Singleton deletions throughout the genome increase risk of bipolar disorder


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ABSTRACT An overall burden of rare structural genomic variants has not been reported in bipolar disorder (BD), although there have been reports of cases with microduplication and


microdeletion. Here, we present a genome-wide copy number variant (CNV) survey of 1001 cases and 1034 controls using the Affymetrix single nucleotide polymorphism (SNP) 6.0 SNP and CNV


platform. Singleton deletions (deletions that appear only once in the dataset) more than 100 kb in length are present in 16.2% of BD cases in contrast to 12.3% of controls (permutation


_P_=0.007). This effect was more pronounced for age at onset of mania ⩽18 years old. Our results strongly suggest that BD can result from the effects of multiple rare structural variants.


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work was supported by grants from 1R01MH081804-01 (NIMH), NARSAD, the Eklund family and the Geraldi Norton Foundation. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Psychiatry


and Behavioral Neuroscience, The University of Chicago, Chicago, IL, USA D Zhang, L Cheng, Y Qian, N Alliey-Rodriguez, C Liu & E S Gershon * Department of Psychiatry, University of


California, San Diego, La Jolla, CA, USA J R Kelsoe, T Greenwood, C Nievergelt, T B Barrett & R McKinney * Department of Molecular and Experimental Medicine, The Scripps Research


Institute, La Jolla, CA, USA N Schork, E N Smith & C Bloss * Scripps Genomic Medicine and Scripps Translational Science Institute, La Jolla, CA, USA N Schork, E N Smith & C Bloss *


Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA J Nurnberger & D Koller * Department of Biochemistry and Molecular Biology, Indiana University


School of Medicine, Indianapolis, IN, USA H J Edenberg * Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA H J Edenberg & T


Foroud * Department of Psychiatry, Rush University, Chicago, IL, USA W Sheftner * Department of Psychiatry, Howard University, Washington, DC, USA W B Lawson, E A Nwulia & M Hipolito *


Department of Psychiatry, University of Iowa, Iowa City, IA, USA W Coryell * Division of Biosiatistics, Washington University, St Louis, MO, USA J Rice * Department of Psychiatry, University


of California, San Francisco, CA, USA W Byerley * US Department of Health and Human Services, Genetic Basis of Mood and Anxiety Disorders Unit, National Institute of Mental Health


Intramural Research Program, National Institutes of Health, Bethesda, MD, USA F McMahon & T G Schulze * Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA W


Berrettini * Department of Psychiatry, Johns Hopkins School of Medicine, Baltimore, MD, USA J B Potash, P L Belmonte & P P Zandi * Department of Psychiatry, University of Michigan, Ann


Arbor, MI, USA M G McInnis & S Zöllner * Neurogenomics Division, The Translational Genomics Research Institute, Phoenix, AZ, USA D Craig & S Szelinger * Department of Human Genetics,


The University of Chicago, Chicago, IL, USA S L Christian & E S Gershon Authors * D Zhang View author publications You can also search for this author inPubMed Google Scholar * L Cheng


View author publications You can also search for this author inPubMed Google Scholar * Y Qian View author publications You can also search for this author inPubMed Google Scholar * N


Alliey-Rodriguez View author publications You can also search for this author inPubMed Google Scholar * J R Kelsoe View author publications You can also search for this author inPubMed 


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ARTICLE Zhang, D., Cheng, L., Qian, Y. _et al._ Singleton deletions throughout the genome increase risk of bipolar disorder. _Mol Psychiatry_ 14, 376–380 (2009).


https://doi.org/10.1038/mp.2008.144 Download citation * Received: 26 November 2008 * Accepted: 02 December 2008 * Published: 30 December 2008 * Issue Date: April 2009 * DOI:


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available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * copy number variation * singleton * bipolar disorder * genetics