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Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology

  • HUNT All-In Psychiatry
  • Icahn School of Medicine at Mount Sinai
  • University of Bonn
  • Jülich Research Centre
  • University of Marburg
  • University of Oslo
  • Mayo Clinic Rochester, MN
  • King's College London
  • University of Queensland
  • Aarhus University
  • The Lundbeck Foundation Initiative for Integrative Psychiatric Research
  • Norwegian University of Science and Technology
  • Karolinska Institutet
  • University of California at Los Angeles
  • Fujita Health University
  • Broad Institute
  • Harvard University
  • University of Tartu
  • Charité – Universitätsmedizin Berlin
  • deCODE Genetics/Amgen
  • Sungkyunkwan University
  • Russian Academy of Medical Sciences
  • Ludwig Maximilian University of Munich
  • University College London
  • IRCCS Istituto di ricerche farmacologiche Mario Negri - Milano, Bergamo, Ranica
  • The University of Chicago
  • Northwestern University
  • Berkshire Healthcare NHS Foundation Trust
  • Massachusetts General Hospital
  • National and Kapodistrian University of Athens
  • Statens Serum Institut
  • Technische Universität Dresden
  • Medical University of Graz
  • Diakonhjemmet Hospital
  • Utrecht University
  • Cibersam (Centro Investigación Biomédica en Red Salud Mental)
  • Institut De Recerca Hospital Vall D'Hebron
  • Autonomous University of Barcelona
  • Goethe University Frankfurt
  • University of Bonn
  • King's College London
  • VA Medical Center
  • Harvard University
  • Mental Health Research Center
  • Ludwig Maximilian University of Munich
  • The University of Chicago
  • National and Kapodistrian University of Athens
  • Biomedical Network Research Centre on Mental Health (CIBERSAM)
  • Hospital Vall d'Hebron

Research output: Contribution to journalArticlepeer-review

1022 Scopus citations

Abstract

Bipolar disorder is a heritable mental illness with complex etiology. We performed a genome-wide association study of 41,917 bipolar disorder cases and 371,549 controls of European ancestry, which identified 64 associated genomic loci. Bipolar disorder risk alleles were enriched in genes in synaptic signaling pathways and brain-expressed genes, particularly those with high specificity of expression in neurons of the prefrontal cortex and hippocampus. Significant signal enrichment was found in genes encoding targets of antipsychotics, calcium channel blockers, antiepileptics and anesthetics. Integrating expression quantitative trait locus data implicated 15 genes robustly linked to bipolar disorder via gene expression, encoding druggable targets such as HTR6, MCHR1, DCLK3 and FURIN. Analyses of bipolar disorder subtypes indicated high but imperfect genetic correlation between bipolar disorder type I and II and identified additional associated loci. Together, these results advance our understanding of the biological etiology of bipolar disorder, identify novel therapeutic leads and prioritize genes for functional follow-up studies.

Original languageEnglish
Pages (from-to)817-829
Number of pages13
JournalNature Genetics
Volume53
Issue number6
DOIs
StatePublished - Jun 2021

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