volume 53 issue 6 pages 817-829

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

Niamh Mullins 1, 2
Andreas J. Forstner 3, 4, 5
Kevin S. O'Connell 6, 7
Brandon Coombes 8
Jonathan R. I. Coleman 9, 10
Zhen Qiao 11
Thomas D. Als 12, 13, 14
Tim B. Bigdeli 15, 16
Sigrid Børte 17, 18, 19
Julien Bryois 20
Alexander W. Charney 2
Ole Kristian Drange 21, 22
Michael J Gandal 23
Saskia P. Hagenaars 9, 10
Masashi IKEDA 24
Nolan Kamitaki 25, 26
Minsoo Kim 23
Kristi Krebs 27
Georgia Panagiotaropoulou 28
Brian M Schilder 1, 29, 30, 31
Laura G Sloofman 1
Stacy Steinberg 32
Vassily Trubetskoy 28
Bendik S. Winsvold 19, 33
HONG-HEE WON 34
Liliya Abramova 35
Kristina Adorjan 36, 37
Esben Agerbo 14, 38, 39
Mariam Al Eissa 40
Diego Albani 41
Ney Alliey-Rodriguez 42, 43
Adebayo Anjorin 44
Verneri Antilla 45
Anastasia Antoniou 46
Swapnil Awasthi 28
Ji Hyun Baek 47
Marie Bækvad-Hansen 14, 48
Nicholas Bass 40
Michael Bauer 49
Eva C Beins 3
Sarah E. Bergen 20
Armin Birner 50
Carsten Bøcker Pedersen 14, 38, 39
Erlend Bøen 51
Marco P. Boks 52
Rosa Bosch 53, 54, 55, 56
Murielle Brum 57
Ben M. Brumpton 19
Nathalie Brunkhorst Kanaan 57
Monika Budde 36
Jonas Bybjerg-Grauholm 14, 48
William Byerley 58
Murray Cairns 59
Miquel Casas 53, 54, 55, 56
Pablo Cervantes 60
Toni-Kim Clarke 61
Cristiana Cruceanu 60, 62
Alfredo Cuellar Barboza 63, 64
Julie Cunningham 65
David Curtis 66, 67
Piotr M. Czerski 68
Anders M. Dale 69
Nina Dalkner 50
Friederike S David 3
Franziska Degenhardt 3, 70
Srdjan Djurovic 71, 72
Amanda L Dobbyn 1, 2
Athanassios Douzenis 46
Torbjørn Elvsåshagen 18, 73, 74
Valentina Escott-Price 75
I. Nicol Ferrier 76
Alessia Fiorentino 40
Tatiana M. Foroud 77
Liz Forty 75
Josef Frank 78
Oleksandr Frei 6, 18
Nelson B. Freimer 23, 79
Louise Frisén 80
Katrin Gade 36, 81
Julie Garnham 82
Joel Gelernter 83, 84, 85
Marianne Giørtz Pedersen 14, 38, 39
Ian R. Gizer 86
Scott D. Gordon 87
Katherine Gordon-Smith 88
Tiffany A. Greenwood 89
JAKOB GROVE 12, 13, 14, 90
José Guzman-Parra 91
Kyooseob Ha 92
Magnus Haraldsson 93
Martin Hautzinger 94
Urs Heilbronner 36
Dennis Hellgren 20
Stefan Herms 3, 95, 96
Per Hoffmann 3, 95, 96
Peter A Holmans 75
Laura Huckins 1, 2
Stéphane Jamain 97, 98
Jessica S Johnson 1, 2
Janos L Kalman 36, 37, 99
Yoichiro Kamatani 100, 101
James L. Kennedy 102, 103, 104, 105
Sarah Kittel-Schneider 57, 106
James A. Knowles 107, 108
Manolis Kogevinas 109
Maria Koromina 110
Thorsten M. Kranz 57
Henry R. Kranzler 111, 112
Michiaki Kubo 113
Ralph Kupka 114, 115, 116
Steven A Kushner 117
Catharina Lavebratt 118, 119
Jacob Lawrence 120
Markus Leber 121
Heon-Jeong Lee 122
Phil H Lee 123
Shawn E. Levy 124
Catrin Lewis 75
Calwing Liao 125, 126
Susanne Lucae 62
Martin Lundberg 118, 119
Donald J Macintyre 127
Sigurdur H Magnusson 32
Wolfgang Maier 128
Adam Maihofer 89
Dolores Malaspina 1, 2
Eirini Maratou 129
Lina Martinsson 80
Manuel Mattheisen 12, 13, 14, 106, 130
Steven A. McCarroll 25, 26
Nathaniel W Mcgregor 131
Peter McGuffin 9
James D. McKay 132
Helena Medeiros 108
Sarah E. Medland 87
Vincent Millischer 118, 119
Grant W. Montgomery 11
Jennifer L. Moran 25, 133
Derek W. Morris 134
Thomas W. Mühleisen 4, 95
Niamh O'Brien 40
Claire O'Donovan 82
Loes M. Olde Loohuis 23, 79
Lilijana Oruc 135
Sergi Papiol 36, 37
Antonio F. Pardiñas 75
Amy Perry 88
Andrea Pfennig 49
Evgenia Porichi 46
James B. Potash 136
Digby Quested 137, 138
Towfique Raj 1, 29, 30, 31
Mark H. Rapaport 139
J. RAYMOND DePAULO 136
Eline J Regeer 140
John P. Rice 141
Fabio Rivas 91
Margarita Rivera 142, 143
Julian Roth 106
Panos Roussos 1, 2, 29
Douglas M. Ruderfer 144
Cristina Sánchez Mora 53, 54, 56, 145
Eva C Schulte 36, 37
Fanny Senner 36, 37
Sally Sharp 40
Paul D. Shilling 89
Engilbert Sigurdsson 93, 146
Lea Sirignano 78
Claire Slaney 82
Olav B. Smeland 6, 7
Daniel J. Smith 147
Janet L. Sobell 148
Christine Søholm Hansen 14, 48
María Soler Artigas 53, 54, 56, 145
Anne T Spijker 149
Dan J. Stein 150
John S. Strauss 102
Beata Świątkowska 151
Chikashi Terao 101
Thorgeir E. Thorgeirsson 32
Claudio Toma 152, 153, 154
Paul Tooney 59
Evangelia-Eirini Tsermpini 110
Marquis P Vawter 155
Helmut Vedder 156
James T.R. Walters 75
Stephanie H. Witt 78
Simon Xi 157
Wei Xu 158
Jessica Mei Kay Yang 75
Allan H Young 159, 160
Hannah Young 1
Peter P. Zandi 136
Hang Zhou 83, 84
Lea Zillich 78
Rolf Adolfsson 161
Ingrid Agartz 51, 130, 162
Martin Alda 82, 163
Lars Alfredsson 164
Gulja Babadjanova 165
Lena Backlund 118, 119
Bernhard T. Baune 166, 167, 168
Frank Bellivier 169, 170
Susanne Bengesser 50
Wade H. Berrettini 171
Douglas H.R. Blackwood 61
Michael Boehnke 172
Anders D. Børglum 14, 173, 174
Gerome Breen 9, 10
Vaughan J Carr 175
Stanley Catts 176
Aiden Corvin 177
Nicholas Craddock 75
Udo Dannlowski 166
Dimitris Dikeos 178
Tonu Esko 26, 27, 179, 180
Bruno Etain 169, 170
Panagiotis Ferentinos 9, 46
Mark Frye 64
Janice M. Fullerton 152, 153
Micha Gawlik 106
Elliot S. Gershon 42, 181
Fernando S. Goes 136
Melissa J Green 152, 175
Maria Grigoroiu-Serbanescu 182
Joanna Hauser 68
Frans Henskens 59
Jan Hillert 80
Kyung Sue Hong 47
David M. Hougaard 14, 48
Christina M. Hultman 20
Kristian Hveem 19, 183
Nakao Iwata 24
Assen V. Jablensky 184
Ian Jones 75
Lisa A. Jones 88
René S. Kahn 2, 52
John R. Kelsoe 89
George Kirov 75
Mikael Landén 20, 185
Marion Leboyer 97, 98, 186
Cathryn M. Lewis 9, 10, 187
Qingqin S. Li 188
Jolanta Lissowska 189
Christine Lochner 190
Carmel Loughland 59
Nicholas G. Martin 87, 191
Carol A. Mathews 192
Fermin Mayoral 91
Susan L. McElroy 193
Andrew M. McIntosh 127, 194
Francis J. McMahon 195
Ingrid Melle 6, 196
Michie Patricia 59
Lili Milani 27
Philip B. Mitchell 175
Gunnar Morken 21, 197
Ole Mors 14, 198
Preben Bo Mortensen 12, 14, 38, 39
Bryan Mowry 176
Bertram Müller-Myhsok 62, 199, 200
Richard M. Myers 124
Benjamin M Neale 25, 45, 179
Caroline M. Nievergelt 89, 201
Merete Nordentoft 14, 202
Markus M. Nöthen 3
Michael C. O’Donovan 75
Ketil J. Oedegaard 203, 204
Tomas Olsson 205
Michael J Owen 75
Sara A. Paciga 206
Chris Pantelis 207
Carlos Pato 108
MICHELE T. PATO 108
George P. Patrinos 110, 208, 209
Roy H. Perlis 210, 211
Danielle Posthuma 212, 213
Josep Antoni Ramos Quiroga 53, 54, 55, 56
Andreas Reif 57
Eva Z. Reininghaus 50
Marta Ribasés 53, 54, 56, 145
Marcella Rietschel 78
Stephan Ripke 25, 28, 45
Guy A. Rouleau 126, 214
Takeo SAITO 24
Ulrich Schall 59
Martin Schalling 118, 119
Peter R. Schofield 152, 153
Thomas G. Schulze 36, 78, 81, 136, 215
Laura J. Scott 172
Rodney J Scott 59
Alessandro Serretti 216
Cynthia Shannon Weickert 152, 175, 217
Jordan W. Smoller 25, 133, 218
Hreinn Stefansson 32
Kari Stefansson 32, 219
Eystein Stordal 220, 221
Fabian Streit 78
Patrick F. Sullivan 20, 222, 223
Gustavo Turecki 224
Arne E Vaaler 225
Eduard Vieta 226
John B. Vincent 102
Irwin D. Waldman 227
Thomas W. Weickert 152, 175, 217
Thomas Werge 14, 228, 229, 230
Naomi R Wray 11, 231
John-Anker Zwart 18, 19, 33
Joanna M. Biernacka 8, 64
John I. Nurnberger 232
Sven Cichon 3, 4, 95, 96
Howard J. Edenberg 77, 233
Eli A. Stahl 1, 2, 179
Andrew McQuillin 40
Arianna Di Florio 75, 223
Roel A. Ophoff 23, 79, 117, 234
Ole A. Andreassen 6, 7
14
 
iPSYCH, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Aarhus, Denmark
16
 
VA NY Harbor Healthcare System, Brooklyn, USA
32
 
deCODE genetics/AMGEN, Reykjavik, Iceland
44
 
Psychiatry, Berkshire Healthcare NHS Foundation Trust, Bracknell, UK
79
 
Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Human Behavior, Los Angeles, USA
84
 
Veterans Affairs Connecticut Healthcare System, West Haven, USA
88
 
Psychological Medicine, University of Worcester, Worcester, UK
99
 
International Max Planck Research School for Translational Psychiatry (IMPRS-TP), Munich, Germany
111
 
Mental Illness Research, Education and Clinical Center, Crescenz VAMC, Philadelphia, USA
114
 
Psychiatry, Altrecht, Utrecht, the Netherlands
115
 
Psychiatry, GGZ inGeest, Amsterdam, the Netherlands
120
 
Psychiatry, North East London NHS Foundation Trust, Ilford, UK
124
 
HudsonAlpha Institute for Biotechnology, Huntsville, USA
140
 
Outpatient Clinic for Bipolar Disorder, Altrecht, Utrecht, the Netherlands
149
 
Mood Disorders, PsyQ, Rotterdam, the Netherlands
151
 
Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Lodz, Poland
156
 
Psychiatry, Psychiatrisches Zentrum Nordbaden, Wiesloch, Germany
157
 
Computational Sciences Center of Emphasis, Pfizer Global Research and Development, Cambridge, USA
160
 
South London and Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Beckenham, UK
170
 
APHP Nord, DMU Neurosciences, Département de Psychiatrie et de Médecine Addictologique, GHU Saint Louis-Lariboisière-Fernand Widal, Paris, France
174
 
Center for Genomics and Personalized Medicine, CGPM, Aarhus, Denmark
182
 
Biometric Psychiatric Genetics Research Unit, Alexandru Obregia Clinical Psychiatric Hospital, Bucharest, Romania
186
 
Department of Psychiatry and Addiction Medicine, Assistance Publique - Hôpitaux de Paris, Paris, France
188
 
Neuroscience Therapeutic Area, Janssen Research and Development, LLC, Titusville, USA
193
 
Research Institute, Lindner Center of HOPE, Mason, USA
199
 
Munich Cluster for Systems Neurology (SyNergY), Munich, Germany
201
 
Research/Psychiatry, Veterans Affairs San Diego Healthcare System, San Diego, USA
203
 
Division of Psychiatry, Haukeland Universitetssjukehus, Bergen, Norway
206
 
Human Genetics and Computational Biomedicine, Pfizer Global Research and Development, Groton, USA
220
 
Department of psychiatry, Hospital Namsos, Namsos, Norway
Publication typeJournal Article
Publication date2021-05-17
scimago Q1
wos Q1
SJR16.586
CiteScore45.1
Impact factor29.0
ISSN10614036, 15461718
Genetics
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. Genome-wide association analyses of 41,917 bipolar disorder cases and 371,549 controls of European ancestry provide new insights into the etiology of this disorder and identify novel therapeutic leads and potential opportunities for drug repurposing.
Found 
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Mullins N. et al. Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology // Nature Genetics. 2021. Vol. 53. No. 6. pp. 817-829.
GOST all authors (up to 50) Copy
Mullins N. et al. Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology // Nature Genetics. 2021. Vol. 53. No. 6. pp. 817-829.
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BibTex (up to 50 authors) Copy
@article{2021_Mullins,
author = {Niamh Mullins and Andreas J. Forstner and Kevin S. O'Connell and Brandon Coombes and Jonathan R. I. Coleman and Zhen Qiao and Thomas D. Als and Tim B. Bigdeli and Sigrid Børte and Julien Bryois and Alexander W. Charney and Ole Kristian Drange and Michael J Gandal and Saskia P. Hagenaars and Masashi IKEDA and Nolan Kamitaki and Minsoo Kim and Kristi Krebs and Georgia Panagiotaropoulou and Brian M Schilder and Laura G Sloofman and Stacy Steinberg and Vassily Trubetskoy and Bendik S. Winsvold and HONG-HEE WON and Liliya Abramova and Kristina Adorjan and Esben Agerbo and Mariam Al Eissa and Diego Albani and Ney Alliey-Rodriguez and Adebayo Anjorin and Verneri Antilla and Anastasia Antoniou and Swapnil Awasthi and Ji Hyun Baek and Marie Bækvad-Hansen and Nicholas Bass and Michael Bauer and Eva C Beins and Sarah E. Bergen and Armin Birner and Carsten Bøcker Pedersen and Erlend Bøen and Marco P. Boks and Rosa Bosch and Murielle Brum and Ben M. Brumpton and Nathalie Brunkhorst Kanaan and Monika Budde and others},
title = {Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology},
journal = {Nature Genetics},
year = {2021},
volume = {53},
publisher = {Springer Nature},
month = {may},
url = {https://doi.org/10.1038/s41588-021-00857-4},
number = {6},
pages = {817--829},
doi = {10.1038/s41588-021-00857-4}
}
MLA
Cite this
MLA Copy
Mullins, Niamh, et al. “Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology.” Nature Genetics, vol. 53, no. 6, May. 2021, pp. 817-829. https://doi.org/10.1038/s41588-021-00857-4.