these colocalizations, 12 SA-related and 12 CT-related traits were colocalized with two or more cognitive and neuropsychiatric phenotypes. SA traits were colocalized with all cognitive traits (years of schooling, intelligence, and cognitive performance) and with five neuropsychiatric disorders (depression, ADHD, bipolar disorder, schizophrenia, and autism spectrum disorder (ASD)). For example, total SA colocalized with cognitive performance and intelligence (PPFC\u0026thinsp;=\u0026thinsp;0.99), with the highest posterior probability at rs11079849 in \u003cem\u003eIGF2BP1\u003c/em\u003e (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ee); paracentral SA colocalized with schizophrenia (PPFC\u0026thinsp;=\u0026thinsp;0.99), with the highest posterior probability at a missense variant (rs11692435) in \u003cem\u003eACTR1B\u003c/em\u003e; and total SA colocalized with ADHD, cognitive performance, intelligence, and years of schooling (PPFC\u0026thinsp;=\u0026thinsp;0.95) at a shared locus in \u003cem\u003eARHGAP39\u003c/em\u003e. CT traits showed colocalizations with all cognitive traits and schizophrenia. For instance, the mean CT colocalized with years of schooling (PPFC\u0026thinsp;=\u0026thinsp;0.98), exhibiting the highest posterior probability at a missense variant (rs10901333) in \u003cem\u003eLAMC3\u003c/em\u003e; and CT in the caudal middle frontal cortex colocalized with schizophrenia, cognitive performance, intelligence, and years of schooling (PPFC\u0026thinsp;=\u0026thinsp;0.99), with the highest posterior probability at a missense variant (rs13107325) in \u003cem\u003eSLC39A8\u003c/em\u003e (Fig.\u0026nbsp;\u003cspan refid=\"Fig5\" class=\"InternalRef\"\u003e5\u003c/span\u003ef).\u003c/p\u003e \u003cp\u003e \u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn this study, we conducted the largest-to-date GWAS meta-analyses on 68 SA and CT traits in 100,628 participants, identifying 417 SA-associated and 213 CT-associated loci. Compared with previous studies\u003csup\u003e\u003cspan additionalcitationids=\"CR7 CR8 CR9 CR10 CR11 CR12 CR13 CR14 CR15\" citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR16\" class=\"CitationRef\"\u003e16\u003c/span\u003e\u003c/sup\u003e, we found 79 and 45 new loci associated with SA and CT traits, respectively, which advance our understanding of the genetic architecture of these two morphological measures of the human cerebral cortex.\u003c/p\u003e \u003cp\u003eWe also conducted several post-GWAS analyses to enhance understanding of the genetic mechanisms underlying SA and CT development. For instance, fine mapping prioritized 1,203 causal variants for SA and 366 for CT, including 128 missense variants in 96 genes for SA and 46 missense variants in 41 genes for CT. Some of these genes (e.g., \u003cem\u003eMTHFR\u003c/em\u003e, \u003cem\u003eENPP2\u003c/em\u003e, \u003cem\u003eNAV2\u003c/em\u003e, and \u003cem\u003eCDKN1B\u003c/em\u003e) have been linked to brain development\u003csup\u003e\u003cspan additionalcitationids=\"CR36\" citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e\u003c/sup\u003e. These findings provide more candidate variants and genes for functional experiments to investigate the genetic control of cortical development. We also examined pleiotropic associations of SA-and CT-associated loci with DNA methylation, histone acetylation, chromatin accessibility, gene expression, and protein expression, annotating 631 loci with at least one molecular phenotype, 27 of which were shared across four or more phenotypes. The results may inform future studies on the molecular pathways by which genetic variation affects cortical morphology. We prioritized 431 genes for SA and 184 for CT, with 82 shared genes, which can enhance biological interpretation of GWAS findings. We revealed that CT-related genes exhibited substantial overlap (52/53, 98.1%) with SA-related genes in functional enrichment for biological processes. These results indicate that conventional enrichment analysis cannot distinguish biological processes specific to CT growth and SA expansion. We investigated functional significance of cortical GWAS findings, and found genetic correlations and colocalizations between cortical traits and cognitive and neuropsychiatric phenotypes, including several multi-trait colocalizations with both categories of phenotypes. These findings may inform genetic and neural mechanisms underlying cognitive impairment in neuropsychiatric disorders.\u003c/p\u003e \u003cp\u003eThe most important contribution of this study to the field of genetic studies of the human cerebral cortex is the identification of potential genetic mechanisms underlying SA expansion and CT growth during development. For the first time, we calculated the cross-correlations to connect CT and SA growth-rate trajectories\u003csup\u003e\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e to cell type-specific expression curves\u003csup\u003e\u003cspan citationid=\"CR19\" class=\"CitationRef\"\u003e19\u003c/span\u003e,\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e\u003c/sup\u003e of the CT- and SA-related genes across developmental periods. We identified 1,380 and 301 correlations between cell type-specific expression of 304 SA-related genes and SA growth-rate, and between cell type-specific expression of 84 CT-related genes and CT growth-rate, respectively. These findings indicate that distinct genes may affect CT and SA growth-rates through their cell type-specific expression. SA and CT differences in developmental trajectories may also be attributed to the cell-type differences between CT and SA cross-correlations. For instance, we found that a greater proportion of CT correlations were observed for inhibitory neurons compared with SA correlations (discovery: 47.84% vs 36.74%; validation: 52.84% vs 44.82%). Additionally, most of the 82 CT-SA shared genes correlated with CT and SA growth-rates by affecting gene expression in distinct cell types. For example, \u003cem\u003eNAV2\u003c/em\u003e accelerated SA expansion through excitatory neurons, while suppressing CT growth via inhibitory neurons. For CT-SA shared gene expression within the same cell type, they influenced CT growth and SA expansion with distinct temporal lags. These results may provide insights into the genetic and cellular mechanisms governing the distinct developmental trajectories between SA and CT.\u003c/p\u003e \u003cp\u003eOur findings expand the genetic architecture of cortical morphology by identifying novel genetic loci, implicating key causal variants, genes, and pathways, and revealing genetic and cellular mechanisms underlying human cortical development. The genetic correlations and colocalizations of CT- and SA-associated loci with cognitive functions and neuropsychiatric disorders highlight the functional implications of our findings.\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch2\u003eAcknowledgements\u003c/h2\u003e\n\u003cp\u003eWe are grateful to ENIGMA for providing GWAS summary statistics of cortical thickness and surface area. This work was funded by the National Natural Science Foundation of China (Grant No. 82430063 and 82030053 to C.Y., 82402218 to N.L., 82472052 and 81971599 to W.Q., 82371924 to J.X. and 82202093 to J.T., the Tianjin Municipal Health Commission Science and Technology Project to N.L. (Grant No. TJWJ2025QN006), the Tianjin Medical University Young Scholar Program to N.L., the Tianjin Young Talents in Science and Technology to J.X. (Grant No. QN20230336), the National Key Project of “Inter-governmental International Scientific and Technological Innovation Cooperation” to J.X. (Grant No. 2023YFE0199700), the Natural Science Foundation of Tianjin to J.X. (25JCZDJC00640), the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences to J.X. (Grant No. 2024-JKCS-18), the Tianjin Science and Technology Commission Major Special Project in Public Health Science and Technology to J.X. (Grant No. 24ZXGQSY00050) and the Tianjin Medical University “Clinical Talent Training 123 Climbing Plan” to J.X.\u003c/p\u003e\n\u003ch2\u003eAuthor contributions\u0026nbsp;\u003c/h2\u003e\n\u003cp\u003eConceptualization: Chunshui Yu, Nana Liu\u003c/p\u003e\n\u003cp\u003eMethodology: Nana Liu, Wen Qin,, Chunshui Yu\u003c/p\u003e\n\u003cp\u003eInvestigation: Nana Liu\u003c/p\u003e\n\u003cp\u003eVisualization: Nana Liu\u003c/p\u003e\n\u003cp\u003eFunding acquisition: Chunshui Yu, Wen Qin, Nana Liu, Jiayuan Xu, Jie Tang\u003c/p\u003e\n\u003cp\u003eProject administration: Chunshui Yu, Wen Qin, Meng Liang, Jiayuan Xu, Jie Tang\u003c/p\u003e\n\u003cp\u003eSupervision: Chunshui Yu, Wen Qin, Meng Liang\u003c/p\u003e\n\u003cp\u003eWriting\u0026nbsp;–\u0026nbsp;original draft: Nana Liu\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eWriting\u0026nbsp;–\u0026nbsp;review \u0026amp; editing: Chunshui Yu, Nana Liu\u003c/p\u003e\n\u003cp\u003eAll authors critically reviewed the manuscript. Nana Liu, Jiayuan Xu, Jie Tang, Jilian Fu, Sijia Wang, Yuan Ji, Hui Xue, Nannan Zhang, Qiang Xu, Lining Guo, Hao Ding, Huaigui Liu, Feng Liu,\u0026nbsp;Meng Liang, Wen Qin and Chunshui Yuacquired the data.\u0026nbsp;\u003c/p\u003e\n\u003ch2\u003eCompeting interests\u003c/h2\u003e\n\u003cp\u003eThe authors have declared that no competing interests exist.\u003c/p\u003e\n\u003ch2\u003eData availability\u003c/h2\u003e\n\u003cp\u003eThe GWAS summary statistics for cortical thickness and surface area used in this work are publicly available from the ENIGMA consortium (http://enigma.usc.edu/research/download-enigma-gwas-results/). Raw genotype and neuroimaging data for the UKB and the ABCD study were accessed under authorized applications (application no. 75556 for UKBB; application no. 17607 for ABCD). The meta-analyses summary statistics for the 68 cortical traits will be made publicly available upon publication following peer review. Two human cortex single-nucleus RNA-seq datasets are publicly accessible (https://brain.listerlab.org/ and https://cells.ucsc.edu/?ds=pre-postnatal-cortex).\u003c/p\u003e\n\u003ch2\u003eCode availability\u003c/h2\u003e\n\u003cp\u003eThe software used in this study is publicly available. The sMRI process and cortical parcellation were performed using FreeSurfer (https://surfer.nmr.mgh.harvard.edu) and harmonization was conducted using Combat harmonization (v.1.0.1) (https://github.com/Jfortin1/ComBatHarmonization). Genetic data processing involved PLINK (v.2.0) (http://zzz.bwh.harvard.edu/plink), SHAPEIT2 (v.2.r904) (https://mathgen.stats.ox.ac.uk/genetics_software/shapeit/shapeit.html), IMPUTE2 (v.2.3.2) (http://mathgen.stats.ox.ac.uk/impute/impute_v2.html) and UCSC LiftOver tools (Jan.2022 release) (https://genome.ucsc.edu/cgi-bin/hgLiftOver). The R package ukbtools (v.0.11.3) (https://kenhanscombe.github.io/ukbtools) was used to estimate the relatedness of UKB participants. GWASs were performed using BGENIE (v.1.3) (https://jmarchini.org/bgenie), GCTA (v1.94.1) (https://yanglab.westlake.edu.cn/software/gcta/). Multivariate GWASs were performed using C-GWAS (v.0.9.3) (https://github.com/Fun-Gene/CGWAS). Meta-analyses were conducted using METAL (v.2011-03-25) (https://csg.sph.umich.edu/abecasis/Metal/). The post-GWAS analyses mainly involved LDSC (v.1.0.1) (https://github.com/bulik/ldsc), SuSiE (v.0.12.41) (https://github.com/stephenslab/susieR), FUMA (v.1.8.1) (https://fuma.ctglab.nl/), FLAMES (v.1.1.2) (https://github.com/Marijn-Schipper/FLAMES), WebGestalt (v.2024) (https://www.webgestalt.org/), OPERA (https://github.com/wuyangf7/OPERA), HyPrColoc (v.0.0.2) (https://jrs95.github.io/hyprcoloc/articles/hyprcoloc.html) and HDL (v.1.4.1) (https://github.com/zhenin/HDL). Analysis for RNA-seq datasets were used the published pipeline (https://zenodo.org/records/7113422).\u003c/p\u003e"},{"header":"Methods","content":"\u003ch3\u003eStudy populations\u0026nbsp;\u003c/h3\u003e\n\u003cp\u003eThe study populations for genome-wide association studies (GWASs) on image-derived phenotypes (IDPs) of cortical thickness (CT) and surface area (SA) from brain magnetic resonance imaging (MRI) data were obtained from four independent datasets: the UK biobank (UKB) study\u003csup\u003e52\u003c/sup\u003e, the Enhancing NeuroImaging Genetics through Meta-Analysis (ENIGMA) consortium\u003csup\u003e53\u003c/sup\u003e, the Chinese Imaging Genetics (CHIMGEN) study\u003csup\u003e54\u003c/sup\u003e, and the Adolescent Brain Cognitive Development (ABCD) study\u003csup\u003e55\u003c/sup\u003e. A pioneer study conducted GWAS meta-analyses on 70 bilateral averaged brain IDPs (35 for CT and 35 for SA) in 33,992 European ancestry (EUR) participants (23,909 from ENIGMA and 10,083 from UKB)\u003csup\u003e7\u003c/sup\u003e. These 70 cortical IDPs included total SA and mean CT for the cerebral cortex, along with CT and SA from 34 regions parcellated based on the Desikan-Killiany atlas using FreeSurfer\u003csup\u003e56\u003c/sup\u003e. From that study\u003csup\u003e7\u003c/sup\u003e, we included the GWAS summary data of these IDPs, which were conducted exclusively on ENIGMA participants. For each ENIGMA site, genotype data was filtered by excluding variants with an imputation info score ≤ 0.5 and minor allele frequency (MAF) ≤ 0.005. These GWASs were conducted using an additive model, adjusting for age, age\u003csup\u003e2\u003c/sup\u003e, sex, sex × age, sex × age\u003csup\u003e2\u003c/sup\u003e, ancestry (the first four multidimensional scaling components), diagnostic status, and dummy variables for scanner. Subsequently, meta-analyses were conducted using METAL\u003csup\u003e57\u003c/sup\u003e. For the other three datasets, we tried to align with the ENIGMA-GWASs. As the CT and SA of the temporal pole have been deemed unreliable IDPs in the UKB study\u003csup\u003e6,58\u003c/sup\u003e, we performed our GWASs solely on the remaining 68 cortical IDPs.\u003c/p\u003e\n\u003ch3\u003e\u003cem\u003eUKB\u003c/em\u003e\u003c/h3\u003e\n\u003cp\u003eUKB is a prospective study involving over 500,000 individuals aged 40 to 69 years at recruitment from the United Kingdom\u003csup\u003e52\u003c/sup\u003e. It gathered numerous biological phenotypes, including brain IDPs from more than 60,000 participants\u003csup\u003e59\u003c/sup\u003e. The study was approved by the North West Multi-centre Research Ethics Committee, and written informed consent was obtained from each participant. We accessed the data under application NO. 75556. We utilized the imputed genomic data (version 3) from 487,409 individuals and retained 486,361 individuals after excluding participants according to the UKB pipeline\u003csup\u003e60\u003c/sup\u003e. The excluded participants comprised individuals with discrepancies between reported and chromosome-X determined sexes; those with sex chromosome aneuploidy; those displaying excessive heterozygosity or elevated missing rates; and those without a kinship inference.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp;All brain MRI data from UKB participants were processed using a standard pipeline\u003csup\u003e6\u003c/sup\u003e, resulting in various IDPs. We used the 136 CT and SA IDPs that were symmetrically distributed across the left and right cerebral hemispheres. Of the 61,850 participants with both IDP and genetic data, we excluded 31 participants due to poor image quality, 173 participants with outliers (exceeding six times the median absolute deviation from the median) in any of cortical IDPs, and 1,035 related participants, retaining 60,611 unrelated individuals (White British: n = 52,278; non-White British: n = 8,333). We then computed the 68 bilateral averaged cortical IDPs to align with those used in the ENIGMA-GWASs. Its plausibility was confirmed by the strong genetic correlations (mean = 0.83) of these IDPs from the bilateral homologous regions in the White British sample (Table S13).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe White British dataset served as the discovery cohort, whereas the non-White British dataset functioned as the replication cohort. Of the non-White British dataset, 6,220 individuals (75.49%) reported White ancestry, while the remainder included 679 Asian or Asian British, 417 Black or Black British, 344 from other ethnic groups, 316 with mixed ancestry, 182 with Chinese ancestry, and 175 with unknown ancestries. For each dataset, we implemented the following procedures: ComBat harmonization was applied to these IDPs to remove between-scanner variation while preserving biological variability\u003csup\u003e61\u003c/sup\u003e; normal score transformation was then applied to the harmonized data to enhance normality; and variants were filtered by only including those with minor allele frequency (MAF) \u0026gt; 0.005 and info \u0026gt; 0.5. The demographic and IDP data of included participants are presented in Table S14.\u003c/p\u003e\n\u003ch3\u003e\u003cem\u003eABCD\u003c/em\u003e\u003c/h3\u003e\n\u003cp\u003eThe ABCD study collected a longitudinal dataset comprising nearly 12,000 participants aged 9-10 years at their baseline assessment from 21 sites\u003csup\u003e55\u003c/sup\u003e. Centralized institutional review board approval was obtained from the University of California San Diego, and each site also obtained local institutional review board approval. Parents or caregivers provided written informed consent, and children provided written assent. We accessed the data under application (ID 17607). After variant- and sample-level quality control procedures\u003csup\u003e62\u003c/sup\u003e, this study provided imputed genotype data for 11,666 participants. After excluding those with sex mismatches, a total of 11,449 participants were retained. Of these, 11,319 participants also had data on 136 cortical IDPs. According to the inclusion criteria of ABCD, we excluded 142 participants due to poor image quality, 412 because of cortical parcellation failure, 56 outliers, and 1,632 with genetic relatedness, resulting in a total of 9,077 individuals with these 68 cortical IDPs.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eFrom the raw genotyped data of 9,077 ABCD participants, we excluded variants with a call rate \u0026lt; 95%, MAF \u0026lt; 0.001, or located within genomic regions exhibiting long-range Linkage Disequilibrium (LD)\u003csup\u003e63,64\u003c/sup\u003e, including the MHC region. We merged the remaining variants with 1000 Genomes data, and performed LD pruning using PLINK\u003csup\u003e65\u003c/sup\u003e to identify independent variants with a window of 1000 variants, a step size of 80 variants, and an r\u003csup\u003e2\u003c/sup\u003e \u0026lt; 0.1. Subsequently, we used PLINK to perform Principal Component Analysis (PCA) with default parameters, calculating the top 20 principal components (PCs) based on the 100,022 independent variants from the 9,077 participants. We utilized UMAP to identify clusters in 1000 Genomes data using the first four PCs. We identified seven major populations, including the non-Finnish Europeans, Finnish Europeans, Africans, Americans, East Asians, South Asian, and Bengali. Using the first four PCs from the ABCD dataset, we projected individuals onto the seven clusters, identifying broadly homogeneous populations (Fig. S6). We defined the 4,748 non-Finnish Europeans as the discovery dataset (ABCD EUR), whereas the remaining 4,329 participants were categorized as the replication dataset (ABCD multi-ancestry cohorts), comprising 374 Finnish Europeans, 1,788 Africans, 1,980 Americans, 114 East Asians, 68 South Asians, and 5 Bengalis. The liftover tool\u003csup\u003e66\u003c/sup\u003e in the UCSC Genome Browser was used to map variants to build 37 of the human reference genome. We performed ComBat harmonization, normal score transformation, and variant filtration (MAF \u0026gt; 0.005 and info \u0026gt; 0.5) for the discovery and replication datasets, respectively. The demographic and IDP data of the included participants are presented in Table S14.\u003c/p\u003e\n\u003ch3\u003e\u003cem\u003eCHIMGEN\u003c/em\u003e\u003c/h3\u003e\n\u003cp\u003eThe CHIMGEN study has collected both genomic and neuroimaging data from 7,306 healthy Chinese Han participants aged 18 to 30 years\u003csup\u003e54\u003c/sup\u003e. Participants were recruited from 32 centers, with MRI data acquired using 30 scanners. Informed consent was obtained from all participants, and centralized ethics approval was granted by Tianjin Medical University General Hospital, with additional local ethical approvals from each center.\u003c/p\u003e\n\u003cp\u003eAmong the 7,306 participants, 7,195 were genotyped using the Illumina ASA-750K (Asian Screening Array). The genotype data were aligned to the human reference genome (GRCh37/hg19). In the sample-level quality control, we excluded participants with a missing rate \u0026gt; 3%, identity by descent (IBD) \u0026gt; 0.1875, PCA deviations from the Asian population, mismatches between reported and chromosome X determined sexes, or excess heterozygosity. In the variant-level quality control, we excluded variants with a call rate \u0026lt; 95%, MAF \u0026lt; 0.001, or those deviating from Hardy-Weinberg equilibrium (HWE; \u003cem\u003eP\u003c/em\u003e \u0026lt; 1 × 10\u003csup\u003e-6\u003c/sup\u003e). After quality control, 7,163 individuals and 549,309 variants were retained for imputation. The variants were pre-phased using SHAPEIT2\u003csup\u003e67\u003c/sup\u003e and imputed by IMPUTE2\u003csup\u003e68\u003c/sup\u003e, with the merged reference panel from the 1000 Genomes and SG10K\u003csup\u003e69\u003c/sup\u003e projects\u003csup\u003e70\u003c/sup\u003e. Among the 7,163 participants with qualified genetic data, we excluded 104 participants lacking qualified structural MRI data, 1 due to parcellation failure, and 27 outliers, resulting in 7,031 participants with these 68 cortical IDPs. We then performed ComBat harmonization, normal score transformation, and variant filtration (MAF \u0026gt; 0.005 and info \u0026gt; 0.5) for the dataset (Table S14).\u003c/p\u003e\n\u003ch3\u003eGWAS of cortical IDPs\u003c/h3\u003e\n\u003cp\u003eFor the UKB White British, ABCD EUR, and CHIMGEN Han cohorts, we conducted GWAS using BGENIE v1.3\u003csup\u003e60,71\u003c/sup\u003e with an additive model to test the linear associations between genetic variants and cortical IDPs. For the UKB non-white British and ABCD multi-ancestry cohorts, we utilized mixed linear model\u003csup\u003e72\u003c/sup\u003e in GCTA\u003csup\u003e73\u003c/sup\u003e to perform GWASs, which prevents false-positive associations and enhances statistical power by accounting for population structure and relatedness. All GWASs were controlled for age, age\u003csup\u003e2\u003c/sup\u003e, sex, sex × age and sex × age\u003csup\u003e2\u003c/sup\u003e, PCs (40 for UKB, 10 for CHIMGEN and ABCD).\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eGWAS meta-analysis\u003c/h3\u003e\n\u003cp\u003eIn the discovery phase, EUR-GWAS meta-analyses of cortical IDPs were performed using summary statistics from three datasets: UKB White British, ABCD EUR, and ENIGMA. After aligning the genotype data from all datasets to the human reference genome (GRCh37/hg19), we excluded variants from ABCD EUR and ENIGMA that had allele frequency differences exceeding 0.5 or mismatched alleles when compared to UKB White British. We also removed variants with a total sample size \u0026lt; 10,000. We applied inverse variance weighted fixed-effects meta-analysis in METAL\u003csup\u003e57\u003c/sup\u003e to integrate GWAS summary statistics of cortical IDPs from\u0026nbsp;52,278\u0026nbsp;UKB White British\u0026nbsp;participants and\u0026nbsp;4,748\u0026nbsp;ABCD EUR\u0026nbsp;participants. We then used\u0026nbsp;sample size weighted meta-analyses in METAL\u0026nbsp;to\u0026nbsp;combine GWAS summary statistics from 23,909 ENIGMA participants.\u0026nbsp;In the replication phase, we also used\u0026nbsp;sample size weighted meta-analyses to integrate\u0026nbsp;GWAS summary data from CHIMGEN, UKB non-white British, and ABCD multi-ancestry populations.\u003c/p\u003e\n\u003ch3\u003eC-GWAS\u003c/h3\u003e\n\u003cp\u003eWe used C-GWAS\u003csup\u003e23\u003c/sup\u003e to perform a multi-trait GWAS for 34 CT-IDPs and 34 SA-IDPs, respectively. C-GWAS integrates GWAS summary statistics from multiple correlated traits, enabling the effective detection of multi-trait effects across complex scenarios. As recommended\u003csup\u003e23\u003c/sup\u003e, we defined statistical significance as\u0026nbsp;\u003cem\u003eP\u003c/em\u003e \u0026lt; 5 × 10\u003csup\u003e-8\u003c/sup\u003e.\u003c/p\u003e\n\u003ch3\u003eDefining LD reference, genetic associations, and loci\u003c/h3\u003e\n\u003cp\u003eWe utilized the imputed genotypic data from 52,278 UKB White British participants to construct an EUR-LD reference. To identify independent lead variants associated with each IDP, we applied the PLINK clumping algorithm to select LD-independent variants (r\u003csup\u003e2\u003c/sup\u003e \u0026lt; 0.1 within 3-Mb windows, clump \u003cem\u003eP\u003csub\u003e1\u003c/sub\u003e\u003c/em\u003e = 7.35 × 10\u003csup\u003e-10\u003c/sup\u003e) as lead variants. The method also identified all variants in LD (r\u003csup\u003e2\u003c/sup\u003e \u0026gt; 0.1 within 3-Mb windows, clump \u003cem\u003eP\u003csub\u003e2\u003c/sub\u003e\u003c/em\u003e = 5 × 10\u003csup\u003e-8\u003c/sup\u003e) with each lead variant, forming a clump. Then, we extended a 250-kb window on both sides of each clump and merged overlapping clumps into a single locus. The association between each independent variant and the trait was defined as a variant-trait association, while all non-overlapping loci linked to the trait were defined as trait-associated loci. We performed PLINK clumping (LD r\u003csup\u003e2\u003c/sup\u003e \u0026gt; 0.1) for all variants associated with CT-IDPs and SA-IDPs, resulting in independent association signals for CT and SA, respectively. After merging overlapping loci, the remaining loci were defined as independent CT- and SA-associated loci. For CT-IDPs or SA-IDPs, a locus was considered novel if all lead variants within the locus were located more than 500 kb away from and not in LD (r\u003csup\u003e2\u003c/sup\u003e \u0026lt; 0.1) with any previously reported lead variants associated with CT-IDPs or SA-IDPs. Previously reported lead variants were extracted from GWASs on CT-IDPs and SA-IDPs\u003csup\u003e6-16\u003c/sup\u003e, as well as from the GWAS Catalog\u003csup\u003e74\u003c/sup\u003e.\u003c/p\u003e\n\u003ch3\u003eHeritability and GWAS assessment\u003c/h3\u003e\n\u003cp\u003eFor each of the five sets of GWASs (UKB White British, ABCD EUR, ENIGMA, meta-analysis of UKB White British and ABCD EUR, and the final meta-analysis) in the discovery phase, we used LD score regression (LDSC)\u003csup\u003e75\u003c/sup\u003e with LD scores derived from the EUR reference panel of the 1000 Genomes phase 3 to estimate the LDSC intercept for each GWAS. The intercept can distinguish polygenicity from confounding biases\u003csup\u003e76\u003c/sup\u003e. We estimated the SNP-based heritability of each IDP based on the final meta-analysis. We conducted these analyses after excluding the MHC region (chr6:25-35 Mb) due to its extreme LD.\u003c/p\u003e\n\u003ch3\u003eStatistical fine mapping\u003c/h3\u003e\n\u003cp\u003eStatistical fine mapping was performed using the Sum of the Single Effects framework (SuSiE) model\u003csup\u003e25\u003c/sup\u003e. We performed fine-mapping for trait-associated loci based on EUR-GWASs and EUR-LD reference after excluding the MHC region. We executed SuSiE using z-scores as inputs and allowed a maximum of ten signals per locus. For each signal, we calculated its 95% credible set, representing the minimum number of variants whose posterior inclusion probability (PIP) for the signal summed to ≥ 0.95.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eFunctional annotation\u003c/h3\u003e\n\u003cp\u003eFUMA\u003csup\u003e29\u003c/sup\u003e was used to perform functional annotations for the variants extracted from the 95% credible sets. FUMA is an online platform that annotates and prioritizes genetic variants by integrating comprehensive annotation data sources. Variants were annotated using ANNOVAR\u003csup\u003e30\u003c/sup\u003e and combined annotation-dependent depletion (CADD) scores\u003csup\u003e31\u003c/sup\u003e. ANNOVAR annotated each SNP according to genic position, while CADD prioritized pathogenic variants\u0026nbsp;using scores \u0026gt; 12.37\u003csup\u003e77\u003c/sup\u003e.\u0026nbsp;Gene prioritization was performed using the framework\u003csup\u003e50\u003c/sup\u003e. FLAMES leverages machine learning predictions based on biological data and integrates them with convergence evidence to interpret fine-mapped GWAS signals.\u0026nbsp;The resulting genes were included in a statistical over-representation analysis (\u003cem\u003eP\u003csub\u003ec\u003c/sub\u003e\u003c/em\u003e \u0026lt; 0.05, Bonferroni corrected, overlap gene number \u0026gt; 10) using the WebGestalt\u003csup\u003e51\u003c/sup\u003e online tool, based on Gene Ontology (GO) terms of biological processes.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eMultiple omics analysis\u003c/h3\u003e\n\u003cp\u003eThe Omics PlEiotRopic Association (OPERA)\u003csup\u003e40\u003c/sup\u003e can integrate GWAS summary data of studied traits (cortical IDPs) with multi-omics molecular quantitative trait loci (xQTLs) data to identify shared causal variants between molecular and studied traits, providing insights into the molecular mechanisms associated with studied traits. OPERA is an extension of Summary-based Mendelian Randomization (SMR)\u003csup\u003e78\u003c/sup\u003e that can effectively control the false discovery rate while maintaining high detection power for association patterns. Using the estimated prior probabilities across the genome, OPERA computes a marginal posterior probability of association (PPA) for each trait pair and a joint PPA for combinations of multiple traits. PPA \u0026gt; 0.9 indicates pleiotropic associations between each studied trait and one or more molecular traits through shared causal variants\u003csup\u003e40\u003c/sup\u003e. To exclude false associations arising from LD in SNPs from xQTLs and GWAS or those from different xQTLs, a multi-trait HEIDI test was performed on associations with PPA \u0026gt; 0.9, applying \u003cem\u003eP\u003csub\u003eHEIDI\u003c/sub\u003e\u003c/em\u003e \u0026gt; 0.01 to identify true pleiotropic associations\u003csup\u003e40\u003c/sup\u003e. xQTLs datasets comprised five molecular traits from the human brain tissues, including cis-eQTL data from cortical samples of 2,443 individuals\u003csup\u003e44\u003c/sup\u003e; mQTLs from a meta-analysis of 1,160 brain samples\u003csup\u003e41\u003c/sup\u003e; caQTLs from 272\u0026nbsp;adult prefrontal samples\u003csup\u003e43\u003c/sup\u003e; pQTLs from 1,277 cortical proteomes\u003csup\u003e45\u003c/sup\u003e; and\u0026nbsp;haQTLs from 561 individuals in the ROSMAP study\u003csup\u003e42\u003c/sup\u003e.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eCorrelation between cell type-specific gene expression and cortical growth rate\u003c/h3\u003e\n\u003cp\u003eFor each CT- or SA-related gene prioritized using FLAMES, we extracted its cell type-specific expression data from two snRNA-seq datasets of the human cerebral cortex. One dataset for discovery was obtained from 27 donors, including more than 150,000 snRNA-seq profiles across cell types and developmental stages\u003csup\u003e19\u003c/sup\u003e. We included 17 major cell clusters, comprising five (L2/3-CUX2, L4-RORB, L5/6-THEMIS, L5/6-TLE4, and PN dev) for excitatory neurons, eight (VIP, ID2, LAMP5-NOS1, GGE dev, SST, PV, PV-SCUBE3, and MGE dev) for inhibitory neurons, and four (astrocytes, microglia, oligodendrocytes, and oligodendrocyte precursor cells) for glial cells. The data were obtained from five developmental stages: fetal (22nd gestation week to birth), neonatal (first month after birth), infancy (from 2nd month to 1 year), childhood (1-10 years), adolescence (10-20 years), and adult (\u003cv:shapetype id=\"_x0000_t75\" coordsize=\"21600,21600\" o:spt=\"75\" o:preferrelative=\"t\" path=\"m@4@5l@4@11@9@11@9@5xe\" filled=\"f\" stroked=\"f\"\u003e\u0026nbsp;\u003cv:stroke joinstyle=\"miter\"\u003e\u0026nbsp;\u003cv:formulas\u003e\u0026nbsp;\u003cv:f eqn=\"if lineDrawn pixelLineWidth 0\"\u003e\u0026nbsp;\u003cv:f eqn=\"sum @0 1 0\"\u003e\u0026nbsp;\u003cv:f eqn=\"sum 0 0 @1\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @2 1 2\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @3 21600 pixelWidth\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @3 21600 pixelHeight\"\u003e\u0026nbsp;\u003cv:f eqn=\"sum @0 0 1\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @6 1 2\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @7 21600 pixelWidth\"\u003e\u0026nbsp;\u003cv:f eqn=\"sum @8 21600 0\"\u003e\u0026nbsp;\u003cv:f eqn=\"prod @7 21600 pixelHeight\"\u003e\u0026nbsp;\u003cv:f eqn=\"sum @10 21600 0\"\u003e\u0026nbsp;\u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:f\u003e\n \u003c/v:formulas\u003e\n \u003cv:path o:extrusionok=\"f\" gradientshapeok=\"t\" o:connecttype=\"rect\"\u003e\u0026nbsp;\u003c/v:path\u003e\n \u003c/v:stroke\u003e\n \u003c/v:shapetype\u003e\n \u003cv:shape id=\"_x0000_i1025\" type=\"#_x0000_t75\"\u003e\u0026nbsp;\u003cv:imagedata src=\"file:///C%3A/Users/khan07/AppData/Local/Temp/msohtmlclip1/01/clip_image001.png\" o:title=\"\" chromakey=\"white\"\u003e\u0026nbsp;\u003c/v:imagedata\u003e\n \u003c/v:shape\u003e 20 years). Another dataset for replication was obtained from 106 donors with over 700,000 nuclei\u003csup\u003e20\u003c/sup\u003e, of which 79 donors and 554,624 snRNA-seq profiles were retained after excluding donors overlapping with dataset 1. The data were sampled from multiple cortical regions across an age range spanning from 14 postconceptional weeks to 54 years. The major cell types included: excitatory neurons (progenitors, L2-3, L4, L5, L5-6-IT, L6), inhibitory neurons (progenitors, VIP, CALB2, CCK, NOS, RELN, SV2C, PV, PV-MP, SST, SST-RELN), and glial cells (astrocytes, oligodendrocytes, OPCs and microglia). Detailed preprocessing of the two snRNA-seq datasets has been described previously\u003csup\u003e19,20\u003c/sup\u003e.\n\u003c/p\u003e\n\u003cp\u003eTo characterize cell type-specific gene expression curves during development, we created pseudo-bulk counts by aggregating nuclei (minimum 10) grouped by batches, cell types, and developmental stages. The data were filtered with edgeR\u003csup\u003e79\u003c/sup\u003e (filterByExpr function) to remove low-expression genes, normalized by the trimmed mean of M-values (TMM)\u003csup\u003e80\u003c/sup\u003e, and scaled to log\u003csub\u003e2\u003c/sub\u003eCPM (counts per million). Given that the replication dataset had undergone normalization and log-transformation, we aggregated snRNA-seq data into pseudo-bulk samples Based on the mean of log-transformed expression values for each gene within specific cell types and developmental stages. We used an inverse hyperbolic sine (arcsinh) transformation for age to linearize the developmental time. For each gene, we performed gene expression trend analysis using generalized additive models (GAMs) in each cell type. The pyGAM Python package was used to model continuous expression dynamics from pseudo-bulked data, with developmental trends captured by computing fitted gene expression values at arcsinh-transformed age spanning the entire developmental timeline.\u0026nbsp;From the arcsinh-transformed age values, 100 evenly spaced time points were extracted. Their corresponding gene expression values at these time points were then retrieved, and the time points were converted back to the actual ages. We extracted the CT and SA growth rates at the corresponding time points, which were calculated based on over 100,000 MRI scans\u003csup\u003e4\u003c/sup\u003e. The first time point lacked a growth rate since derivatives require previous data points, leaving 99 values for cross-correlation analysis. Based on the trajectories of cell-type gene expression and cortical growth rates, we computed cross-correlations across the 99 time points. We calculated cross-correlations for all possible time lags using SciPy in python. In the replication stage, gene expression corresponding to the same time points of the discovery dataset were extracted for cross-correlations.\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eColocalization analysis\u003c/h3\u003e\n\u003cp\u003eWe utilized HyPrColoc (Hypothesis Prioritisation for multi-trait Colocalization)\u003csup\u003e81\u003c/sup\u003e to identify colocalization between cortical traits and cognitive traits and neuropsychiatric disorders. The method enables multi-trait colocalization and can yield reliable results even in scenario where there is sample overlap between traits. HyPrColoc generates the posterior probability of full colocalization (PPFC), which represents the likelihood that all traits share a common causal variant. HyPrColoc also indicates the potential causal variant for colocalization, accounting for the largest proportion of PPFC. We used PPFC ≥ 0.8 as evidence of colocalization. We included EUR-GWASs for three cognitive traits (years of schooling\u003csup\u003e82\u003c/sup\u003e, cognitive performance\u003csup\u003e82\u003c/sup\u003e, and intelligence\u003csup\u003e83\u003c/sup\u003e) and eight disorders (attention-deficit/hyperactivity disorder\u003csup\u003e84\u003c/sup\u003e, autism spectrum disorder\u003csup\u003e85\u003c/sup\u003e, obsessive compulsive symptoms\u003csup\u003e86\u003c/sup\u003e, depression\u003csup\u003e87\u003c/sup\u003e, bipolar disorder\u003csup\u003e88\u003c/sup\u003e, schizophrenia\u003csup\u003e89\u003c/sup\u003e, Alzheimer's disease\u003csup\u003e90\u003c/sup\u003e, and Parkinson's disease\u003csup\u003e91\u003c/sup\u003e).\u0026nbsp;\u003c/p\u003e\n\u003ch3\u003eGenetic correlation\u003c/h3\u003e\n\u003cp\u003eGenetic correlations were computed within 68 cortical IDPs, and between cortical IDPs and cognitive/neuropsychiatric disorders using the high-definition likelihood (HDL)\u003csup\u003e92\u003c/sup\u003e method, based on EUR-GWAS summary statistics. 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Nat Genet 52:859\u0026ndash;864. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003e10.1038/s41588-020-0653-y\u003c/span\u003e\u003cspan address=\"10.1038/s41588-020-0653-y\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"nature-portfolio","isNatureJournal":true,"hasQc":false,"allowDirectSubmit":false,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"","title":"Nature Portfolio","twitterHandle":"","acdcEnabled":false,"dfaEnabled":false,"editorialSystem":"ejp","reportingPortfolio":"","inReviewEnabled":true,"inReviewRevisionsEnabled":false},"keywords":"","lastPublishedDoi":"10.21203/rs.3.rs-8949457/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8949457/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eIn the human cerebral cortex, surface area follows a more prolonged developmental trajectory than cortical thickness; however, the genetic mechanisms underlying this difference remain unclear. We conducted genome-wide association meta-analyses for 64 cortical traits in 100,628 participants and identified 213 loci for cortical thickness and 417 loci for surface area (45 and 79 new loci), mapping to 184 and 431 genes (82 overlaps), respectively. Although thickness- and area-related genes exhibited similar functional enrichments, their cell type-specific expression curves during development showed distinct associations with growth-rate curves, with thickness growth showing a greater proportion of correlations with gene expression in inhibitory neurons. Even the shared genes influenced thickness growth and area expansion through distinct cell types and temporal lags. These findings indicate that the differing developmental trajectories of cortical thickness and surface area may arise from distinct cell type-specific gene expression and temporal dynamics.\u003c/p\u003e","manuscriptTitle":"Genetic associations with cortical thickness and surface area and their distinct developmental trajectories","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-05-14 13:28:08","doi":"10.21203/rs.3.rs-8949457/v1","editorialEvents":[],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"nature-communications","isNatureJournal":true,"hasQc":false,"allowDirectSubmit":false,"externalIdentity":"NCOMMS","sideBox":"Learn more about [Nature Communications](http://www.nature.com/ncomms/)","snPcode":"","submissionUrl":"https://mts-ncomms.nature.com/","title":"Nature Communications","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"ejp","reportingPortfolio":"Nature Communications","inReviewEnabled":true,"inReviewRevisionsEnabled":false}}],"origin":"","ownerIdentity":"11ff3e29-8076-408f-972a-ba16b8a6459d","owner":[],"postedDate":"May 14th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[{"id":63832769,"name":"Biological sciences/Genetics/Genetic association study"},{"id":63832770,"name":"Biological sciences/Neuroscience/Genetics of the nervous system"}],"tags":[],"updatedAt":"2026-05-14T13:28:08+00:00","versionOfRecord":[],"versionCreatedAt":"2026-05-14 13:28:08","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8949457","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8949457","identity":"rs-8949457","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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