New Genomics Discoveries Across the Bipolar Disorder Spectrum Implicate Neurobiological and Developmental Pathways

Research output: Contribution to journalReview articleContributedpeer-review

Contributors

  • Bipolar Disorder Working Group of the Psychiatric Genomics Consortium - (Author)
  • Department of Psychiatry and Psychotherapy
  • University of Oslo
  • Umeå University
  • Technical University of Munich
  • University Hospital Carl Gustav Carus Dresden
  • University of Münster
  • University of Melbourne
  • Florey Institute of Neuroscience and Mental Health
  • Mayo Clinic Rochester, MN
  • University of Cagliari
  • University Hospital of Cagliari
  • University of Basel
  • University of Bonn
  • Jülich Research Centre
  • Cardiff University
  • Autonomous University of Nuevo León
  • University Hospital Essen
  • Eginition Hospital
  • National and Kapodistrian University of Athens
  • King's College London (KCL)
  • University of Marburg
  • Neuroscience Research Australia
  • University of New South Wales
  • Alexandru Obregia Clinical Psychiatric Hospital
  • Regional University Hospital of Malaga
  • University of Worcester
  • University of Gothenburg
  • Barcelona Institute for Global Health (ISGlobal) Hospital Clínic
  • Karolinska Institutet
  • Maria Sklodowska-Curie Institute of Oncology
  • University of Stellenbosch
  • Dalhousie University
  • Lindner Center of HOPE
  • Heidelberg University 
  • German Center for Mental Health (DZPG) Partner Site Jena, Halle, Mageburg
  • Max Planck Institute of Psychiatry
  • Munich Cluster for Systems Neurology (SyNergy)
  • University of Liverpool (UOL)
  • University of Patras
  • United Arab Emirates University
  • Erasmus University Rotterdam
  • University of Medical Sciences Poznan
  • University Hospital Frankfurt
  • Fraunhofer Institute for Translational Medicine and Pharmacology
  • SUNY Upstate Medical University
  • Ludwig Maximilian University of Munich
  • Johns Hopkins Medicine
  • Kore University of Enna
  • IRCCS Oasi Maria SS. - Troina (EN)
  • Massachusetts General Hospital
  • University of Cape Town
  • German Center for Mental Health (DZPG) Partner Site Mannheim-Heidelberg-Ulm
  • Nofer Institute of Occupational Medicine
  • Mood Disorder Lucio Bini Centers
  • Harvard University
  • University of Barcelona
  • Hospital Clinic of Barcelona
  • CIBER - Mental Health
  • Emory University
  • University of California at San Diego
  • J. Craig Venter Institute

Abstract

Bipolar disorder (BD) is a highly heritable mental disorder that affects millions of people worldwide. Our understanding of the genetic etiology and biological processes that underlie BD have greatly increased in recent years. Extensive progress has been made in identifying common variant signals for BD, and the polygenic score from the latest genome-wide association study (GWAS) may provide some clinical utility if combined with other risk factors for BD. The role of rare variation in BD remains to be determined, although genes annotated to common variant loci are shown to be enriched for rare variation. BD subtypes have been shown to differ in their genetic architecture, and as such, genetic studies across the subtypes of the BD spectrum will identify subtype-specific signals and reveal subtype-specific biological mechanisms. Despite this, subtype-specific GWAS sample sizes have not increased at the same rate as BD cases, and more concerted efforts are required to obtain this information for participants included in future BD GWASs. Moreover, assessment of culture, geography, and other systematic differences that may impact patient assessment will be necessary to ensure accurate inclusion of diverse ancestral groups and global representation in genetic studies of BD moving forward.

Details

Original languageEnglish
Pages (from-to)302-310
Number of pages9
JournalBiological psychiatry
Volume98
Issue number4
Publication statusPublished - 15 Aug 2025
Peer-reviewedYes

External IDs

Scopus 105009287949
ORCID /0000-0002-2666-859X/work/204618389

Keywords

Sustainable Development Goals

Keywords

  • Bipolar disorder, Genetics, Neurobiology, Prediction, Psychiatric genetics, Variation