RT Journal Article T1 Investigating rare pathogenic/likely pathogenic exonic variation in bipolar disorder. A1 Jia, Xiaoming A1 Goes, Fernando S A1 Locke, Adam E A1 Palmer, Duncan A1 Wang, Weiqing A1 Cohen-Woods, Sarah A1 Genovese, Giulio A1 Jackson, Anne U A1 Jiang, Chen A1 Kvale, Mark A1 Mullins, Niamh A1 Nguyen, Hoang A1 Pirooznia, Mehdi A1 Rivera, Margarita A1 Ruderfer, Douglas M A1 Shen, Ling A1 Thai, Khanh A1 Zawistowski, Matthew A1 Zhuang, Yongwen A1 Abecasis, Gonçalo A1 Akil, Huda A1 Bergen, Sarah A1 Burmeister, Margit A1 Chapman, Sinéad A1 DelaBastide, Melissa A1 Juréus, Anders A1 Kang, Hyun Min A1 Kwok, Pui-Yan A1 Li, Jun Z A1 Levy, Shawn E A1 Monson, Eric T A1 Moran, Jennifer A1 Sobell, Janet A1 Watson, Stanley A1 Willour, Virginia A1 Zöllner, Sebastian A1 Adolfsson, Rolf A1 Blackwood, Douglas A1 Boehnke, Michael A1 Breen, Gerome A1 Corvin, Aiden A1 Craddock, Nick A1 DiFlorio, Arianna A1 Hultman, Christina M A1 Landen, Mikael A1 Lewis, Cathryn A1 McCarroll, Steven A A1 Richard McCombie, W A1 McGuffin, Peter A1 McIntosh, Andrew A1 McQuillin, Andrew A1 Morris, Derek A1 Myers, Richard M A1 O'Donovan, Michael A1 Ophoff, Roel A1 Boks, Marco A1 Kahn, Rene A1 Ouwehand, Willem A1 Owen, Michael A1 Pato, Carlos A1 Pato, Michele A1 Posthuma, Danielle A1 Potash, James B A1 Reif, Andreas A1 Sklar, Pamela A1 Smoller, Jordan A1 Sullivan, Patrick F A1 Vincent, John A1 Walters, James A1 Neale, Benjamin A1 Purcell, Shaun A1 Risch, Neil A1 Schaefer, Catherine A1 Stahl, Eli A A1 Zandi, Peter P A1 Scott, Laura J AB Bipolar disorder (BD) is a serious mental illness with substantial common variant heritability. However, the role of rare coding variation in BD is not well established. We examined the protein-coding (exonic) sequences of 3,987 unrelated individuals with BD and 5,322 controls of predominantly European ancestry across four cohorts from the Bipolar Sequencing Consortium (BSC). We assessed the burden of rare, protein-altering, single nucleotide variants classified as pathogenic or likely pathogenic (P-LP) both exome-wide and within several groups of genes with phenotypic or biologic plausibility in BD. While we observed an increased burden of rare coding P-LP variants within 165 genes identified as BD GWAS regions in 3,987 BD cases (meta-analysis OR = 1.9, 95% CI = 1.3-2.8, one-sided p = 6.0 × 10-4), this enrichment did not replicate in an additional 9,929 BD cases and 14,018 controls (OR = 0.9, one-side p = 0.70). Although BD shares common variant heritability with schizophrenia, in the BSC sample we did not observe a significant enrichment of P-LP variants in SCZ GWAS genes, in two classes of neuronal synaptic genes (RBFOX2 and FMRP) associated with SCZ or in loss-of-function intolerant genes. In this study, the largest analysis of exonic variation in BD, individuals with BD do not carry a replicable enrichment of rare P-LP variants across the exome or in any of several groups of genes with biologic plausibility. Moreover, despite a strong shared susceptibility between BD and SCZ through common genetic variation, we do not observe an association between BD risk and rare P-LP coding variants in genes known to modulate risk for SCZ. YR 2021 FD 2021-01-22 LK https://hdl.handle.net/10668/25662 UL https://hdl.handle.net/10668/25662 LA en DS RISalud RD Apr 17, 2025