TY - JOUR A1 - Maaser, Anna A1 - Forstner, Andreas Josef A1 - Strohmaier, Jana A1 - Hecker, Julian A1 - Ludwig, Kerstin Urte A1 - Sivalingam, Sugirthan A1 - Streit, Fabian A1 - Degenhardt, Franziska A1 - Witt, Stephanie A1 - Reinbold, Céline S. A1 - Koller, Anna C. A1 - Raff, Ruth A1 - Heilmann-Heimbach, Stefanie A1 - Fischer, Sascha B. A1 - Herms, Stefan A1 - Hoffmann, Per A1 - Thiele, Holger A1 - Nürnberg, Peter A1 - Fier, Heide A1 - Orozco-Díaz, Guillermo A1 - Carmenate-Naranjo, Deinys A1 - Proenza-Barzaga, Niurka A1 - Auburger, Georg A1 - Andlauer, Till A1 - Cichon, Sven A1 - Marcheco-Teruel, Beatriz A1 - Mors, Ole A1 - Rietschel, Marcella A1 - Nöthen, Markus Maria T1 - Exome sequencing in large, multiplex bipolar disorder families from Cuba T2 - PLoS one N2 - 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. KW - Bipolar disorder KW - Depression KW - Genome-wide association studies KW - Alleles KW - Molecular genetics KW - Schizophrenia KW - Consortia KW - Etiology Y1 - 2018 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/47471 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-474717 SN - 1932-6203 N1 - Copyright: © 2018 Maaser et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. VL - 13 IS - (10): e0205895 SP - 1 EP - 17 PB - PLoS CY - Lawrence, Kan. ER -