Polygenic dissection of the bipolar phenotype
Recent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder. To test hypotheses about the relationship between schizophrenia and psychotic t...
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Published in | British journal of psychiatry Vol. 198; no. 4; pp. 284 - 288 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Cambridge University Press
01.04.2011
Royal College Of Psychiatrists |
Subjects | |
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Abstract | Recent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder.
To test hypotheses about the relationship between schizophrenia and psychotic types of bipolar disorder.
Using a polygenic score analysis to test whether schizophrenia polygenic risk alleles, en masse, significantly discriminate between individuals with bipolar disorder with and without psychotic features. The primary sample included 1829 participants with bipolar disorder and the replication sample comprised 506 people with bipolar disorder.
The subset of participants with Research Diagnostic Criteria schizoaffective bipolar disorder (n = 277) were significantly discriminated from the remaining participants with bipolar disorder (n = 1552) in both the primary (P = 0.00059) and the replication data-sets (P = 0.0070). In contrast, those with psychotic bipolar disorder as a whole were not significantly different from those with non-psychotic bipolar disorder in either data-set.
Genetic susceptibility influences at least two major domains of psychopathological variation in the schizophrenia-bipolar disorder clinical spectrum: one that relates to expression of a 'bipolar disorder-like' phenotype and one that is associated with expression of 'schizophrenia-like' psychotic symptoms. |
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AbstractList | Background
Recent data provide strong support for a substantial common polygenic
contribution (i.e. many alleles each of small effect) to genetic
susceptibility for schizophrenia and overlapping susceptibility for bipolar
disorder.
Aims
To test hypotheses about the relationship between schizophrenia and
psychotic types of bipolar disorder.
Method
Using a polygenic score analysis to test whether schizophrenia polygenic
risk alleles, en masse, significantly discriminate between individuals with
bipolar disorder with and without psychotic features. The primary sample
included 1829 participants with bipolar disorder and the replication sample
comprised 506 people with bipolar disorder.
Results
The subset of participants with Research Diagnostic Criteria
schizoaffective bipolar disorder (
n
= 277) were significantly
discriminated from the remaining participants with bipolar disorder
(
n
= 1552) in both the primary (
P
= 0.00059) and the
replication data-sets (
P
= 0.0070). In contrast, those with psychotic
bipolar disorder as a whole were not significantly different from those with
non-psychotic bipolar disorder in either data-set.
Conclusions
Genetic susceptibility influences at least two major domains of
psychopathological variation in the schizophrenia–bipolar disorder
clinical spectrum: one that relates to expression of a ‘bipolar
disorder-like’ phenotype and one that is associated with expression of
‘schizophrenia-like’ psychotic symptoms. BackgroundRecent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder.AimsTo test hypotheses about the relationship between schizophrenia and psychotic types of bipolar disorder.MethodUsing a polygenic score analysis to test whether schizophrenia polygenic risk alleles, en masse, significantly discriminate between individuals with bipolar disorder with and without psychotic features. The primary sample included 1829 participants with bipolar disorder and the replication sample comprised 506 people with bipolar disorder.ResultsThe subset of participants with Research Diagnostic Criteria schizoaffective bipolar disorder (n = 277) were significantly discriminated from the remaining participants with bipolar disorder (n = 1552) in both the primary (P = 0.00059) and the replication data-sets (P = 0.0070). In contrast, those with psychotic bipolar disorder as a whole were not significantly different from those with non-psychotic bipolar disorder in either data-set.ConclusionsGenetic susceptibility influences at least two major domains of psychopathological variation in the schizophrenia–bipolar disorder clinical spectrum: one that relates to expression of a ‘bipolar disorder-like’ phenotype and one that is associated with expression of ‘schizophrenia-like’ psychotic symptoms. BACKGROUND: Recent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder. Aims To test hypotheses about the relationship between schizophrenia and psychotic types of bipolar disorder. METHOD: Using a polygenic score analysis to test whether schizophrenia polygenic risk alleles, en masse, significantly discriminate between individuals with bipolar disorder with and without psychotic features. The primary sample included 1829 participants with bipolar disorder and the replication sample comprised 506 people with bipolar disorder. RESULTS: The subset of participants with Research Diagnostic Criteria schizoaffective bipolar disorder (n = 277) were significantly discriminated from the remaining participants with bipolar disorder (n = 1552) in both the primary (P = 0.00059) and the replication data-sets (P = 0.0070). In contrast, those with psychotic bipolar disorder as a whole were not significantly different from those with non-psychotic bipolar disorder in either data-set. CONCLUSIONS: Genetic susceptibility influences at least two major domains of psychopathological variation in the schizophrenia-bipolar disorder clinical spectrum: one that relates to expression of a 'bipolar disorder-like' phenotype and one that is associated with expression of 'schizophrenia-like' psychotic symptoms. Background Recent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder. Alms To test hypotheses about the relationship between schizophrenia and psychotic types of bipolar disorder. Method Using a polygenic score analysis to test whether schizophrenia polygenic risk alleles, en masse, significantly discriminate between individuals with bipolar disorder with and without psychotic features. The primary sample included 1829 participants with bipolar disorder and the replication sample comprised 506 people with bipolar disorder. Results The subset of participants with Research Diagnostic Criteria schizoaffective bipolar disorder (n = 277) were significantly discriminated from the remaining participants with bipolar disorder (n = 1552) in both the primary (P = 0.00059) and the replication data-sets (P = 0.0070). In contrast, those with psychotic bipolar disorder as a whole were not significantly different from those with non-psychotic bipolar disorder in either data-set. Conclusions Genetic susceptibility influences at least two major domains of psychopathological variation in the schizophrenia-bipolar disorder clinical spectrum: one that relates to expression of a 'bipolar disorder-like' phenotype and one that is associated with expression of 'schizophrenia-like' psychotic symptoms. Declaration of Interest None. Adapted from the source document. Recent data provide strong support for a substantial common polygenic contribution (i.e. many alleles each of small effect) to genetic susceptibility for schizophrenia and overlapping susceptibility for bipolar disorder. To test hypotheses about the relationship between schizophrenia and psychotic types of bipolar disorder. Using a polygenic score analysis to test whether schizophrenia polygenic risk alleles, en masse, significantly discriminate between individuals with bipolar disorder with and without psychotic features. The primary sample included 1829 participants with bipolar disorder and the replication sample comprised 506 people with bipolar disorder. The subset of participants with Research Diagnostic Criteria schizoaffective bipolar disorder (n = 277) were significantly discriminated from the remaining participants with bipolar disorder (n = 1552) in both the primary (P = 0.00059) and the replication data-sets (P = 0.0070). In contrast, those with psychotic bipolar disorder as a whole were not significantly different from those with non-psychotic bipolar disorder in either data-set. Genetic susceptibility influences at least two major domains of psychopathological variation in the schizophrenia-bipolar disorder clinical spectrum: one that relates to expression of a 'bipolar disorder-like' phenotype and one that is associated with expression of 'schizophrenia-like' psychotic symptoms. |
Author | Grozeva, D Jones, L Owen, M J St Clair, D Sklar, P Craddock, N Jones, I R Moskvina, V Holmans, P A McGuffin, P Gurling, H Green, E K O'Donovan, M C Hamshere, M L Bass, N Purcell, S Young, A H Farmer, A Kirov, G McQuillin, A Ferrier, I N |
AuthorAffiliation | School of Neurology, Neurobiology and Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne, UK and UBC Institute of Mental Health, University Boulevard Vancouver, Canada Institute of Psychiatry, King’s College London, UK Department of Mental Health Sciences, University College London, UK Department of Psychiatry, University of Birmingham, National Centre for Mental Health, Birmingham, UK School of Neurology, Neurobiology and Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne, UK Psychiatric and Neurodevelopmental Genetics Unit, Center for Human Genetic Research, and Department of Psychiatry, Massachusetts General Hospital, Boston, and Stanley Center for Psychiatric Genetics, Broad Institute, Cambridge, Massachusetts, USA MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK University of Aberdeen, Institute of Medical Sciences, Aberdeen, UK |
AuthorAffiliation_xml | – name: Department of Psychiatry, University of Birmingham, National Centre for Mental Health, Birmingham, UK – name: Department of Mental Health Sciences, University College London, UK – name: School of Neurology, Neurobiology and Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne, UK and UBC Institute of Mental Health, University Boulevard Vancouver, Canada – name: School of Neurology, Neurobiology and Psychiatry, Royal Victoria Infirmary, Newcastle upon Tyne, UK – name: Psychiatric and Neurodevelopmental Genetics Unit, Center for Human Genetic Research, and Department of Psychiatry, Massachusetts General Hospital, Boston, and Stanley Center for Psychiatric Genetics, Broad Institute, Cambridge, Massachusetts, USA – name: Institute of Psychiatry, King’s College London, UK – name: University of Aberdeen, Institute of Medical Sciences, Aberdeen, UK – name: MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, UK |
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Copyright | Copyright © Royal College of Psychiatrists, 2011 Royal College of Psychiatrists 2011 |
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SubjectTerms | Adolescent Alleles Bipolar affective disorder Bipolar disorder Bipolar Disorder - diagnosis Bipolar Disorder - genetics Case-Control Studies Consortia Diagnostic and Statistical Manual of Mental Disorders Dissection Genetic Linkage Genetic Predisposition to Disease Genetic susceptibility Genomes Genotype Genotype & phenotype Humans International Classification of Diseases Logistic Models Mental disorders Multifactorial Inheritance Phenotype Phenotypes Polymorphism, Single Nucleotide Principal components analysis Psychiatry Psychoses Psychosis Psychotic Disorders - diagnosis Psychotic Disorders - genetics Psychotic symptoms Replication Schizophrenia Schizophrenia - diagnosis Schizophrenia - genetics Susceptibility United Kingdom |
Title | Polygenic dissection of the bipolar phenotype |
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