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What we learn about bipolar disorder from large-scale neuroimaging: Findings and future directions from the ENIGMA Bipolar Disorder Working Group

CRK. Ching, DP. Hibar, TP. Gurholt, A. Nunes, SI. Thomopoulos, C. Abé, I. Agartz, RM. Brouwer, DM. Cannon, SMC. de Zwarte, LT. Eyler, P. Favre, T. Hajek, UK. Haukvik, J. Houenou, M. Landén, TA. Lett, C. McDonald, L. Nabulsi, Y. Patel, ME....

. 2022 ; 43 (1) : 56-82. [pub] 20200729

Language English Country United States

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't, Review

Grant support
K23 MH074644 NIMH NIH HHS - United States
T32 MH073526 NIMH NIH HHS - United States
UL1 TR001863 NCATS NIH HHS - United States
142255 CIHR - Canada
T32 AG058507 NIA NIH HHS - United States
U54 EB020403 NIBIB NIH HHS - United States
R21 MH113871 NIMH NIH HHS - United States
R37 MH100041 NIMH NIH HHS - United States
K23 MH085096 NIMH NIH HHS - United States
MC_PC_17209 Medical Research Council - United Kingdom
R01 MH080912 NIMH NIH HHS - United States
P20 GM121312 NIGMS NIH HHS - United States
R01 MH096957 NIMH NIH HHS - United States
104036/Z/14/Z Wellcome Trust - United Kingdom
R01 MH060952 NIMH NIH HHS - United States
R01 MH083968 NIMH NIH HHS - United States
K23 MH098130 NIMH NIH HHS - United States
R01 MH059929 NIMH NIH HHS - United States
MR/L010305/1 Medical Research Council - United Kingdom
R01 MH095454 NIMH NIH HHS - United States
Department of Health - United Kingdom
K08 MH086786 NIMH NIH HHS - United States
R01 MH116147 NIMH NIH HHS - United States
R01 MH101111 NIMH NIH HHS - United States
R01 MH106324 NIMH NIH HHS - United States
R56 AG058854 NIA NIH HHS - United States
R01 MH075007 NIMH NIH HHS - United States
Wellcome Trust - United Kingdom
216767/Z/19/Z Wellcome Trust - United Kingdom
R03 MH105808 NIMH NIH HHS - United States
R01 MH107703 NIMH NIH HHS - United States
R01 MH085667 NIMH NIH HHS - United States
R01 MH090553 NIMH NIH HHS - United States
R01 MH076971 NIMH NIH HHS - United States

MRI-derived brain measures offer a link between genes, the environment and behavior and have been widely studied in bipolar disorder (BD). However, many neuroimaging studies of BD have been underpowered, leading to varied results and uncertainty regarding effects. The Enhancing Neuro Imaging Genetics through Meta-Analysis (ENIGMA) Bipolar Disorder Working Group was formed in 2012 to empower discoveries, generate consensus findings and inform future hypothesis-driven studies of BD. Through this effort, over 150 researchers from 20 countries and 55 institutions pool data and resources to produce the largest neuroimaging studies of BD ever conducted. The ENIGMA Bipolar Disorder Working Group applies standardized processing and analysis techniques to empower large-scale meta- and mega-analyses of multimodal brain MRI and improve the replicability of studies relating brain variation to clinical and genetic data. Initial BD Working Group studies reveal widespread patterns of lower cortical thickness, subcortical volume and disrupted white matter integrity associated with BD. Findings also include mapping brain alterations of common medications like lithium, symptom patterns and clinical risk profiles and have provided further insights into the pathophysiological mechanisms of BD. Here we discuss key findings from the BD working group, its ongoing projects and future directions for large-scale, collaborative studies of mental illness.

APHP Mondor University Hospitals DMU IMPACT Créteil France

Barcelona Bipolar Disorders and Depressive Unit Hospital Clinic Institute of Neurosciences University of Barcelona Barcelona Spain

Bloorview Research Institute Holland Bloorview Kids Rehabilitation Hospital Toronto Ontario Canada

Brain Mind and Society Research Hub Turner Institute for Brain and Mental Health School of Psychological Sciences Monash University Clayton Victoria Australia

Center for Neurobehavioral Genetics Los Angeles California USA

Center for Psychiatric Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden

Center of Excellent on Mood Disorders UTHealth Houston Houston Texas USA

Centre for Brain Health University of British Columbia Vancouver British Columbia Canada

Centre for Clinical Brain Sciences University of Edinburgh Edinburgh UK

Centre for Neuroimaging and Cognitive Genomics Clinical Neuroimaging Laboratory NCBES Galway Neuroscience Centre College of Medicine Nursing and Health Sciences National University of Ireland Galway Galway Ireland

Chief Experimental Therapeutics and Pathophysiology Branch Bethesda Maryland USA

CIBERSAM Madrid Spain

College of Intelligence Science and Technology National University of Defense Technology Changsha China

Core Facility Brainimaging Faculty of Medicine University of Marburg Marburg Germany

Dell Medical School The University of Texas at Austin Austin Texas USA

Department for Psychiatry and Psychotherapy Charité Universitätsmedizin Berlin Berlin Germany

Department of Child and Adolescent Psychiatry Psychology Erasmus Medical Center Rotterdam The Netherlands

Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden

Department of General Psychiatry Heidelberg University Heidelberg Germany

Department of Medical Biophysics University of Toronto Toronto Ontario Canada

Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden

Department of Mental Disorder Research National Institute of Neuroscience National Center of Neurology and Psychiatry Tokyo Japan

Department of Neuroimaging Institute of Psychiatry Psychology and Neuroscience King's College London London UK

Department of Neurology Oslo University Hospital Oslo Norway

Department of Neurology with Experimental Neurology Charité Universitätsmedizin Berlin Berlin Germany

Department of Neuropsychology and Clinical Psychology Johannes Gutenberg University Mainz Mainz Germany

Department of Neuroscience and Physiology University of Gothenburg Gothenburg Sweden

Department of Neurosciences and Mental Health Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

Department of Pathophysiology and Transplantation University of Milan Milan Italy

Department of Psychiatric Research Diakonhjemmet Hospital Oslo Norway

Department of Psychiatry Amsterdam UMC Amsterdam The Netherlands

Department of Psychiatry Amsterdam UMC location AMC Amsterdam The Netherlands

Department of Psychiatry and Behavioral Sciences UTHealth Houston Houston Texas USA

Department of Psychiatry and Biobehavioral Sciences Semel Institute for Neuroscience and Human Behavior University of California Los Angeles California USA

Department of Psychiatry and Mental Health University of Cape Town Cape Town South Africa

Department of Psychiatry and Psychotherapy Medical Faculty Technische Universität Dresden Dresden Germany

Department of Psychiatry and Psychotherapy Philipps University Marburg Marburg Germany

Department of Psychiatry Boston Children's Hospital and Harvard Medical School Boston Massachusetts USA

Department of Psychiatry Dalhousie University Halifax Nova Scotia Canada

Department of Psychiatry Erasmus Medical Center Erasmus University Rotterdam The Netherlands

Department of Psychiatry Icahn School of Medicine at Mount Sinai New York New York USA

Department of Psychiatry Psychosomatic Medicine and Psychotherapy Goethe University Frankfurt Frankfurt Germany

Department of Psychiatry Radboud University Medical Center Nijmegen The Netherlands

Department of Psychiatry Service Hospitalo Universitaire GHU Paris Psychiatrie and Neurosciences Paris France

Department of Psychiatry The University of Melbourne Melbourne Victoria Australia

Department of Psychiatry University Medical Center Groningen University of Groningen Groningen The Netherlands

Department of Psychiatry University Medical Center Utrecht Brain Center University Medical Center Utrecht Utrecht University Utrecht The Netherlands

Department of Psychiatry University of British Columbia Vancouver British Columbia Canada

Department of Psychiatry University of California La Jolla California USA

Department of Psychiatry University of Münster Münster Germany

Department of Psychiatry University of Oxford Oxford UK

Department of Psychiatry University of Pennsylvania Perelman School of Medicine Philadelphia Pennsylvania USA

Department of Psychiatry University of Pittsburgh Pittsburgh Pennsylvania USA

Department of Psychology School of Social Sciences and Arts City University of London London UK

Department of Psychology University of California Los Angeles California USA

Department of Psychology University of Oslo Oslo Norway

Department of Radiology Centre Hospitalier Universitaire Vaudois Lausanne Switzerland

Departments of Psychology and Psychiatry University of Toronto Toronto Ontario Canada

Desert Pacific MIRECC VA San Diego Healthcare San Diego California USA

Division of Mental Health and Addicition Oslo University Hospital Oslo Norway

Division of Neuroscience Psychiatry and Psychobiology Unit IRCCS San Raffaele Scientific Institute Milan Italy

Donders Institute for Brain Cognition and Behavior Radboud University Nijmegen The Netherlands

Early Psychosis Interventions and Clinical detection lab Department of Psychosis Studies Institute of Psychiatry Psychology and Neuroscience King's College London London UK

Experimental Therapeutics and Molecular Pathophysiology Program Department of Psychiatry UTHealth University of Texas Houston Texas USA

Faculty of Computer Science Dalhousie University Halifax Nova Scotia Canada

FIDMAG Germanes Hospitalàries Research Foundation Barcelona Spain

Genentech Inc South San Francisco California USA

Greater Los Angeles Veterans Administration Los Angeles California USA

Hurvitz Brain Sciences Sunnybrook Research Institute Toronto Ontario Canada

Imaging Genetics Center Mark and Mary Stevens Neuroimaging and Informatics Institute Keck School of Medicine University of Southern California Los Angeles California USA

IMPACT Institute The Institute for Mental and Physical Health and Clinical Translation School of Medicine Barwon Health Deakin University Geelong Victoria Australia

INSERM U1216 Grenoble Institut des Neurosciences La Tronche France

INSERM U955 team 15 Translational Neuro Psychiatry Créteil France

Institut d'Investigacions Biomèdiques August Pi i Sunyer Barcelona Spain

Institute of Clinical Medicine University of Oslo Oslo Norway

Intramural Research Program National Institute of Mental Health Bethesda Maryland USA

Laboratory of Mechanics and Materials School of Engineering Aristotle University Thessaloniki Greece

Laboratory of Psychiatric Neuroimaging Departamento e Instituto de Psiquiatria Hospital das Clinicas HCFMUSP Faculdade de Medicina Universidade de São Paulo São Paulo SP Brazil

MEG Core Facility Bethesda Maryland USA

Melbourne Neuropsychiatry Centre Department of Psychiatry University of Melbourne and Melbourne Health Melbourne Victoria Australia

Milken Institute Center for Strategic Philanthropy Washington District of Columbia USA

Mood Disorders Program Hospital Universitario Trastorno del Ánimo Medellín Colombia

Mood Disorders Research Program Yale School of Medicine New Haven Connecticut USA

Mood Disorders Unit Hospital das Clinicas HCFMUSP Faculdade de Medicina Universidade de São Paulo São Paulo SP Brazil

MRC Centre for Neuropsychiatric Genetics and Genomics Cardiff University Cardiff UK

National Institute of Mental Health Klecany Czech Republic

Neuroscience Institute University of Cape Town Cape Town South Africa

Neuroscience Research Australia Randwick New South Wales Australia

Neurospin CEA Paris Saclay team UNIACT Gif sur Yvette France

Norwegian Centre for Mental Disorders Research Department of Mental Health and Addiction Oslo University Hospital Oslo Norway

Norwegian Centre for Mental Disorders Research Institute of Clinical Medicine University of Oslo Oslo Norway

Norwegian Centre for Mental Disorders Research Oslo University Hospital Oslo Norway

P1vital Ltd Wallingford UK

Papanikolaou General Hospital Thessaloniki Greece

PROMENTA Research Center Department of Psychology University of Oslo Oslo Norway

Psychosomatic and CL Psychiatry Oslo University Hospital Oslo Norway

Research Group in Psychiatry GIPSI Department of Psychiatry Faculty of Medicine Universidad de Antioquia Medellín Colombia

Research Group Instituto de Alta Tecnología Médica Medellín Colombia

SAMRC Unit on Risk and Resilience in Mental Disorders University of Cape Town Cape Town South Africa

School of Medical Sciences University of New South Wales Sydney New South Wales Australia

School of Psychiatry University of New South Wales Sydney New South Wales Australia

Section of Psychiatry Department of Neurosciences Biomedicine and Movement Sciences University of Verona Verona Italy

Signal Processing Lab École Polytechnique Fédérale de Lausanne Lausanne Switzerland

Stockholm Health Care Services Stockholm County Council Stockholm Sweden

The Florey Institute of Neuroscience and Mental Health The University of Melbourne Melbourne Victoria Australia

The National Centre of Excellence in Youth Mental Health Centre for Youth Mental Health Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry The University of Melbourne Orygen Melbourne Victoria Australia

UCLA Center for Neurobehavioral Genetics Los Angeles California USA

Universidade de São Paulo São Paulo SP Brazil

Université de Paris Paris France

University of Cincinnati Cincinnati Ohio USA

University of Grenoble Alpes CHU Grenoble Alpes Grenoble France

Vita Salute San Raffaele University Milan Italy

West Region Institute of Mental Health Singapore Singapore

Yong Loo Lin School of Medicine National University of Singapore Singapore Singapore

References provided by Crossref.org

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$a Goikolea, Jose M $u Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain $u Barcelona Bipolar Disorders and Depressive Unit, Hospital Clinic, Institute of Neurosciences, University of Barcelona, Barcelona, Spain
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$a Green, Melissa J $u Neuroscience Research Australia, Randwick, New South Wales, Australia $u School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
700    1_
$a Grotegerd, Dominik $u Department of Psychiatry, University of Münster, Münster, Germany
700    1_
$a Gruber, Oliver $u Department of General Psychiatry, Heidelberg University, Heidelberg, Germany
700    1_
$a Haarman, Bartholomeus C M $u Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands $1 https://orcid.org/0000000290068863
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$a Henry, Chantal $u Department of Psychiatry, Service Hospitalo-Universitaire, GHU Paris Psychiatrie & Neurosciences, Paris, France $u Université de Paris, Paris, France
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$a Howells, Fleur M $u Neuroscience Institute, University of Cape Town, Cape Town, South Africa $u Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa $1 https://orcid.org/0000000197592556
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$a Ives-Deliperi, Victoria $u Neuroscience Institute, University of Cape Town, Cape Town, South Africa
700    1_
$a Jansen, Andreas $u Core-Facility Brainimaging, Faculty of Medicine, University of Marburg, Marburg, Germany $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany
700    1_
$a Kircher, Tilo T J $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany
700    1_
$a Knöchel, Christian $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, Frankfurt, Germany
700    1_
$a Kramer, Bernd $u Department of General Psychiatry, Heidelberg University, Heidelberg, Germany
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$a Lafer, Beny $u Laboratory of Psychiatric Neuroimaging (LIM-21), Departamento e Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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$a López-Jaramillo, Carlos $u Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellín, Colombia $u Mood Disorders Program, Hospital Universitario Trastorno del Ánimo, Medellín, Colombia
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700    1_
$a Mitchell, Philip B $u School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
700    1_
$a Nenadic, Igor $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany
700    1_
$a Nery, Fabiano $u University of Cincinnati, Cincinnati, Ohio, USA $u Universidade de São Paulo, São Paulo, SP, Brazil
700    1_
$a Nugent, Allison C $u MEG Core Facility, Bethesda, Maryland, USA
700    1_
$a Oertel, Viola $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, Frankfurt, Germany
700    1_
$a Ophoff, Roel A $u UCLA Center for Neurobehavioral Genetics, Los Angeles, California, USA $u Department of Psychiatry, Erasmus Medical Center, Erasmus University, Rotterdam, The Netherlands
700    1_
$a Ota, Miho $u Department of Mental Disorder Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo, Japan
700    1_
$a Overs, Bronwyn J $u Neuroscience Research Australia, Randwick, New South Wales, Australia
700    1_
$a Pham, Daniel L $u Milken Institute Center for Strategic Philanthropy, Washington, District of Columbia, USA
700    1_
$a Phillips, Mary L $u Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
700    1_
$a Pineda-Zapata, Julian A $u Research Group, Instituto de Alta Tecnología Médica (IATM), Medellín, Colombia
700    1_
$a Poletti, Sara $u Vita-Salute San Raffaele University, Milan, Italy $u Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
700    1_
$a Polosan, Mircea $u University of Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France $u INSERM U1216 - Grenoble Institut des Neurosciences, La Tronche, France
700    1_
$a Pomarol-Clotet, Edith $u FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain $u CIBERSAM, Madrid, Spain
700    1_
$a Pouchon, Arnaud $u University of Grenoble Alpes, CHU Grenoble Alpes, Grenoble, France
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$a Quidé, Yann $u Neuroscience Research Australia, Randwick, New South Wales, Australia $u School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia $1 https://orcid.org/0000000285697139
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$a Rive, Maria M $u Department of Psychiatry, Amsterdam UMC, location AMC, Amsterdam, The Netherlands
700    1_
$a Roberts, Gloria $u School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
700    1_
$a Ruhe, Henricus G $u Department of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands $u Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, The Netherlands
700    1_
$a Salvador, Raymond $u FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain $u CIBERSAM, Madrid, Spain
700    1_
$a Sarró, Salvador $u FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain $u CIBERSAM, Madrid, Spain
700    1_
$a Satterthwaite, Theodore D $u Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
700    1_
$a Schene, Aart H $u Department of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands
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$a Sim, Kang $u West Region, Institute of Mental Health, Singapore, Singapore $u Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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$a Stäblein, Michael $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe University Frankfurt, Frankfurt, Germany
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$a Stein, Dan J $u Neuroscience Institute, University of Cape Town, Cape Town, South Africa $u Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa $u SAMRC Unit on Risk & Resilience in Mental Disorders, University of Cape Town, Cape Town, South Africa
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$a Tamnes, Christian K $u Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway $u Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway $u PROMENTA Research Center, Department of Psychology, University of Oslo, Oslo, Norway
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$a Thomaidis, Georgios V $u Papanikolaou General Hospital, Thessaloniki, Greece $u Laboratory of Mechanics and Materials, School of Engineering, Aristotle University, Thessaloniki, Greece
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$a Whalley, Heather C $u Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK
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$a Wolf, Daniel H $u Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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$a Wu, Mon-Ju $u Department of Psychiatry and Behavioral Sciences, UTHealth Houston, Houston, Texas, USA
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$a Yatham, Lakshmi N $u Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
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$a Zarate, Carlos A $u Chief Experimental Therapeutics & Pathophysiology Branch, Bethesda, Maryland, USA $u Intramural Research Program, National Institute of Mental Health, Bethesda, Maryland, USA
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$a Thompson, Paul M $u Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
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$a Andreassen, Ole A $u Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway $u Division of Mental Health and Addicition, Oslo University Hospital, Oslo, Norway
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