Panagiotaropoulou, G. ORCID: https://orcid.org/0000-0001-9516-6158, Hellberg, K. ORCID: https://orcid.org/0000-0003-4779-7494, Coleman, J. ORCID: https://orcid.org/0000-0002-6759-0944, Seok, D. ORCID: https://orcid.org/0000-0002-6720-0539, Kalman, J. ORCID: https://orcid.org/0000-0003-0930-4214, Mitchell, P., Schofield, P., Forstner, A., Bauer, M., Scott, L., Pato, C., Pato, M., Li, Q., Kirov, G., Landén, M., Jonsson, L., Müller-Myhsok, B., Smoller, J., Binder, E., Brückl, T., Czamara, D., der Auwera, S., Grabe, H., Homuth, G., Schmidt, C., Potash, J., DePaulo, R., Goes, F., MacKinnon, D., Mondimore, F., Weissman, M., Shi, J., Frye, M., Biernacka, J., Reif, A., Witt, S., Kahn, R., Boks, M., Owen, M., Gordon-Smith, Katherine ORCID: https://orcid.org/0000-0003-4083-1143, Mitchell, B., Martin, N., Medland, S., Jones, Lisa ORCID: https://orcid.org/0000-0002-5122-8334, Knowles, J., Levinson, D., O'Donovan, M., Lewis, C., Breen, G. ORCID: https://orcid.org/0000-0003-2053-1792, Werge, T. ORCID: https://orcid.org/0000-0003-1829-0766, Schork, A. ORCID: https://orcid.org/0000-0003-4164-9335, Ophoff, R. ORCID: https://orcid.org/0000-0002-8287-6457, Ripke, S. ORCID: https://orcid.org/0000-0003-3622-835X and Loohuis, L. ORCID: https://orcid.org/0000-0002-3327-7837 (2024) Identifying genetic differences between bipolar disorder and major depression through multiple GWAS. medRxiv. pp. 1-46.
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Abstract
Background; Accurate diagnosis of bipolar disorder (BD) is difficult in clinical practice, with an average delay between symptom onset and diagnosis of about 7 years. A key reason is that the first manic episode is often preceded by a depressive one, making it difficult to distinguish BD from unipolar major depressive disorder (MDD).
Aims; Here, we use genome-wide association analyses (GWAS) to identify differential genetic factors and to develop predictors based on polygenic risk scores that may aid early differential diagnosis.
Methods; Based on individual genotypes from case-control cohorts of BD and MDD shared through the Psychiatric Genomics Consortium, we compile case-case-control cohorts, applying a careful merging and quality control procedure. In a resulting cohort of 51,149 individuals (15,532 BD cases, 12,920 MDD cases and 22,697 controls), we perform a variety of GWAS and polygenic risk scores (PRS) analyses.
Results; While our GWAS is not well-powered to identify genome-wide significant loci, we find significant SNP-heritability and demonstrate the ability of the resulting PRS to distinguish BD from MDD, including BD cases with depressive onset. We replicate our PRS findings, but not signals of individual loci in an independent Danish cohort (iPSYCH 2015 case-cohort study, N=25,966). We observe strong genetic correlation between our case-case GWAS and that of case-control BD.
Conclusions; We find that MDD and BD, including BD with a depressive onset, are genetically distinct. Further, our findings support the hypothesis that Controls – MDD — BD primarily lie on a continuum of genetic risk. Future studies with larger and richer samples will likely yield a better understanding of these findings and enable the development of better genetic predictors distinguishing BD and, importantly, BD with depressive onset from MDD.
Item Type: | Article |
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Additional Information: | This article is a preprint and has not been peer-reviewed. It reports new medical research that has yet to be evaluated and so should not be used to guide clinical practice. |
Divisions: | College of Health, Life and Environmental Sciences > School of Allied Health and Community |
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Copyright Info: | The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-ND 4.0 International license. |
SWORD Depositor: | Prof. Pub Router |
Depositing User: | Katherine Gordon-Smith |
Date Deposited: | 19 Apr 2024 13:59 |
Last Modified: | 16 May 2024 14:36 |
URI: | https://eprints.worc.ac.uk/id/eprint/13708 |
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