RT Journal Article T1 Whole-exome sequencing of 81 individuals from 27 multiply affected bipolar disorder families A1 Forstner, Andreas J. A1 Fischer, Sascha B. A1 Schenk, Lorena M. A1 Strohmaier, Jana A1 Maaser-Hecker, Anna A1 Reinbold, Céline S. A1 Sivalingam, Sugirthan A1 Hecker, Julian A1 Streit, Fabian A1 Degenhardt, Franziska A1 Witt, Stephanie H. A1 Schumacher, Johannes A1 Thiele, Holger A1 Nürnberg, Peter A1 Guzman-Parra, José A1 Orozco Diaz, Guillermo A1 Auburger, Georg A1 Albus, Margot A1 Borrmann-Hassenbach, Margitta A1 González, Maria José A1 Gil Flores, Susana A1 Cabaleiro Fabeiro, Francisco J. A1 del Río Noriega, Francisco A1 Perez Perez, Fermin A1 Haro González, Jesus A1 Rivas, Fabio A1 Mayoral, Fermin A1 Bauer, Michael A1 Pfennig, Andrea A1 Reif, Andreas A1 Herms, Stefan A1 Hoffmann, Per A1 Pirooznia, Mehdi A1 Goes, Fernando S. A1 Rietschel, Marcella A1 Nöthen, Markus M. A1 Cichon, Sven K1 Whole exome sequencing K1 Bipolar disorder K1 Neuropsychiatry K1 Genetic predisposition to disease K1 Secuenciación del exoma completo K1 Trastorno bipolar K1 Neuropsiquiatría K1 Predisposición genética a la enfermedad AB Bipolar disorder (BD) is a highly heritable neuropsychiatric disease characterized by recurrent episodes of depression and mania. Research suggests that the cumulative impact of common alleles explains 25-38% of phenotypic variance, and that rare variants may contribute to BD susceptibility. To identify rare, high-penetrance susceptibility variants for BD, whole-exome sequencing (WES) was performed in three affected individuals from each of 27 multiply affected families from Spain and Germany. WES identified 378 rare, non-synonymous, and potentially functional variants. These spanned 368 genes, and were carried by all three affected members in at least one family. Eight of the 368 genes harbored rare variants that were implicated in at least two independent families. In an extended segregation analysis involving additional family members, five of these eight genes harbored variants showing full or nearly full cosegregation with BD. These included the brain-expressed genes RGS12 and NCKAP5, which were considered the most promising BD candidates on the basis of independent evidence. Gene enrichment analysis for all 368 genes revealed significant enrichment for four pathways, including genes reported in de novo studies of autism (padj < 0.006) and schizophrenia (padj = 0.015). These results suggest a possible genetic overlap with BD for autism and schizophrenia at the rare-sequence-variant level. The present study implicates novel candidate genes for BD development, and may contribute to an improved understanding of the biological basis of this common and often devastating disease. PB Springer Nature YR 2020 FD 2020-02-04 LK http://hdl.handle.net/10668/3860 UL http://hdl.handle.net/10668/3860 LA en NO Forstner AJ, Fischer SB, Schenk LM, Strohmaier J, Maaser-Hecker A, Reinbold CS, et al. Whole-exome sequencing of 81 individuals from 27 multiply affected bipolar disorder families. Transl Psychiatry. 2020 Feb 4;10(1):57 DS RISalud RD Apr 19, 2025