- Select a language for the TTS:
- UK English Female
- UK English Male
- US English Female
- US English Male
- Australian Female
- Australian Male
- Language selected: (auto detect) - EN
Play all audios:
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.
Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this
journal Receive 12 print issues and online access $259.00 per year only $21.58 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now
Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer
support SIMILAR CONTENT BEING VIEWED BY OTHERS EXOME SEQUENCING IN BIPOLAR DISORDER IDENTIFIES _AKAP11_ AS A RISK GENE SHARED WITH SCHIZOPHRENIA Article 11 April 2022 RARE LOSS-OF-FUNCTION
VARIANTS IN _HECTD2_ AND _AKAP11_ CONFER RISK OF BIPOLAR DISORDER Article Open access 25 March 2025 INVESTIGATING RARE PATHOGENIC/LIKELY PATHOGENIC EXONIC VARIATION IN BIPOLAR DISORDER
Article Open access 22 January 2021 REFERENCES * Craddock N, Jones I . Genetics of bipolar disorder. _J Med Genet_ 1999; 36: 585–594. Article CAS Google Scholar * Berrettini W . Progress
and pitfalls: bipolar molecular linkage studies. _J Affect Disord_ 1998; 50: 287–297. Article CAS Google Scholar * Kendler KS, Pedersen N, Johnson L, Neale MC, Mathe AA . A pilot Swedish
twin study of affective illness, including hospital- and population-ascertained subsamples. _Arch Gen Psychiatry_ 1993; 50: 699–700. Article CAS Google Scholar * Baum AE, Akula N,
Cabanero M, Cardona I, Corona W, Klemens B _et al_. A genome-wide association study implicates diacylglycerol kinase eta (DGKH) and several other genes in the etiology of bipolar disorder.
_Mol Psychiatry_ 2008; 13: 197–207. Article CAS Google Scholar * Sklar P, Smoller JW, Fan J, Ferreira MA, Perlis RH, Chambert K _et al_. Whole-genome association study of bipolar
disorder. _Mol Psychiatry_ 2008; 13: 558–569. Article CAS Google Scholar * The Wellcome Trust Case Control Consortium. Genome-wide association study of 14 000 cases of seven common
diseases and 3000 shared controls. _Nature_ 2007; 447: 661–678. * Sebat J, Lakshmi B, Malhotra D, Troge J, Lese-Martin C, Walsh T _et al_. Strong association of _de novo_ copy number
mutations with autism. _Science_ 2007; 316: 445–449. Article CAS Google Scholar * Stefansson H, Rujescu D, Cichon S, Pietilainen OP, Ingason A, Steinberg S _et al_. Large recurrent
microdeletions associated with schizophrenia. _Nature_ 2008; 455: 232–236. Article CAS Google Scholar * The International Schizophrenia Consortium. Rare chromosomal deletions and
duplications increase risk of schizophrenia. _Nature_ 2008; 455: 237–241. Article Google Scholar * Walsh T, McClellan JM, McCarthy SE, Addington AM, Pierce SB, Cooper GM _et al_. Rare
structural variants disrupt multiple genes in neurodevelopmental pathways in schizophrenia. _Science_ 2008; 320: 539–543. CAS Google Scholar * Weiss LA, Shen Y, Korn JM, Arking DE, Miller
DT, Fossdal R _et al_. Association between microdeletion and microduplication at 16p11.2 and autism. _N Engl J Med_ 2008; 358: 667–675. Article CAS Google Scholar * Szatmari P, Paterson
AD, Zwaigenbaum L, Roberts W, Brian J, Liu XQ _et al_. Mapping autism risk loci using genetic linkage and chromosomal rearrangements. _Nat Genet_ 2007; 39: 319–328. Article CAS Google
Scholar * Berrettini WH . Susceptibility loci for bipolar disorder: overlap with inherited vulnerability to schizophrenia. _Biol Psychiatry_ 2000; 47: 245–251. Article CAS Google Scholar
* Smith EN, Bloss C, Nievergelt C, Zaitlen N, Belmonte PS, Badner JA _et al_. _Genome-Wide Association of Bipolar Disorder in European American and African American Individuals_ 2008. Ref
Type: Unpublished Work submitted for publication. * Nurnberger Jr JI, Blehar MC, Kaufmann CA, York-Cooler C, Simpson SG, Harkavy-Friedman J _et al_. Diagnostic Interview for Genetic Studies.
Rationale, unique features, and training. NIMH Genetics Initiative. _Arch Gen Psychiatry_ 1994; 51: 849–859. Article Google Scholar * American Psychiatric Association. _Diagnostic and
Statistical Manual of Mental Disorders: DSM-IV-TR. Washington, DC_: American Psychiatric Association, 2000. * Manolio TA . Taking our obligations to research participants seriously:
disclosing individual results of genetic research. _Am J Bioeth_ 2006; 6: 32–34. Article Google Scholar * McCarroll SA, Kuruvilla FG, Korn JM, Cawley S, Nemesh J, Wysoker A _et al_.
Integrated detection and population-genetic analysis of SNPs and copy number variation. _Nat Genet_ 2008; 40: 1166–1174. Article CAS Google Scholar * Korn JM, Kuruvilla FG, McCarroll SA,
Wysoker A, Nemesh J, Cawley S _et al_. Integrated genotype calling and association analysis of SNPs, common copy number polymorphisms and rare CNVs. _Nat Genet_ 2008; 40: 1253–1260. Article
CAS Google Scholar * Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D _et al_. PLINK: a tool set for whole-genome association and population-based linkage analyses. _Am
J Hum Genet_ 2007; 81: 559–575. Article CAS Google Scholar * Boehm D, Herold S, Kuechler A, Liehr T, Laccone F . Rapid detection of subtelomeric deletion/duplication by novel real-time
quantitative PCR using SYBR-green dye. _Hum Mutat_ 2004; 23: 368–378. Article CAS Google Scholar * Wilke K, Duman B, Horst J . Diagnosis of haploidy and triploidy based on measurement of
gene copy number by real-time PCR. _Hum Mutat_ 2000; 16: 431–436. Article CAS Google Scholar * Duan J, Gejman PV, Sanders AR, Zheng Y, Shi J, Oh S _et al_. Rare copy number variants in
schizophrenia: confirmation of previous findings and new candidate associations. XVIth World Congress on Psychiatric Genetics (October 11-15, 2008, Osaka, Japan, meeting abstract). *
Friedman JI, Vrijenhoek T, Markx S, Janssen IM, van d, V Faas BH _et al_. _CNTNAP2_ gene dosage variation is associated with schizophrenia and epilepsy. _Mol Psychiatry_ 2008; 13: 261–266.
Article CAS Google Scholar * Shifman S, Bronstein M, Sternfeld M, Pisante-Shalom A, Lev-Lehman E, Weizman A _et al_. A highly significant association between a COMT haplotype and
schizophrenia. _Am J Hum Genet_ 2002; 71: 1296–1302. Article CAS Google Scholar * Williams NM, Glaser B, Norton N, Williams H, Pierce T, Moskvina V _et al_. Strong evidence that GNB1L is
associated with schizophrenia. _Hum Mol Genet_ 2008; 17: 555–566. Article CAS Google Scholar Download references ACKNOWLEDGEMENTS This paper was prepared as part of the bipolar
collaboration of the GAIN, and was submitted before the end of the publication embargo for non-GAIN scientists. We acknowledge Dr Dan Nicolae (University of Chicago) for extensive
statistical discussion and advice, Mr Xiaotong Zhang (University of Chicago) for his excellent software support and Ms Kay Grennan (University of Chicago) for her technical assistance. This
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
Google Scholar * T Greenwood View author publications You can also search for this author inPubMed Google Scholar * C Nievergelt View author publications You can also search for this author
inPubMed Google Scholar * T B Barrett View author publications You can also search for this author inPubMed Google Scholar * R McKinney View author publications You can also search for this
author inPubMed Google Scholar * N Schork View author publications You can also search for this author inPubMed Google Scholar * E N Smith View author publications You can also search for
this author inPubMed Google Scholar * C Bloss View author publications You can also search for this author inPubMed Google Scholar * J Nurnberger View author publications You can also search
for this author inPubMed Google Scholar * H J Edenberg View author publications You can also search for this author inPubMed Google Scholar * T Foroud View author publications You can also
search for this author inPubMed Google Scholar * W Sheftner View author publications You can also search for this author inPubMed Google Scholar * W B Lawson View author publications You can
also search for this author inPubMed Google Scholar * E A Nwulia View author publications You can also search for this author inPubMed Google Scholar * M Hipolito View author publications
You can also search for this author inPubMed Google Scholar * W Coryell View author publications You can also search for this author inPubMed Google Scholar * J Rice View author publications
You can also search for this author inPubMed Google Scholar * W Byerley View author publications You can also search for this author inPubMed Google Scholar * F McMahon View author
publications You can also search for this author inPubMed Google Scholar * T G Schulze View author publications You can also search for this author inPubMed Google Scholar * W Berrettini
View author publications You can also search for this author inPubMed Google Scholar * J B Potash View author publications You can also search for this author inPubMed Google Scholar * P L
Belmonte View author publications You can also search for this author inPubMed Google Scholar * P P Zandi View author publications You can also search for this author inPubMed Google Scholar
* M G McInnis View author publications You can also search for this author inPubMed Google Scholar * S Zöllner View author publications You can also search for this author inPubMed Google
Scholar * D Craig View author publications You can also search for this author inPubMed Google Scholar * S Szelinger View author publications You can also search for this author inPubMed
Google Scholar * D Koller View author publications You can also search for this author inPubMed Google Scholar * S L Christian View author publications You can also search for this author
inPubMed Google Scholar * C Liu View author publications You can also search for this author inPubMed Google Scholar * E S Gershon View author publications You can also search for this
author inPubMed Google Scholar CORRESPONDING AUTHORS Correspondence to C Liu or E S Gershon. ADDITIONAL INFORMATION Supplementary Information accompanies the paper on the Molecular
Psychiatry website (http://www.nature.com/mp) SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION (DOC 508 KB) RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS
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:
https://doi.org/10.1038/mp.2008.144 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently
available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * copy number variation * singleton * bipolar disorder * genetics