RT Journal Article T1 Association of polygenic score for major depression with response to lithium in patients with bipolar disorder. A1 Amare, Azmeraw T A1 Schubert, Klaus Oliver A1 Hou, Liping A1 Clark, Scott R A1 Papiol, Sergi A1 Cearns, Micah A1 Heilbronner, Urs A1 Degenhardt, Franziska A1 Tekola-Ayele, Fasil A1 Hsu, Yi-Hsiang A1 Shekhtman, Tatyana A1 Adli, Mazda A1 Akula, Nirmala A1 Akiyama, Kazufumi A1 Ardau, Raffaella A1 Arias, Bárbara A1 Aubry, Jean-Michel A1 Backlund, Lena A1 Bhattacharjee, Abesh Kumar A1 Bellivier, Frank A1 Benabarre, Antonio A1 Bengesser, Susanne A1 Biernacka, Joanna M A1 Birner, Armin A1 Brichant-Petitjean, Clara A1 Cervantes, Pablo A1 Chen, Hsi-Chung A1 Chillotti, Caterina A1 Cichon, Sven A1 Cruceanu, Cristiana A1 Czerski, Piotr M A1 Dalkner, Nina A1 Dayer, Alexandre A1 Del Zompo, Maria A1 DePaulo, J Raymond A1 Étain, Bruno A1 Jamain, Stephane A1 Falkai, Peter A1 Forstner, Andreas J A1 Frisen, Louise A1 Frye, Mark A A1 Fullerton, Janice M A1 Gard, Sébastien A1 Garnham, Julie S A1 Goes, Fernando S A1 Grigoroiu-Serbanescu, Maria A1 Grof, Paul A1 Hashimoto, Ryota A1 Hauser, Joanna A1 Herms, Stefan A1 Hoffmann, Per A1 Hofmann, Andrea A1 Jiménez, Esther A1 Kahn, Jean-Pierre A1 Kassem, Layla A1 Kuo, Po-Hsiu A1 Kato, Tadafumi A1 Kelsoe, John R A1 Kittel-Schneider, Sarah A1 Kliwicki, Sebastian A1 König, Barbara A1 Kusumi, Ichiro A1 Laje, Gonzalo A1 Landén, Mikael A1 Lavebratt, Catharina A1 Leboyer, Marion A1 Leckband, Susan G A1 Tortorella, Alfonso A1 Manchia, Mirko A1 Martinsson, Lina A1 McCarthy, Michael J A1 McElroy, Susan L A1 Colom, Francesc A1 Mitjans, Marina A1 Mondimore, Francis M A1 Monteleone, Palmiero A1 Nievergelt, Caroline M A1 Nöthen, Markus M A1 Novák, Tomas A1 O'Donovan, Claire A1 Ozaki, Norio A1 Ösby, Urban A1 Pfennig, Andrea A1 Potash, James B A1 Reif, Andreas A1 Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium, A1 Reininghaus, Eva A1 Rouleau, Guy A A1 Rybakowski, Janusz K A1 Schalling, Martin A1 Schofield, Peter R A1 Schweizer, Barbara W A1 Severino, Giovanni A1 Shilling, Paul D A1 Shimoda, Katzutaka A1 Simhandl, Christian A1 Slaney, Claire M A1 Squassina, Alessio A1 Stamm, Thomas A1 Stopkova, Pavla A1 Maj, Mario A1 Turecki, Gustavo A1 Vieta, Eduard A1 Veeh, Julia A1 Witt, Stephanie H A1 Wright, Adam A1 Zandi, Peter P A1 Mitchell, Philip B A1 Bauer, Michael A1 Alda, Martin A1 Rietschel, Marcella A1 McMahon, Francis J A1 Schulze, Thomas G A1 Baune, Bernhard T AB Lithium is a first-line medication for bipolar disorder (BD), but only one in three patients respond optimally to the drug. Since evidence shows a strong clinical and genetic overlap between depression and bipolar disorder, we investigated whether a polygenic susceptibility to major depression is associated with response to lithium treatment in patients with BD. Weighted polygenic scores (PGSs) were computed for major depression (MD) at different GWAS p value thresholds using genetic data obtained from 2586 bipolar patients who received lithium treatment and took part in the Consortium on Lithium Genetics (ConLi+Gen) study. Summary statistics from genome-wide association studies in MD (135,458 cases and 344,901 controls) from the Psychiatric Genomics Consortium (PGC) were used for PGS weighting. Response to lithium treatment was defined by continuous scores and categorical outcome (responders versus non-responders) using measurements on the Alda scale. Associations between PGSs of MD and lithium treatment response were assessed using a linear and binary logistic regression modeling for the continuous and categorical outcomes, respectively. The analysis was performed for the entire cohort, and for European and Asian sub-samples. The PGSs for MD were significantly associated with lithium treatment response in multi-ethnic, European or Asian populations, at various p value thresholds. Bipolar patients with a low polygenic load for MD were more likely to respond well to lithium, compared to those patients with high polygenic load [lowest vs highest PGS quartiles, multi-ethnic sample: OR = 1.54 (95% CI: 1.18-2.01) and European sample: OR = 1.75 (95% CI: 1.30-2.36)]. While our analysis in the Asian sample found equivalent effect size in the same direction: OR = 1.71 (95% CI: 0.61-4.90), this was not statistically significant. Using PGS decile comparison, we found a similar trend of association between a high genetic loading for MD and lower response to lithium. Our findings underscore the genetic contribution to lithium response in BD and support the emerging concept of a lithium-responsive biotype in BD. YR 2020 FD 2020-03-16 LK https://hdl.handle.net/10668/25663 UL https://hdl.handle.net/10668/25663 LA en DS RISalud RD Apr 8, 2025