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Characterisation of age and polarity at onset in bipolar disorder

JL. Kalman, LM. Olde Loohuis, A. Vreeker, A. McQuillin, EA. Stahl, D. Ruderfer, M. Grigoroiu-Serbanescu, G. Panagiotaropoulou, S. Ripke, TB. Bigdeli, F. Stein, T. Meller, S. Meinert, H. Pelin, F. Streit, S. Papiol, MJ. Adams, R. Adolfsson, K....

. 2021 ; 219 (6) : 659-669. [pub] -

Jazyk angličtina Země Velká Británie

Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural

Perzistentní odkaz   https://www.medvik.cz/link/bmc22019609

Grantová podpora
K99 MH116115 NIMH NIH HHS - United States
R00 MH116115 NIMH NIH HHS - United States
R01 MH104964 NIMH NIH HHS - United States
R01 MH123451 NIMH NIH HHS - United States

BACKGROUND: Studying phenotypic and genetic characteristics of age at onset (AAO) and polarity at onset (PAO) in bipolar disorder can provide new insights into disease pathology and facilitate the development of screening tools. AIMS: To examine the genetic architecture of AAO and PAO and their association with bipolar disorder disease characteristics. METHOD: Genome-wide association studies (GWASs) and polygenic score (PGS) analyses of AAO (n = 12 977) and PAO (n = 6773) were conducted in patients with bipolar disorder from 34 cohorts and a replication sample (n = 2237). The association of onset with disease characteristics was investigated in two of these cohorts. RESULTS: Earlier AAO was associated with a higher probability of psychotic symptoms, suicidality, lower educational attainment, not living together and fewer episodes. Depressive onset correlated with suicidality and manic onset correlated with delusions and manic episodes. Systematic differences in AAO between cohorts and continents of origin were observed. This was also reflected in single-nucleotide variant-based heritability estimates, with higher heritabilities for stricter onset definitions. Increased PGS for autism spectrum disorder (β = -0.34 years, s.e. = 0.08), major depression (β = -0.34 years, s.e. = 0.08), schizophrenia (β = -0.39 years, s.e. = 0.08), and educational attainment (β = -0.31 years, s.e. = 0.08) were associated with an earlier AAO. The AAO GWAS identified one significant locus, but this finding did not replicate. Neither GWAS nor PGS analyses yielded significant associations with PAO. CONCLUSIONS: AAO and PAO are associated with indicators of bipolar disorder severity. Individuals with an earlier onset show an increased polygenic liability for a broad spectrum of psychiatric traits. Systematic differences in AAO across cohorts, continents and phenotype definitions introduce significant heterogeneity, affecting analyses.

Alexandru Obregia Clinical Psychiatric Hospital Bucharest Romania

Analytic and Translational Genetics Unit Massachusetts General Hospital USA

Bazil Hetzel Institute Australia

Cell Biology SUNY Downstate Medical Center College of Medicine USA

Center for Mind Brain and Behavior Germany

Center for Neurobehavioral Genetics Semel Institute for Neuroscience and Human Behavior University of California Los Angeles USA

Centre for Addiction and Mental Health Toronto Canada

Centre for Human Genetics University of Marburg Germany

Centro de Investigación Biomedica en Red de Salud Mental Spain

Dalla Lana School of Public Health Biostatistics Division University of Toronto Canada

Department of Biochemistry and Molecular Biology Indiana University School of Medicine USA

Department of Biomedical Informatics Vanderbilt University Medical Center USA

Department of Biomedical Science Section of Neuroscience and Clinical Pharmacology University of Cagliari Italy

Department of Biomedicine University of Basel Switzerland

Department of Child and Adolescent Psychiatry Psychology Erasmus University Medical Centre Sophia Children's Hospital the Netherlands

Department of Child and Adolescent Psychiatry Psychosomatics and Psychotherapy University Hospital Essen University of Duisburg Essen Germany

Department of Clinical Neuroscience Centre for Psychiatry Research Karolinska Institutet Sweden

Department of Clinical Sciences Medical Faculty Umeå University Sweden

Department of Genetic Epidemiology in Psychiatry Central Institute of Mental Health Medical Faculty Mannheim Heidelberg University Germany

Department of Genetics and Genomics Icahn School of Medicine at Mount Sinai USA

Department of Health Sciences Research Mayo Clinic USA

Department of Human Genetics University of Chicago USA

Department of Medical Epidemiology and Biostatistics Karolinska Institutet Sweden

Department of Medical Genetics Oslo University Hospital Ullevål Norway

Department of Medicine Surgery and Dentistry 'Scuola Medica Salernitana' University of Salerno Italy

Department of Neurology Klinikum rechts der Isar School of Medicine Technical University of Munich Germany

Department of Psychiatric Genetics Poznan University of Medical Sciences Poland

Department of Psychiatric Research Diakonhjemmet Hospital Norway

Department of Psychiatry and Behavioral Neuroscience University of Chicago USA

Department of Psychiatry and Behavioral Sciences Emory University USA

Department of Psychiatry and Behavioral Sciences Howard University Hospital USA

Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine USA

Department of Psychiatry and Behavioral Sciences Johns Hopkins University USA

Department of Psychiatry and Behavioral Sciences SUNY Downstate Health Sciences University USA

Department of Psychiatry and Behavioral Sciences SUNY Upstate Medical University USA

Department of Psychiatry and Behavioral Sciences Vanderbilt University Medical Center USA

Department of Psychiatry and Neurochemistry Institute of Neuroscience and Physiology The Sahlgrenska Academy at the University of Gothenburg Sweden

Department of Psychiatry and Psychology Mayo Clinic USA

Department of Psychiatry and Psychotherapeutic Medicine Medical University Graz Austria

Department of Psychiatry and Psychotherapy Charite Universitätsmedizin Germany

Department of Psychiatry and Psychotherapy Philipps University Marburg Germany

Department of Psychiatry and Psychotherapy University Hospital Munich Germany

Department of Psychiatry and Psychotherapy University Medical Center Göttingen Germany

Department of Psychiatry and Trinity Translational Medicine Institute Trinity College Dublin Ireland

Department of Psychiatry Dalhousie University Canada

Department of Psychiatry Geneva University Hospitals Switzerland

Department of Psychiatry Icahn School of Medicine at Mount Sinai USA

Department of Psychiatry McGill University Canada

Department of Psychiatry Melbourne Medical School The University of Melbourne Australia

Department of Psychiatry Psychosomatic Medicine and Psychotherapy University Hospital Frankfurt Germany

Department of Psychiatry Psychotherapy and Psychosomatics University Hospital Wurzburg Germany

Department of Psychiatry Rush Medical College USA

Department of Psychiatry Stony Brook University USA

Department of Psychiatry University of California San Diego USA

Department of Psychiatry University of Campania 'Luigi Vanvitelli' Italy

Department of Psychiatry University of Michigan USA

Department of Psychiatry University of Münster Germany

Department of Psychiatry University of Perugia Italy

Department of Psychiatry University of Toronto Canada

Department of Psychiatry University of Toronto Toronto Canada

Department of Translational Research Max Planck Institute of Psychiatry Germany

Discipline of Psychiatry Adelaide Medical School The University of Adelaide Australia

Discipline of Psychiatry University of Adelaide Australia

Division of Genetic Medicine Department of Medicine Vanderbilt Genetics Institute Vanderbilt University Medical Center USA

Division of Mental Health and Addiction Oslo University Hospital Norway

Division of Mental Health and Addiction Oslo University Hosptial Norway

Division of Psychiatric Genomics Mount Sinai School of Medicine USA

Division of Psychiatry University College London UK

Division of Psychiatry University of Edinburgh UK

DMU Neurosciences GHU Lariboisière Fernand Widal Departement de Psychiatrie APHP France

Douglas Institute McGill University Canada

Faculty of medicine University of Geneva Switzerland

Harvard T H Chan School of Public Health USA

Hospital Clinic University of Barcelona IDIBAPS CIBERSAM Spain

Human Genetics Branch Intramural Research Program National Institute of Mental Health USA

Human Genetics University of California Los Angeles USA

INSERM U 955 Neuropsychiatrie Translationnelle France

INSERM UMRS 1144 France

Institute for Genomic Health SUNY Downstate Medical Center College of Medicine USA

Institute for Translational Neuroscience University of Münster Germany

Institute for Translational Psychiatry Westfälische Wilhelms Universität Münster Germany

Institute of Human Genetics University of Bonn School of Medicine and University Hospital Bonn Germany

Institute of Medical Genetics and Pathology University Hospital Basel Switzerland

Institute of Medical Science University of Toronto Canada

Institute of Neuroscience and Medicine Research Centre Julich Germany

Institute of Psychiatric Phenomics and Genomics University Hospital LMU Munich Germany

Institute of Psychiatry Psychology and Neuroscience Kings College London UK

International Max Planck Research School for Translational Psychiatry Germany

Laboratory Medicine and Pathobiology University of Toronto Canada

Max Planck Institute of Psychiatry Germany

Medical Research Council Centre for Neuropsychiatric Genetics and Genomics Division of Psychological Medicine and Clinical Neurosciences Cardiff University UK

Mental Health Department University Regional Hospital Biomedicine Institute Spain

Montreal Neurological Institute Canada and Department of Neurology McGill University Canada

Mood Disorders Centre of Ottawa Canada

National Institute of Mental Health Czech Republic

Neuroscience Janssen Research and Development USA

Neuroscience Research Australia Australia

NORMENT Centre Division of Mental Health and Addiction Institute of Clinical Medicine and Diakonhjemmet Hospital University of Oslo Norway

NORMENT Centre Division of Mental Health and Addiction Institute of Clinical Medicine University of Oslo Norway

NORMENT Centre Division of Mental Health and Addiction Oslo University Hosptial Norway

NORMENT Centre Inst of Clinical Medicine University of Oslo Norway

NORMENT Department of Clinical Science University of Bergen Norway

NORMENT Division of Mental Health and Addiction Oslo University Hospital Norway

Northern Adelaide Mental Health Service SA Health Australia

Nova Scotia Health Authority Canada

Psychiatric and Neurodevelopmental Genetics Unit Department of Psychiatry and Center for Genomic Medicine Massachusetts General Hospital USA

Psychiatric Clinic Alexander University Hospital Bulgaria

Psychiatry and the Behavioral Sciences University of Southern California USA

Psychiatry Erasmus University Medical Center the Netherlands

Psychiatry Indiana University School of Medicine USA

Psychiatry UMC Utrecht Brain Center the Netherlands

Psychiatry University of California San Francisco USA

Psychiatry University of Pennsylvania USA

Psychological Medicine University of Worcester UK

Research Institute Lindner Center of HOPE USA

School of Medical Sciences University of New South Wales Australia

School of Psychiatry University of New South Wales Australia

Stanley Center for Psychiatric Research Broad Institute of MIT and Harvard USA

The Campbell Family Mental Health Research Institute Centre for Addiction and Mental Health Canada

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

Translational Genomics USC USA

Unit of Clinical Pharmacology University Hospital Agency of Cagliari Italy

Unit of Psychiatry Department of Medical Sciences and Public Health University of Cagliari Italy and Department of Pharmacology Dalhousie University Canada

Universite de Paris France

Universite Paris Est Creteil France

University of Iowa Hospitals and Clinics USA

VA NY Harbor Healthcare System USA

Citace poskytuje Crossref.org

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$a Characterisation of age and polarity at onset in bipolar disorder / $c JL. Kalman, LM. Olde Loohuis, A. Vreeker, A. McQuillin, EA. Stahl, D. Ruderfer, M. Grigoroiu-Serbanescu, G. Panagiotaropoulou, S. Ripke, TB. Bigdeli, F. Stein, T. Meller, S. Meinert, H. Pelin, F. Streit, S. Papiol, MJ. Adams, R. Adolfsson, K. Adorjan, I. Agartz, SR. Aminoff, H. Anderson-Schmidt, OA. Andreassen, R. Ardau, JM. Aubry, C. Balaban, N. Bass, BT. Baune, F. Bellivier, A. Benabarre, S. Bengesser, WH. Berrettini, MP. Boks, EJ. Bromet, K. Brosch, M. Budde, W. Byerley, P. Cervantes, C. Chillotti, S. Cichon, SR. Clark, AL. Comes, A. Corvin, W. Coryell, N. Craddock, DW. Craig, PE. Croarkin, C. Cruceanu, PM. Czerski, N. Dalkner, U. Dannlowski, F. Degenhardt, M. Del Zompo, JR. DePaulo, S. Djurovic, HJ. Edenberg, MA. Eissa, T. Elvsåshagen, B. Etain, AH. Fanous, F. Fellendorf, A. Fiorentino, AJ. Forstner, MA. Frye, JM. Fullerton, K. Gade, J. Garnham, E. Gershon, M. Gill, FS. Goes, K. Gordon-Smith, P. Grof, J. Guzman-Parra, T. Hahn, R. Hasler, M. Heilbronner, U. Heilbronner, S. Jamain, E. Jimenez, I. Jones, L. Jones, L. Jonsson, RS. Kahn, JR. Kelsoe, JL. Kennedy, T. Kircher, G. Kirov, S. Kittel-Schneider, F. Klöhn-Saghatolislam, JA. Knowles, TM. Kranz, TV. Lagerberg, M. Landen, WB. Lawson, M. Leboyer, QS. Li, M. Maj, D. Malaspina, M. Manchia, F. Mayoral, SL. McElroy, MG. McInnis, AM. McIntosh, H. Medeiros, I. Melle, V. Milanova, PB. Mitchell, P. Monteleone, AM. Monteleone, MM. Nöthen, T. Novak, JI. Nurnberger, N. O'Brien, KS. O'Connell, C. O'Donovan, MC. O'Donovan, N. Opel, A. Ortiz, MJ. Owen, E. Pålsson, C. Pato, MT. Pato, J. Pawlak, JK. Pfarr, C. Pisanu, JB. Potash, MH. Rapaport, D. Reich-Erkelenz, A. Reif, E. Reininghaus, J. Repple, H. Richard-Lepouriel, M. Rietschel, K. Ringwald, G. Roberts, G. Rouleau, S. Schaupp, WA. Scheftner, S. Schmitt, PR. Schofield, KO. Schubert, EC. Schulte, B. Schweizer, F. Senner, G. Severino, S. Sharp, C. Slaney, OB. Smeland, JL. Sobell, A. Squassina, P. Stopkova, J. Strauss, A. Tortorella, G. Turecki, J. Twarowska-Hauser, M. Veldic, E. Vieta, JB. Vincent, W. Xu, CC. Zai, PP. Zandi, Psychiatric Genomics Consortium (PGC) Bipolar Disorder Working Group, International Consortium on Lithium Genetics (ConLiGen), Colombia-US Cross Disorder Collaboration in Psychiatric Genetics, A. Di Florio, JW. Smoller, JM. Biernacka, FJ. McMahon, M. Alda, B. Müller-Myhsok, N. Koutsouleris, P. Falkai, NB. Freimer, TFM. Andlauer, TG. Schulze, RA. Ophoff
520    9_
$a BACKGROUND: Studying phenotypic and genetic characteristics of age at onset (AAO) and polarity at onset (PAO) in bipolar disorder can provide new insights into disease pathology and facilitate the development of screening tools. AIMS: To examine the genetic architecture of AAO and PAO and their association with bipolar disorder disease characteristics. METHOD: Genome-wide association studies (GWASs) and polygenic score (PGS) analyses of AAO (n = 12 977) and PAO (n = 6773) were conducted in patients with bipolar disorder from 34 cohorts and a replication sample (n = 2237). The association of onset with disease characteristics was investigated in two of these cohorts. RESULTS: Earlier AAO was associated with a higher probability of psychotic symptoms, suicidality, lower educational attainment, not living together and fewer episodes. Depressive onset correlated with suicidality and manic onset correlated with delusions and manic episodes. Systematic differences in AAO between cohorts and continents of origin were observed. This was also reflected in single-nucleotide variant-based heritability estimates, with higher heritabilities for stricter onset definitions. Increased PGS for autism spectrum disorder (β = -0.34 years, s.e. = 0.08), major depression (β = -0.34 years, s.e. = 0.08), schizophrenia (β = -0.39 years, s.e. = 0.08), and educational attainment (β = -0.31 years, s.e. = 0.08) were associated with an earlier AAO. The AAO GWAS identified one significant locus, but this finding did not replicate. Neither GWAS nor PGS analyses yielded significant associations with PAO. CONCLUSIONS: AAO and PAO are associated with indicators of bipolar disorder severity. Individuals with an earlier onset show an increased polygenic liability for a broad spectrum of psychiatric traits. Systematic differences in AAO across cohorts, continents and phenotype definitions introduce significant heterogeneity, affecting analyses.
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$a Olde Loohuis, Loes M $u Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, USA
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$a Vreeker, Annabel $u Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Centre-Sophia Children's Hospital, the Netherlands
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$a McQuillin, Andrew $u Division of Psychiatry, University College London, UK
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$a Stahl, Eli A $u Division of Psychiatric Genomics, Mount Sinai School of Medicine, USA
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$a Ruderfer, Douglas $u Division of Genetic Medicine, Department of Medicine, Vanderbilt Genetics Institute, Vanderbilt University Medical Center, USA; Department of Biomedical Informatics, Vanderbilt University Medical Center, USA; and Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, USA
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$a Grigoroiu-Serbanescu, Maria $u Alexandru Obregia Clinical Psychiatric Hospital, Bucharest, Romania
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$a Panagiotaropoulou, Georgia $u Department of Psychiatry and Psychotherapy, Charite - Universitätsmedizin, Germany
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$a Bigdeli, Tim B $u Department of Psychiatry and Behavioral Sciences, SUNY Downstate Health Sciences University, USA; and VA NY Harbor Healthcare System, USA
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$a Stein, Frederike $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
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$a Meller, Tina $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany; and Center for Mind, Brain and Behavior (CMBB), Germany
700    1_
$a Meinert, Susanne $u Institute for Translational Psychiatry, Westfälische Wilhelms-Universität Münster, Germany; and Institute for Translational Neuroscience, University of Münster, Germany
700    1_
$a Pelin, Helena $u International Max Planck Research School for Translational Psychiatry, Germany; and Max Planck Institute of Psychiatry, Germany
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$a Streit, Fabian $u Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
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$a Papiol, Sergi $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany; and Centro de Investigación Biomedica en Red de Salud Mental (CIBERSAM), Spain
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$a Adams, Mark J $u Division of Psychiatry, University of Edinburgh, UK $1 https://orcid.org/0000000235996018
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$a Adolfsson, Rolf $u Department of Clinical Sciences, Medical Faculty, Umeå University, Sweden
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$a Adorjan, Kristina $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; and Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany $1 https://orcid.org/0000000175019556
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$a Agartz, Ingrid $u Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Sweden; Department of Psychiatric Research, Diakonhjemmet Hospital, Norway; and NORMENT Centre, Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Norway
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$a Aminoff, Sofie R $u Division of Mental Health and Addiction, Oslo University Hospital, Norway; and NORMENT Centre, Inst of Clinical Medicine, University of Oslo, Norway
700    1_
$a Anderson-Schmidt, Heike $u Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Germany
700    1_
$a Andreassen, Ole A $u NORMENT Centre, Inst of Clinical Medicine, University of Oslo, Norway; and Division of Mental Health and Addiction, Oslo University Hosptial, Norway
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$a Ardau, Raffaella $u Unit of Clinical Pharmacology, University Hospital Agency of Cagliari, Italy
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$a Aubry, Jean-Michel $u Faculty of medicine, University of Geneva, Switzerland; and Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany
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$a Balaban, Ceylan $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany
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$a Bass, Nicholas $u Division of Psychiatry, University College London, UK
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$a Baune, Bernhard T $u Department of Psychiatry, University of Münster, Germany; Department of Psychiatry, Melbourne Medical School, The University of Melbourne, Australia; The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Australia; and Discipline of Psychiatry, Adelaide Medical School, The University of Adelaide, Australia
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$a Bellivier, Frank $u Universite de Paris, France; INSERM UMRS 1144, France; and DMU Neurosciences, GHU Lariboisière Fernand Widal, Departement de Psychiatrie, APHP, France
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$a Benabarre, Antoni $u Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Spain
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$a Bengesser, Susanne $u Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Austria
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$a Berrettini, Wade H $u Psychiatry, University of Pennsylvania, USA
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$a Boks, Marco P $u Psychiatry, UMC Utrecht Brain Center, the Netherlands
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$a Bromet, Evelyn J $u Department of Psychiatry, Stony Brook University, USA
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$a Brosch, Katharina $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
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$a Budde, Monika $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany
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$a Byerley, William $u Psychiatry, University of California San Francisco, USA
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$a Cervantes, Pablo $u Department of Psychiatry, McGill University, Canada
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$a Chillotti, Catina $u Unit of Clinical Pharmacology, University Hospital Agency of Cagliari, Italy
700    1_
$a Cichon, Sven $u Department of Biomedicine, University of Basel, Switzerland; Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Germany; Institute of Medical Genetics and Pathology, University Hospital Basel, Switzerland; and Institute of Neuroscience and Medicine (INM-1), Research Centre Julich, Germany
700    1_
$a Clark, Scott R $u Discipline of Psychiatry, University of Adelaide, Australia; and Bazil Hetzel Institute, Australia
700    1_
$a Comes, Ashley L $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany; and International Max Planck Research School for Translational Psychiatry, Germany
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$a Corvin, Aiden $u Department of Psychiatry & Trinity Translational Medicine Institute, Trinity College Dublin, Ireland
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$a Coryell, William $u University of Iowa Hospitals and Clinics, USA
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$a Craddock, Nick $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK
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$a Craig, David W $u Translational Genomics, USC, USA
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$a Croarkin, Paul E $u Department of Psychiatry and Psychology, Mayo Clinic, USA
700    1_
$a Cruceanu, Cristiana $u Department of Translational Research, Max Planck Institute of Psychiatry, Germany
700    1_
$a Czerski, Piotr M $u Department of Psychiatric Genetics, Poznan University of Medical Sciences, Poland
700    1_
$a Dalkner, Nina $u Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Austria
700    1_
$a Dannlowski, Udo $u Institute for Translational Psychiatry, Westfälische Wilhelms-Universität Münster, Germany
700    1_
$a Degenhardt, Franziska $u Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Germany; and Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Essen, University of Duisburg-Essen, Germany
700    1_
$a Del Zompo, Maria $u Department of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Italy; and Unit of Clinical Pharmacology, University Hospital Agency of Cagliari, Italy
700    1_
$a DePaulo, J Raymond $u Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, USA
700    1_
$a Djurovic, Srdjan $u Department of Medical Genetics, Oslo University Hospital Ullevål, Norway; and NORMENT, Department of Clinical Science, University of Bergen, Norway
700    1_
$a Edenberg, Howard J $u Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, USA $1 https://orcid.org/0000000303449690
700    1_
$a Eissa, Mariam Al $u Division of Psychiatry, University College London, UK
700    1_
$a Elvsåshagen, Torbjørn $u NORMENT, Division of Mental Health and Addiction, Oslo University Hospital, Norway
700    1_
$a Etain, Bruno $u Universite de Paris, France; INSERM UMRS 1144, France; and DMU Neurosciences, GHU Lariboisière Fernand Widal, Departement de Psychiatrie, APHP, France $1 https://orcid.org/0000000253771488
700    1_
$a Fanous, Ayman H $u Department of Psychiatry and Behavioral Sciences, SUNY Downstate Health Sciences University, USA; and VA NY Harbor Healthcare System, USA
700    1_
$a Fellendorf, Frederike $u Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Austria
700    1_
$a Fiorentino, Alessia $u Division of Psychiatry, University College London, UK
700    1_
$a Forstner, Andreas J $u Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Germany; and Centre for Human Genetics, University of Marburg, Germany
700    1_
$a Frye, Mark A $u Department of Psychiatry and Psychology, Mayo Clinic, USA
700    1_
$a Fullerton, Janice M $u Neuroscience Research Australia, Australia; and School of Medical Sciences, University of New South Wales, Australia
700    1_
$a Gade, Katrin $u Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Germany $1 https://orcid.org/0000000186290579
700    1_
$a Garnham, Julie $u Nova Scotia Health Authority, Canada
700    1_
$a Gershon, Elliot $u Department of Psychiatry and Behavioral Neuroscience, University of Chicago, USA; and Department of Human Genetics, University of Chicago, USA
700    1_
$a Gill, Michael $u Department of Psychiatry & Trinity Translational Medicine Institute, Trinity College Dublin, Ireland
700    1_
$a Goes, Fernando S $u Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, USA
700    1_
$a Gordon-Smith, Katherine $u Psychological Medicine, University of Worcester, UK $1 https://orcid.org/0000000340831143
700    1_
$a Grof, Paul $u Mood Disorders Centre of Ottawa, Canada; and Department of Psychiatry, University of Toronto, Canada
700    1_
$a Guzman-Parra, Jose $u Mental Health Department, University Regional Hospital, Biomedicine Institute (IBIMA), Spain
700    1_
$a Hahn, Tim $u Institute for Translational Psychiatry, Westfälische Wilhelms-Universität Münster, Germany
700    1_
$a Hasler, Roland $u Cell Biology, SUNY Downstate Medical Center College of Medicine, USA; and Institute for Genomic Health, SUNY Downstate Medical Center College of Medicine, USA
700    1_
$a Heilbronner, Maria $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany
700    1_
$a Heilbronner, Urs $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany $1 https://orcid.org/000000017135762X
700    1_
$a Jamain, Stephane $u Universite Paris Est Creteil, France; and INSERM U 955, Neuropsychiatrie Translationnelle, France
700    1_
$a Jimenez, Esther $u Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Spain
700    1_
$a Jones, Ian $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK
700    1_
$a Jones, Lisa $u Psychological Medicine, University of Worcester, UK $1 https://orcid.org/0000000251228334
700    1_
$a Jonsson, Lina $u Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Sweden
700    1_
$a Kahn, Rene S $u Department of Psychiatry, Icahn School of Medicine at Mount Sinai, USA
700    1_
$a Kelsoe, John R $u Department of Psychiatry, University of California San Diego, USA
700    1_
$a Kennedy, James L $u Department of Psychiatry, University of Toronto, Canada; The Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; and Institute of Medical Science, University of Toronto, Canada
700    1_
$a Kircher, Tilo $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
700    1_
$a Kirov, George $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK $1 https://orcid.org/0000000234273950
700    1_
$a Kittel-Schneider, Sarah $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany; and Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital Wurzburg, Germany
700    1_
$a Klöhn-Saghatolislam, Farah $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany
700    1_
$a Knowles, James A $u Cell Biology, SUNY Downstate Medical Center College of Medicine, USA; and Institute for Genomic Health, SUNY Downstate Medical Center College of Medicine, USA
700    1_
$a Kranz, Thorsten M $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany
700    1_
$a Lagerberg, Trine Vik $u NORMENT Centre, Division of Mental Health and Addiction, Oslo University Hosptial, Norway
700    1_
$a Landen, Mikael $u Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Sweden; and Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden
700    1_
$a Lawson, William B $u Department of Psychiatry and Behavioral Sciences, Howard University Hospital, USA
700    1_
$a Leboyer, Marion $u Universite Paris Est Creteil, France; and INSERM U 955, Neuropsychiatrie Translationnelle, France
700    1_
$a Li, Qingqin S $u Neuroscience, Janssen Research & Development, USA
700    1_
$a Maj, Mario $u Department of Psychiatry, University of Campania 'Luigi Vanvitelli', Italy
700    1_
$a Malaspina, Dolores $u Department of Psychiatry, Icahn School of Medicine at Mount Sinai, USA; and Department of Genetics & Genomics, Icahn School of Medicine at Mount Sinai, USA
700    1_
$a Manchia, Mirko $u Unit of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Italy and Department of Pharmacology, Dalhousie University, Canada
700    1_
$a Mayoral, Fermin $u Mental Health Department, University Regional Hospital, Biomedicine Institute (IBIMA), Spain
700    1_
$a McElroy, Susan L $u Research Institute, Lindner Center of HOPE, USA
700    1_
$a McInnis, Melvin G $u Department of Psychiatry, University of Michigan, USA
700    1_
$a McIntosh, Andrew M $u Division of Psychiatry, University of Edinburgh, UK $1 https://orcid.org/0000000201984588
700    1_
$a Medeiros, Helena $u Institute for Genomic Health, SUNY Downstate Medical Center College of Medicine, USA
700    1_
$a Melle, Ingrid $u NORMENT Centre, Division of Mental Health and Addiction, Institute of Clinical Medicine and Diakonhjemmet Hospital, University of Oslo, Norway; and Division of Mental Health and Addiction, Oslo University Hospital, Norway
700    1_
$a Milanova, Vihra $u Psychiatric Clinic, Alexander University Hospital, Bulgaria
700    1_
$a Mitchell, Philip B $u School of Psychiatry, University of New South Wales, Australia $1 https://orcid.org/0000000279545235
700    1_
$a Monteleone, Palmiero $u Department of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', University of Salerno, Italy
700    1_
$a Monteleone, Alessio Maria $u Department of Psychiatry, University of Campania 'Luigi Vanvitelli', Italy
700    1_
$a Nöthen, Markus M $u Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Germany
700    1_
$a Novak, Tomas $u National Institute of Mental Health, Czech Republic
700    1_
$a Nurnberger, John I $u Psychiatry, Indiana University School of Medicine, USA $1 https://orcid.org/0000000276741767
700    1_
$a O'Brien, Niamh $u Division of Psychiatry, University College London, UK
700    1_
$a O'Connell, Kevin S $u Division of Mental Health and Addiction, Oslo University Hospital, Norway; and NORMENT Centre, Inst of Clinical Medicine, University of Oslo, Norway
700    1_
$a O'Donovan, Claire $u Department of Psychiatry, Dalhousie University, Canada
700    1_
$a O'Donovan, Michael C $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK
700    1_
$a Opel, Nils $u Institute for Translational Psychiatry, Westfälische Wilhelms-Universität Münster, Germany
700    1_
$a Ortiz, Abigail $u Department of Psychiatry, University of Toronto, Toronto, Canada; and Centre for Addiction and Mental Health, Toronto, Canada $1 https://orcid.org/000000016886767X
700    1_
$a Owen, Michael J $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK
700    1_
$a Pålsson, Erik $u Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg, Sweden
700    1_
$a Pato, Carlos $u Institute for Genomic Health, SUNY Downstate Medical Center College of Medicine, USA
700    1_
$a Pato, Michele T $u Institute for Genomic Health, SUNY Downstate Medical Center College of Medicine, USA
700    1_
$a Pawlak, Joanna $u Department of Psychiatric Genetics, Poznan University of Medical Sciences, Poland
700    1_
$a Pfarr, Julia-Katharina $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
700    1_
$a Pisanu, Claudia $u Department of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Italy
700    1_
$a Potash, James B $u Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, USA
700    1_
$a Rapaport, Mark H $u Department of Psychiatry and Behavioral Sciences, Emory University, USA
700    1_
$a Reich-Erkelenz, Daniela $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany
700    1_
$a Reif, Andreas $u Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Germany
700    1_
$a Reininghaus, Eva $u Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, Austria
700    1_
$a Repple, Jonathan $u Institute for Translational Psychiatry, Westfälische Wilhelms-Universität Münster, Germany
700    1_
$a Richard-Lepouriel, Hélène $u Department of Psychiatry, Geneva University Hospitals, Switzerland
700    1_
$a Rietschel, Marcella $u Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany
700    1_
$a Ringwald, Kai $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
700    1_
$a Roberts, Gloria $u School of Psychiatry, University of New South Wales, Australia $1 https://orcid.org/0000000219665120
700    1_
$a Rouleau, Guy $u Montreal Neurological Institute, Canada and Department of Neurology, McGill University, Canada
700    1_
$a Schaupp, Sabrina $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany
700    1_
$a Scheftner, William A $u Department of Psychiatry, Rush Medical College, USA
700    1_
$a Schmitt, Simon $u Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Germany
700    1_
$a Schofield, Peter R $u Neuroscience Research Australia, Australia; and School of Medical Sciences, University of New South Wales, Australia
700    1_
$a Schubert, K Oliver $u Discipline of Psychiatry, University of Adelaide, Australia; and Northern Adelaide Mental Health Service, SA Health, Australia
700    1_
$a Schulte, Eva C $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; and Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany $1 https://orcid.org/0000000331055672
700    1_
$a Schweizer, Barbara $u Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, USA
700    1_
$a Senner, Fanny $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; and Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany
700    1_
$a Severino, Giovanni $u Department of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Italy
700    1_
$a Sharp, Sally $u Division of Psychiatry, University College London, UK
700    1_
$a Slaney, Claire $u Nova Scotia Health Authority, Canada
700    1_
$a Smeland, Olav B $u Division of Mental Health and Addiction, Oslo University Hospital, Norway; and NORMENT Centre, Inst of Clinical Medicine, University of Oslo, Norway
700    1_
$a Sobell, Janet L $u Psychiatry and the Behavioral Sciences, University of Southern California, USA
700    1_
$a Squassina, Alessio $u Department of Psychiatry, Dalhousie University, Canada; and Department of Biomedical Science, Section of Neuroscience & Clinical Pharmacology, University of Cagliari, Italy
700    1_
$a Stopkova, Pavla $u National Institute of Mental Health, Czech Republic
700    1_
$a Strauss, John $u Department of Psychiatry, University of Toronto, Canada; The Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; and Institute of Medical Science, University of Toronto, Canada
700    1_
$a Tortorella, Alfonso $u Department of Psychiatry, University of Perugia, Italy
700    1_
$a Turecki, Gustavo $u Department of Psychiatry, McGill University, Canada; and Douglas Institute, McGill University, Canada
700    1_
$a Twarowska-Hauser, Joanna $u Department of Psychiatric Genetics, Poznan University of Medical Sciences, Poland
700    1_
$a Veldic, Marin $u Department of Psychiatry and Psychology, Mayo Clinic, USA
700    1_
$a Vieta, Eduard $u Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Spain
700    1_
$a Vincent, John B $u Department of Psychiatry, University of Toronto, Canada; The Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; and Institute of Medical Science, University of Toronto, Canada
700    1_
$a Xu, Wei $u Dalla Lana School of Public Health, Biostatistics Division, University of Toronto, Canada
700    1_
$a Zai, Clement C $u Department of Psychiatry, University of Toronto, Canada; The Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Canada; Institute of Medical Science, University of Toronto, Canada; Laboratory Medicine and Pathobiology, University of Toronto, Canada; and Harvard T.H. Chan School of Public Health, USA
700    1_
$a Zandi, Peter P $u Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, USA
700    1_
$a Di Florio, Arianna $u Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, UK
700    1_
$a Smoller, Jordan W $u Psychiatric and Neurodevelopmental Genetics Unit, Department of Psychiatry and Center for Genomic Medicine, Massachusetts General Hospital, USA; and Stanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, USA
700    1_
$a Biernacka, Joanna M $u Department of Psychiatry and Psychology, Mayo Clinic, USA; and Department of Health Sciences Research, Mayo Clinic, USA
700    1_
$a McMahon, Francis J $u Human Genetics Branch, Intramural Research Program, National Institute of Mental Health, USA
700    1_
$a Alda, Martin $u National Institute of Mental Health, Czech Republic; and Department of Psychiatry, Dalhousie University, Canada $1 https://orcid.org/0000000195443944
700    1_
$a Müller-Myhsok, Bertram $u Max Planck Institute of Psychiatry, Germany
700    1_
$a Koutsouleris, Nikolaos $u Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany; Max Planck Institute of Psychiatry, Germany; and Institute of Psychiatry, Psychology and Neuroscience, Kings College London, UK
700    1_
$a Falkai, Peter $u Department of Psychiatry and Psychotherapy, University Hospital Munich, Germany
700    1_
$a Freimer, Nelson B $u Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, USA; and Human Genetics, University of California Los Angeles, USA
700    1_
$a Andlauer, Till F M $u Department of Neurology, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Germany $1 https://orcid.org/0000000229175889
700    1_
$a Schulze, Thomas G $u Institute of Psychiatric Phenomics and Genomics (IPPG), University Hospital, LMU Munich, Germany; Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Germany; Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Germany; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, USA; and Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, USA
700    1_
$a Ophoff, Roel A $u Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, USA; Human Genetics, University of California Los Angeles, USA; and Psychiatry, Erasmus University Medical Center, the Netherlands
710    2_
$a Psychiatric Genomics Consortium (PGC) Bipolar Disorder Working Group
710    2_
$a International Consortium on Lithium Genetics (ConLiGen)
710    2_
$a Colombia-US Cross Disorder Collaboration in Psychiatric Genetics
773    0_
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