RT Journal Article T1 Bipolar multiplex families have an increased burden of common risk variants for psychiatric disorders. A1 Andlauer, Till F M A1 Guzman-Parra, Jose A1 Streit, Fabian A1 Strohmaier, Jana A1 González, Maria José A1 Gil Flores, Susana A1 Cabaleiro Fabeiro, Francisco J A1 Del Río Noriega, Francisco A1 Perez, Fermin Perez A1 Haro González, Jesus A1 Orozco Diaz, Guillermo A1 de Diego-Otero, Yolanda A1 Moreno-Küstner, Berta A1 Auburger, Georg A1 Degenhardt, Franziska A1 Heilmann-Heimbach, Stefanie A1 Herms, Stefan A1 Hoffmann, Per A1 Frank, Josef A1 Foo, Jerome C A1 Treutlein, Jens A1 Witt, Stephanie H A1 Cichon, Sven A1 Kogevinas, Manolis A1 Bipolar Disorder Working Group of the Psychiatric Genomics Consortium, A1 Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium, A1 Rivas, Fabio A1 Mayoral, Fermín A1 Müller-Myhsok, Bertram A1 Forstner, Andreas J A1 Nöthen, Markus M A1 Rietschel, Marcella AB 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. YR 2019 FD 2019-11-11 LK https://hdl.handle.net/10668/25660 UL https://hdl.handle.net/10668/25660 LA en DS RISalud RD Apr 18, 2025