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Investigating rare pathogenic/likely pathogenic exonic variation in bipolar disorder.

Published version
Peer-reviewed

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Abstract

Bipolar disorder (BD) is a serious mental illness with substantial common variant heritability. However, the role of rare coding variation in BD is not well established. We examined the protein-coding (exonic) sequences of 3,987 unrelated individuals with BD and 5,322 controls of predominantly European ancestry across four cohorts from the Bipolar Sequencing Consortium (BSC). We assessed the burden of rare, protein-altering, single nucleotide variants classified as pathogenic or likely pathogenic (P-LP) both exome-wide and within several groups of genes with phenotypic or biologic plausibility in BD. While we observed an increased burden of rare coding P-LP variants within 165 genes identified as BD GWAS regions in 3,987 BD cases (meta-analysis OR = 1.9, 95% CI = 1.3-2.8, one-sided p = 6.0 × 10-4), this enrichment did not replicate in an additional 9,929 BD cases and 14,018 controls (OR = 0.9, one-side p = 0.70). Although BD shares common variant heritability with schizophrenia, in the BSC sample we did not observe a significant enrichment of P-LP variants in SCZ GWAS genes, in two classes of neuronal synaptic genes (RBFOX2 and FMRP) associated with SCZ or in loss-of-function intolerant genes. In this study, the largest analysis of exonic variation in BD, individuals with BD do not carry a replicable enrichment of rare P-LP variants across the exome or in any of several groups of genes with biologic plausibility. Moreover, despite a strong shared susceptibility between BD and SCZ through common genetic variation, we do not observe an association between BD risk and rare P-LP coding variants in genes known to modulate risk for SCZ.

Description

Funder: U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH)


Funder: Dalio Foundation; doi: https://doi.org/10.13039/100009834


Funder: Wayne and Gladys Valley Foundation; doi: https://doi.org/10.13039/100001370


Funder: Robert Wood Johnson Foundation (RWJF); doi: https://doi.org/10.13039/100000867


Funder: U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging)


Funder: The Dalio Foundation

Keywords

Bipolar Disorder, Exome, Genetic Predisposition to Disease, Genetic Variation, Genome-Wide Association Study, Humans, Polymorphism, Single Nucleotide, Schizophrenia

Journal Title

Mol Psychiatry

Conference Name

Journal ISSN

1359-4184
1476-5578

Volume Title

26

Publisher

Springer Science and Business Media LLC
Sponsorship
U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) (R01MH087979, R01MH087992, R01MH087979, R01MH087992, R01MH087979, R01MH087992, R01MH095034, R01MH095034, R01MH095034, R01MH106527, R01MH095034, R01MH106531, R01MH106531, R01MH106531, R01MH106527, R01 MH085543, R01 MH085543, R01 MH085543, R01 MH085543, R01 MH085543, R01 MH085543, MH09414501, MH105653, MH09414501, MH105653, MH09414501, MH105653, MH09414501, MH105653, MH09414501, MH09414501, MH105653, MH09414501, MH09414501, MH105653)
U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) (RC2 AG036607, RC2 AG036607, RC2 AG036607, RC2 AG036607, RC2 AG036607, RC2 AG036607)