Bipolar multiplex families have an increased burden of common risk variants for psychiatric disorders

Andlauer TF, Guzman-Parra J, González MJ, Gil Flores S, Cabaleiro Fabeiro FJ, del Río Noriega F, Perez FP, Haro González J, Orozco Diaz G, de Diego-Otero Y, Moreno-Küstner B, Auburger G, Heilmann-Heimbach S, Stahl EA, Breen G, Forstner AJ, McQuillin A, Ripke S, Mattheisen M, Coleman JR, Gaspar HA, de Leeuw CA, Pavlides JM, Pers TH, Holmans PA, Abbott L, Akil H, Albani D, Alliey-Rodriguez N, Als TD, Anjorin A, Antilla V, Awasthi S, Badner JA, Barchas JD, Bass N, Bauer M, Belliveau R, Bergen SE, Pedersen CB, Bøen E, Boks M, Boocock J, Budde M, Bunney W, Burmeister M, Bybjerg-Grauholm J, Byerley W, Casas M, Cerrato F, Cervantes P, Chambert K, Charney AW, Chen D, Churchhouse C, Coryell W, Craig DW, Cruceanu C, Czerski PM, Dale AM, de Jong S, Del-Favero J, DePaulo JR, Djurovic S, Dobbyn AL, Dumont A, Elvsåshagen T, Fan CC, Fischer SB, Flickinger M, Foroud TM, Forty L, Fraser C, Freimer NB, Frisén L, Gade K, Gage D, Garnham J, Giambartolomei C, Goldstein J, Gordon-Smith K, Green EK, Green MJ, Greenwood TA, Guan W, Parra JG, Hamshere ML, Hautzinger M, Heilbronner U, Hipolito M, Holland D, Huckins L, Jamain S, Johnson JS, Juréus A, Kandaswamy R, Karlsson R, Kennedy JL, Kittel-Schneider S, Knowles JA, Kogevinas M, Koller AC, Kupka R, Lavebratt C, Lawrence J, Lawson WB, Leber M, Lee PH, Levy SE, Li JZ, Liu C, Maaser A, Mahon PB, Martinsson L, McCarroll S, McGuffin P, McInnis MG, McKay JD, Medeiros H, Medland SE, Meng F, Milani L, Montgomery GW, Morris DW, Mühleisen TW, Mullins N, Nguyen H, Nievergelt CM, Adolfsson AN, Nwulia EA, O’Donovan C, Loohuis LM, Ori AP, Oruc L, Ösby U, Perry A, Pfennig A, Potash JB, Purcell SM, Regeer EJ, Reif A, Reinbold CS, Rice JP, Richards AL, Rivas F, Roussos P, Ruderfer DM, Ryu E, Sánchez-Mora C, Schatzberg AF, Scheftner WA, Schork NJ, Weickert CS, Shehktman T, Shilling PD, Sigurdsson E, Slaney C, Smeland OB, Sobell JL, Spijker AT, Clair DS, Steffens M, Strauss JS, Szelinger S, Thompson RC, EThorgeirsson T, Vedde H, Wang W, Watson SJ, Weickert TW, Xi S, Xu W, Young AH, Zandi P, Zhang P, Zollner S, Adolfsson R, Agartz I, Alda M, Backlund L, Baune BT, Bellivier F, Berrettini WH, Biernacka JM, Blackwood DH, Boehnke M, Børglum AD, Corvin A, Daly MJ, Dannlowski U, Esko T, Etain B, Frye M, Fullerton JM, Gershon ES, Gill M, Goes F, Grigoroiu-Serbanescu M, Hauser J, Hultman CM, Jones I, Jones LA, Kahn RS, Kirov G, Landén M, Leboyer M, Lewis CM, Lissowska J, Martin NG, Mayoral F, McElroy SL, McIntosh AM, McMahon FJ, Melle I, Metspalu A, Mitchell PB, Morken G, Mors O, Mortensen PB, Myers RM, Neale BM, Nimgaonkar V, Nöthen MM, O’Donovan MC, Oedegaard KJ, Owen MJ, Pato C, Pato MT, Ramos-Quiroga JA, Ribasés M, Rouleau GA, Schalling M, Schofield PR, Schulze TG, Serretti A, Stefansson H, Stefansson K, Stordal E, Sullivan PF, Turecki G, Vaaler AE, Vieta E, Vincent JB, Nurnberger JI, Wray NR, Florio AD, Edenberg HJ, Ophoff RA, Scott LJ, Andreassen OA, Kelsoe J, Sklar P, Trzaskowski M, Byrne EM, Abdellaoui A, Adams MJ, Agerbo E, Air TM, Bacanu SA, Bækvad-Hansen M, Beekman AT, Bigdeli TB, Binder EB, Bryois J, Buttenschøn HN, Bybjerg-Grauholm J, Cai N, Castelao E, Christensen JH, Clarke TK, Coleman JR, Colodro-Conde L, Couvy-Duchesne B, Craddock N, Crawford GE, Davies G, Deary IJ, Degenhardt F, Derks EM, Direk N, Dolan CV, Dunn EC, Eley TC, Escott-Price V, Kiadeh FFH, Finucane HK, Foo JC, Frank J, Goes FS, Gordon SD, Grove J, Hall LS, Hansen CS, Hansen TF, Herms S, Hickie IB, Hoffmann P, Homuth G, Horn C, Hottenga JJ, Hougaard DM, Howard DM, Ising M, Jansen R, Jorgenson E, Knowles JA, Kohane IS, Hill , Kraft J, Kretzschmar WW, Kutalik Z, Li Y, Lind PA, MacIntyre DJ, MacKinnon DF, Maier RM, Maier W, Marchini J, Mbarek H, McGrath P, McGuffin P, Mehta D, Middeldorp CM, Mihailov E, Milaneschi Y, Mondimore FM, Mostafavi S, Nauck M, Ng B, Nivard MG, Nyholt DR, O’Reilly PF, Oskarsson H, Painter JN, Pedersen MG, Peterson RE, Pettersson E, Peyrot WJ, Pistis G, Posthuma D, Quiroz JA, Qvist P, Riley BP, Rivera M, Mirza SS, Schoevers R, Schulte EC, Shen L, Shi J, Shyn SI, Sigurdsson E, Sinnamon GC, Smit JH, Smith DJ, Steinberg S, Streit F, Strohmaier J, Tansey KE, Teismann H, Teumer A, Thompson W, Thomson PA, Thorgeirsson TE, Traylor M, Treutlein J, Trubetskoy V, Uitterlinden AG, Umbricht D, Van der Auwera S, van Hemert AM, Viktorin A, Visscher PM, Wang Y, Webb BT, Weinsheimer SM, Wellmann J, Willemsen G, Witt SH, Wu Y, Xi HS, Yang J, Zhang F, Arolt V, Berger K, Boomsma DI, Cichon S, de Geus EJ, Domenici E, Domschke K, Grabe HJ, Hamilton SP, Hayward C, Heath AC, Kendler KS, Kloiber S, Lewis G, Li QS, Lucae S, Madden PA, Magnusson PK, Müller-Myhsok B, Nordentoft M, O’Donovan MC, Paciga SA, Pedersen NL, Penninx BW, Perlis RH, Porteous DJ, Potash JB, Preisig M, Rietschel M, Schaefer C, Schulze TG, Smoller JW, Tiemeier H, Uher R, Völzke H, Weissman MM, Werge T, Levinson DF, Rivas F, Müller-Myhsok B (2021)


Publication Type: Journal article

Publication year: 2021

Journal

Book Volume: 26

Pages Range: 1286-1298

Journal Issue: 4

DOI: 10.1038/s41380-019-0558-2

Abstract

Multiplex families with a high prevalence of a psychiatric disorder are often examined to identify rare genetic variants with large effect sizes. In the present study, we analysed whether the risk for bipolar disorder (BD) in BD multiplex families is influenced by common genetic variants. Furthermore, we investigated whether this risk is conferred mainly by BD-specific risk variants or by variants also associated with the susceptibility to schizophrenia or major depression. In total, 395 individuals from 33 Andalusian BD multiplex families (166 BD, 78 major depressive disorder, 151 unaffected) as well as 438 subjects from an independent, BD case/control cohort (161 unrelated BD, 277 unrelated controls) were analysed. Polygenic risk scores (PRS) for BD, schizophrenia (SCZ), and major depression were calculated and compared between the cohorts. Both the familial BD cases and unaffected family members had higher PRS for all three psychiatric disorders than the independent controls, with BD and SCZ being significant after correction for multiple testing, suggesting a high baseline risk for several psychiatric disorders in the families. Moreover, familial BD cases showed significantly higher BD PRS than unaffected family members and unrelated BD cases. A plausible hypothesis is that, in multiplex families with a general increase in risk for psychiatric disease, BD development is attributable to a high burden of common variants that confer a specific risk for BD. The present analyses demonstrated that common genetic risk variants for psychiatric disorders are likely to contribute to the high incidence of affective psychiatric disorders in the multiplex families. However, the PRS explained only part of the observed phenotypic variance, and rare variants might have also contributed to disease development.

Involved external institutions

Icahn School of Medicine at Mount Sinai US United States (USA) (US) Virginia Commonwealth University (VCU) US United States (USA) (US) Max-Planck-Institut für Psychiatrie (Deutsche Forschungsanstalt für Psychiatrie) DE Germany (DE) Lundbeck Foundation Initiative for Integrative Psychiatric Research DK Denmark (DK) University of Edinburgh GB United Kingdom (GB) Wellcome Trust Sanger Institute - Genome Research Limited GB United Kingdom (GB) Aarhus University DK Denmark (DK) Washington University in St. Louis US United States (USA) (US) Pfizer, Inc. US United States (USA) (US) Karolinska Institute SE Sweden (SE) University of Iowa US United States (USA) (US) Lausanne University Hospital / Centre hospitalier universitaire vaudois (CHUV) CH Switzerland (CH) Universitätsklinikum Mannheim / University Medical Centre Mannheim (Universitätsmedizin Mannheim) DE Germany (DE) deCODE genetics IS Iceland (IS) Namsos Hospital NO Norway (NO) St. Olavs University Hospital / St. Olavs Hospital Universitetssykehuset i Trondheim NO Norway (NO) Indiana University – Purdue University Indianapolis US United States (USA) (US) University of Michigan US United States (USA) (US) University of Queensland AU Australia (AU) Klinikum der Universität München (LMU Klinikum) DE Germany (DE) Johns Hopkins Hospital US United States (USA) (US) Howard University Hospital (HUH) / Freedmen's Hospital US United States (USA) (US) Rigshospitalet DK Denmark (DK) Universitätsklinikum Bonn DE Germany (DE) F. Hoffmann-La Roche Ltd CH Switzerland (CH) University of Amsterdam NL Netherlands (NL) University Of Worcester GB United Kingdom (GB) University of New South Wales (UNSW) AU Australia (AU) Eli and Edythe L. Broad Institute of MIT and Harvard US United States (USA) (US) Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) ES Spain (ES) McGill University CA Canada (CA) Karolinska University Hospital / Karolinska Universitetssjukhuset SE Sweden (SE) University of Bologna / Università di Bologna IT Italy (IT) Universitat de Barcelona (UB) / University of Barcelona ES Spain (ES) Cardiff University GB United Kingdom (GB) Institut universitaire de médecine sociale et préventive (IUMSP) CH Switzerland (CH) Wellcome Centre for Human Genetics GB United Kingdom (GB) Medical Research Council GB United Kingdom (GB) University Medical Centre Utrecht (UMC Utrecht) NL Netherlands (NL) Oslo University Hospital / Oslo Universitetssykehus Rikshospitalet NO Norway (NO) King’s College London GB United Kingdom (GB) University of Adelaide AU Australia (AU) University Medical Center Groningen (UMCG) / Universitair Medisch Centrum Groningen NL Netherlands (NL) Westfälische Wilhelms-Universität (WWU) Münster DE Germany (DE) Universitätsmedizin Greifswald / Universitätsklinikum Greifswald DE Germany (DE) Hospital Regional de Málaga ES Spain (ES) NTNU Trondheim - Norwegian University of Science and Technology NO Norway (NO) Dalhousie University CA Canada (CA) University of California Los Angeles (UCLA) US United States (USA) (US) McGill University Health Centre (MUHC) / Centre universitaire de santé McGill CA Canada (CA) Peninsula College of Medicine and Dentistry (PCMD) GB United Kingdom (GB) University of California, San Diego (UC San Diego, UCSD) US United States (USA) (US) University of Minnesota (UMN) US United States (USA) (US) Poznan University of Medical Sciences / Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu PL Poland (PL) Eberhard Karls Universität Tübingen DE Germany (DE) Amsterdam University Medical Centers (Amsterdam UMC) / Amsterdam Universitair Medische Centra NL Netherlands (NL) QIMR Berghofer Medical Research Institute (früher: the Queensland Institute of Medical Research) AU Australia (AU) Erasmus University Medical Center (MC) NL Netherlands (NL) Universitäre Psychiatrische Kliniken Basel (UPK) / Universitäre Psychiatrische Kliniken Base CH Switzerland (CH) Massachusetts General Hospital US United States (USA) (US) Altrecht NL Netherlands (NL) Harvard T.H. Chan School of Public Health US United States (USA) (US) Universität Basel CH Switzerland (CH) University of California San Francisco (UCSF) US United States (USA) (US) Charité - Universitätsmedizin Berlin DE Germany (DE) Vanderbilt University US United States (USA) (US) Mayo Clinic US United States (USA) (US) Stanford University US United States (USA) (US) Assistance Publique-Hôpitaux de Paris (AP-HP) FR France (FR) University of Chicago US United States (USA) (US) Trinity College Dublin IE Ireland (IE) Lindner Center of HOPE US United States (USA) (US) Haukeland University Hospital / Haukeland universitetssykehus NO Norway (NO) Centre for Addiction and Mental Health (CAMH) CA Canada (CA) University of British Columbia CA Canada (CA) University of Sydney (USYD) AU Australia (AU) Diakonhjemmet Hospital NO Norway (NO) University of California Irvine US United States (USA) (US) University of Pittsburgh US United States (USA) (US) Kaiser Permanente US United States (USA) (US) James Cook University AU Australia (AU) University of Glasgow GB United Kingdom (GB) Columbia University Irving Medical Center (CUIMC) US United States (USA) (US) Munich Cluster for Systems Neurology (SyNergy) DE Germany (DE) Universitätsklinikum Freiburg DE Germany (DE) Università degli Studi di Trento IT Italy (IT) University College London (UCL) GB United Kingdom (GB) Janssen Global Services, LLC US United States (USA) (US) HudsonAlpha US United States (USA) (US) University of Illinois at Chicago US United States (USA) (US) Johns Hopkins University (JHU) US United States (USA) (US) Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM) / Federal Institute for Drugs and Medical Devices DE Germany (DE) University of Toronto CA Canada (CA) Psychiatrisches Zentrum Nordbaden / Psychiatric Center Nordbaden DE Germany (DE) Umeå University SE Sweden (SE) University of Southern California (USC) US United States (USA) (US) Neuroscience Research Australia NeuRA AU Australia (AU) Université Paris Cité FR France (FR) National Institute of Mental Health Information Resource Center US United States (USA) (US) University of Tartu EE Estonia (EE) Indiana University US United States (USA) (US) The Jane and Terry Semel Institute for Neuroscience and Human Behavior US United States (USA) (US) North East London NHS Foundation Trust GB United Kingdom (GB) University of Galway (NUIG) / Ollscoil na Gaillimhe IE Ireland (IE) University of Sarajevo BA Bosnia And Herzegovina (BA) PsyQ NL Netherlands (NL) University of Aberdeen GB United Kingdom (GB) University of Pennsylvania (UPenn) US United States (USA) (US) Rheinische Friedrich-Wilhelms-Universität Bonn DE Germany (DE) Universitätsklinikum Carl Gustav Carus Dresden DE Germany (DE) Vrije Universiteit Amsterdam (VU) / University Amsterdam NL Netherlands (NL) Hospital Universitario Puerto Real ES Spain (ES) Hospital Universitario Reina Sofía de Córdoba Edificio IMIBIC ES Spain (ES) University Hospital of Jaén ES Spain (ES) Universitätsklinikum Frankfurt am Main (KGU) DE Germany (DE) Instituto de Salud Global de Barcelona (ISGlobal) ES Spain (ES) Hospital Punta de Europa ES Spain (ES) National Institute for Health and Medical Research / Institut national de la santé et de la recherche médicale (INSERM) FR France (FR) Universidad de Málaga / University of Malaga ES Spain (ES) Goethe-Universität Frankfurt am Main DE Germany (DE) Hospital Universitario de Jerez ES Spain (ES) Berkshire Healthcare NHS Foundation Trust GB United Kingdom (GB) Rush University US United States (USA) (US) Mario Negri Institute for Pharmacological Research (IRCCS) / Istituto di Ricerche Farmacologiche Mario Negri IT Italy (IT) Weill Cornell Medicine US United States (USA) (US) Universitätsklinikum Köln DE Germany (DE) University of Iowa Hospitals and Clinics (UIHC) US United States (USA) (US) Translational Genomics Research Institute (TGen) US United States (USA) (US) University of Antwerp / Universiteit Antwerpen BE Belgium (BE) Oslo University Hospital, Ullevål / Oslo universitetssykehus, Ullevål NO Norway (NO) University of Iceland (UI) / Háskóli Íslands IS Iceland (IS) Princess Margaret Cancer Centre / Princess Margaret Hospital CA Canada (CA) Maria Skłodowska-Curie Institute of Oncology / Centrum Onkologii–Instytut im. Marii Skłodowskiej-Curie w Warszawie PL Poland (PL) Scripps Research Institute (TSRI) US United States (USA) (US) Harvard University US United States (USA) (US) NHS Scotland - Scotland's Health on the Web GB United Kingdom (GB) Queensland University of Technology (QUT) AU Australia (AU) Solid Biosciences Inc. US United States (USA) (US) Duke University US United States (USA) (US) University of Oxford GB United Kingdom (GB) Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK e.V.) DE Germany (DE) University of Cambridge GB United Kingdom (GB) National Cancer Institute (NCI) US United States (USA) (US) Kaiser Permanente US United States (USA) (US) Institute of Biological Psychiatry DK Denmark (DK) Leiden University Medical Center NL Netherlands (NL)

How to cite

APA:

Andlauer, T.F., Guzman-Parra, J., González, M.J., Gil Flores, S., Cabaleiro Fabeiro, F.J., del Río Noriega, F.,... Müller-Myhsok, B. (2021). Bipolar multiplex families have an increased burden of common risk variants for psychiatric disorders. Molecular Psychiatry, 26(4), 1286-1298. https://doi.org/10.1038/s41380-019-0558-2

MLA:

Andlauer, Till F.M., et al. "Bipolar multiplex families have an increased burden of common risk variants for psychiatric disorders." Molecular Psychiatry 26.4 (2021): 1286-1298.

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