TY - JOUR A1 - Le Clerc, Sigrid A1 - Lombardi, Laura A1 - Amare, Azmeraw T. A1 - Schubert, Klaus Oliver A1 - Hou, Liping A1 - Clark, Scott R. A1 - Papiol, Sergi A1 - Cearns, Micah A1 - Heilbronner, Urs A1 - Degenhardt, Franziska A1 - Tekola-Ayele, Fasil A1 - Hsu, Yi-Hsiang A1 - Shekhtman, Tatyana A1 - Adli, Mazda A1 - Akula, Nirmala A1 - Akiyama, Kazufumi A1 - Ardau, Raffaella A1 - Arias, Bárbara A1 - Aubry, Jean-Michel A1 - Backlund, Lena A1 - Bhattacharjee, Abesh Kumar A1 - Bellivier, Frank A1 - Benabarre, Antonio A1 - Bengesser, Susanne A1 - Biernacka, Joanna A1 - Birner, Armin A1 - Brichant-Petitjean, Clara A1 - Cervantes, Pablo A1 - Chen, Hsi-Chung A1 - Chillotti, Caterina A1 - Cichon, Sven A1 - Cruceanu, Cristiana A1 - Czerski, Piotr M. A1 - Dalkner, Nina A1 - Dayer, Alexandre A1 - Baune, Bernhard T. A1 - Del Zompo, Maria A1 - DePaulo, J. Raymond A1 - Étain, Bruno A1 - Jamain, Stephane A1 - Falkai, Peter A1 - Forstner, Andreas Josef A1 - Frisen, Louise A1 - Frye, Mark A. A1 - Fullerton, Janice M. A1 - Gard, Sébastien A1 - Garnham, Julie S. A1 - Goes, Fernando S. A1 - Grigoroiu-Serbanescu, Maria A1 - Grof, Paul A1 - Hashimoto, Ryota A1 - Hauser, Joanna A1 - Herms, Stefan A1 - Hoffmann, Per A1 - Jiménez, Esther A1 - Kahn, Jean-Pierre A1 - Kassem, Layla A1 - Kuo, Po-Hsiu A1 - Kato, Tadafumi A1 - Kelsoe, John R. A1 - Kittel-Schneider, Sarah A1 - Ferensztajn-Rochowiak, Ewa A1 - König, Barbara A1 - Kusumi, Ichiro A1 - Laje, Gonzalo A1 - Landén, Mikael A1 - Lavebratt, Catharina A1 - Leckband, Susan G. A1 - Tortorella, Alfonso A1 - Manchia, Mirko A1 - Martinsson, Lina A1 - McCarthy, Michael J. A1 - McElroy, Susan A1 - Colom, Francesc A1 - Millischer, Vincent A1 - Mitjans, Marina A1 - Mondimore, Francis Mark A1 - Monteleone, Palmiero A1 - Nievergelt, Caroline M. A1 - Nöthen, Markus Maria A1 - Novák, Tomas A1 - O'Donovan, Claire A1 - Ozaki, Norio A1 - Ösby, Urban A1 - Pfennig, Andrea A1 - Potash, James B. A1 - Reif, Andreas A1 - Reininghaus, Eva A1 - Rouleau, Guy A. A1 - Rybakowski, Janusz K. A1 - Schalling, Martin A1 - Schofield, Peter R. A1 - Schweizer, Barbara W. A1 - Severino, Giovanni A1 - Shilling, Paul D. A1 - Shimoda, Katzutaka A1 - Simhandl, Christian A1 - Slaney, Claire M. A1 - Pisanu, Claudia A1 - Squassina, Alessio A1 - Stamm, Thomas A1 - Stopkova, Pavla A1 - Maj, Mario A1 - Turecki, Gustavo A1 - Vieta, Eduard A1 - Veeh, Julia A1 - Witt, Stephanie H. A1 - Wright, Adam A1 - Zandi, Peter P. A1 - Mitchell, Philip B. A1 - Bauer, Michael A1 - Alda, Martin A1 - Rietschel, Marcella A1 - McMahon, Francis J. A1 - Schulze, Thomas Gerd A1 - Spadoni, Jean-Louis A1 - Boukouaci, Wahid A1 - Richard, Jean-Romain A1 - Le Corvoisier, Philippe A1 - Barrau, Caroline A1 - Zagury, Jean-François A1 - Leboyer, Marion A1 - Tamouza, Ryad T1 - HLA-DRB1 and HLA-DQB1 genetic diversity modulates response to lithium in bipolar affective disorders T2 - Scientific reports N2 - Bipolar affective disorder (BD) is a severe psychiatric illness, for which lithium (Li) is the gold standard for acute and maintenance therapies. The therapeutic response to Li in BD is heterogeneous and reliable biomarkers allowing patients stratification are still needed. A GWAS performed by the International Consortium on Lithium Genetics (ConLiGen) has recently identified genetic markers associated with treatment responses to Li in the human leukocyte antigens (HLA) region. To better understand the molecular mechanisms underlying this association, we have genetically imputed the classical alleles of the HLA region in the European patients of the ConLiGen cohort. We found our best signal for amino-acid variants belonging to the HLA-DRB1*11:01 classical allele, associated with a better response to Li (p < 1 × 10−3; FDR < 0.09 in the recessive model). Alanine or Leucine at position 74 of the HLA-DRB1 heavy chain was associated with a good response while Arginine or Glutamic acid with a poor response. As these variants have been implicated in common inflammatory/autoimmune processes, our findings strongly suggest that HLA-mediated low inflammatory background may contribute to the efficient response to Li in BD patients, while an inflammatory status overriding Li anti-inflammatory properties would favor a weak response. KW - Genetics KW - Immunogenetics KW - Immunology KW - Psychiatric disorders Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63251 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-632514 SN - 2045-2322 N1 - This manuscript was written under the framework of Agence Nationale de la Recherche (I-GIVE ANR-13-SAMA-0004-01), INSERM (Institut National de la Santé et de la Recherche Médicale) and Fondation FondaMental. Laura Lombardi benefits from a fellowship n° FDM202006011305 from Fondation de la Recherche Médicale (FRM). Sven Cichon. and Andreas J Forstner received support from the Swiss National Science Foundation / German Research Foundation (SNSF 310030L_182731/1). This work was in part funded by the Deutsche Forschungsgemeinschaft (DFG; grant no RI 908/7-1; grant FOR2107, RI 908/11-1 to Marcella Rietschel, Michael Bauer, and Thomas G Schulze, NO 246/10-1 to MMN) and the Intramural Research Program of the National Institute of Mental Health (ZIA-MH00284311; NCT00001174). The genotyping was in part funded by the German Federal Ministry of Education and Research (BMBF) through the Integrated Network IntegraMent (Integrated Understanding of Causes and Mechanisms in Mental Disorders), under the auspices of the e:Med. This work was supported by the NIH grants P50CA89392 from the National Cancer Institute and 5K02DA021237 from the National Institute of Drug Abuse. The Canadian part of the study was supported by a grant #64410 from the Canadian Institutes of Health Research to MAl. Collection and phenotyping of the Australian UNSW sample was funded by an Australian NHMRC Program Grant (No. 1037196).The collection of the Barcelona sample was supported by the Centro de Investigación en Red de Salud Mental (CIBERSAM) IDIBAPS (grant numbers PI080247, PI1200906, PI12/00018), and Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement (2014SGR1636 and 2014SGR398). Genotyping for part of the Swedish sample was funded by the Stanley Center for Psychiatric Research at the Broad Institute. The Swedish Research Council, the Stockholm County Council, Karolinska Institutet, and the Söderström-Königska Foundation supported this research through grants awarded to Drs Backlund, Frisen, Lavebratt, and Schalling. The collection of the Geneva sample was supported by grants Synapsy–The Synaptic Basis of Mental Diseases 51NF40-158776 and 32003B-125469 from the Swiss National Foundation. The work by the French group was supported by INSERM (Institut National de la Santé et de la Recherche Médicale), AP-HP (Assistance Publique des Hôpitaux de Paris), the Fondation FondaMental (RTRS Santé Mentale), and the labex Bio-PSY (Investissements d’Avenir program managed by the ANR under reference ANR-11-IDEX- 0004-02). The collection of the Romanian sample was supported by a grant from Unitatea Executiva pentru Finantarea Invatamantului Superior, a Cercetarii, Dezvoltarii si Inovarii (Dr Grigoroiu-Serbanescu).The collection of the Czech sample was supported by the project Nr. LO1611 with a financial support from the MEYS under the NPU I program and by the Czech Science Foundation, grant Nr. 17-07070S. VL - 11 IS - art. 17823 SP - 1 EP - 12 PB - Macmillan Publishers Limited, part of Springer Nature CY - [London] ER -