RT Journal Article T1 Exome sequencing in large, multiplex bipolar disorder families from Cuba. A1 Maaser, Anna A1 Forstner, Andreas J A1 Strohmaier, Jana A1 Hecker, Julian A1 Ludwig, Kerstin U A1 Sivalingam, Sugirthan A1 Streit, Fabian A1 Degenhardt, Franziska A1 Witt, Stephanie H A1 Reinbold, Céline S A1 Koller, Anna C A1 Raff, Ruth A1 Heilmann-Heimbach, Stefanie A1 Fischer, Sascha B A1 Bipolar Disorder Working Group of the Psychiatric Genomics Consortium, A1 Herms, Stefan A1 Hoffmann, Per A1 Thiele, Holger A1 Nürnberg, Peter A1 Löhlein Fier, Heide A1 Orozco-Díaz, Guillermo A1 Carmenate-Naranjo, Deinys A1 Proenza-Barzaga, Niurka A1 Auburger, Georg W J A1 Andlauer, Till F M A1 Cichon, Sven A1 Marcheco-Teruel, Beatriz A1 Mors, Ole A1 Rietschel, Marcella A1 Nöthen, Markus M AB Bipolar disorder (BD) is a major psychiatric illness affecting around 1% of the global population. BD is characterized by recurrent manic and depressive episodes, and has an estimated heritability of around 70%. Research has identified the first BD susceptibility genes. However, the underlying pathways and regulatory networks remain largely unknown. Research suggests that the cumulative impact of common alleles with small effects explains only around 25-38% of the phenotypic variance for BD. A plausible hypothesis therefore is that rare, high penetrance variants may contribute to BD risk. The present study investigated the role of rare, nonsynonymous, and potentially functional variants via whole exome sequencing in 15 BD cases from two large, multiply affected families from Cuba. The high prevalence of BD in these pedigrees renders them promising in terms of the identification of genetic risk variants with large effect sizes. In addition, SNP array data were used to calculate polygenic risk scores for affected and unaffected family members. After correction for multiple testing, no significant increase in polygenic risk scores for common, BD-associated genetic variants was found in BD cases compared to healthy relatives. Exome sequencing identified a total of 17 rare and potentially damaging variants in 17 genes. The identified variants were shared by all investigated BD cases in the respective pedigree. The most promising variant was located in the gene SERPING1 (p.L349F), which has been reported previously as a genome-wide significant risk gene for schizophrenia. The present data suggest novel candidate genes for BD susceptibility, and may facilitate the discovery of disease-relevant pathways and regulatory networks. YR 2018 FD 2018-10-31 LK http://hdl.handle.net/10668/13142 UL http://hdl.handle.net/10668/13142 LA en DS RISalud RD Apr 4, 2025