Evidence map›Paper›PMID 26433762›Full record

ArticleJournal of affective disorders2016

A genome-wide association study of bipolar disorder with comorbid eating disorder replicates the SOX2-OT region.

Xiaohua Liu, Bipolar Genome Study (BiGS), John R Kelsoe, Tiffany A Greenwood

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of affective disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Early diagnosis of bipolar disorder.World journal of psychiatry · 2025
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  9. Diethylstilbestrol and autism.Frontiers in endocrinology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Xiaohua LiuDepartment of Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
Bipolar Genome Study (BiGS)
John R KelsoeDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA; San Diego Veterans Affairs Healthcare System, San Diego, CA, USA; Institute for Genomic Medicine, University of California, La Jolla, San Diego, CA, USA.
Tiffany A GreenwoodDepartment of Psychiatry, University of California San Diego, La Jolla, CA, USA.
University of California, San Diego · USShanghai Mental Health Center · CN

Funding

Genomic Association Study of Bipolar DisorderR01MH078151 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KELSOE, JOHN R. · 2007 to 2009
$5.5M
The Convergence and Divergence of Schizophrenia and Bipolar DisorderK01MH087889 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GREENWOOD, TIFFANY A · 2010 to 2014
$858k
Analysis of Whole Genome Association Data for Bipolar DisorderR01MH081804 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KELSOE, JOHN R. · 2007 to 2007
$155k
NIMH NIH HHS K01 MH087889NIMH NIH HHS R01 MH078151NIMH NIH HHS R01 MH081804
6 · The paper itself

Abstract

backgroundBipolar disorder is a heterogeneous mood disorder associated with several important clinical comorbidities, such as eating disorders. This clinical heterogeneity complicates the identification of genetic variants contributing to bipolar susceptibility. Here we investigate comorbidity of eating disorders as a subphenotype of bipolar disorder to identify genetic variation that is common and unique to both disorders.

methodsWe performed a genome-wide association analysis contrasting 184 bipolar subjects with eating disorder comorbidity against both 1370 controls and 2006 subjects with bipolar disorder only from the Bipolar Genome Study (BiGS).

resultsThe most significant genome-wide finding was observed bipolar with comorbid eating disorder vs. controls within SOX2-OT (p=8.9×10(-8) for rs4854912) with a secondary peak in the adjacent FXR1 gene (p=1.2×10(-6) for rs1805576) on chromosome 3q26.33. This region was also the most prominent finding in the case-only analysis (p=3.5×10(-7) and 4.3×10(-6), respectively). Several regions of interest containing genes involved in neurodevelopment and neuroprotection processes were also identified. LIMITATIONS: While our primary finding did not quite reach genome-wide significance, likely due to the relatively limited sample size, these results can be viewed as a replication of a recent study of eating disorders in a large cohort.

conclusionsThese findings replicate the prior association of SOX2-OT with eating disorders and broadly support the involvement of neurodevelopmental/neuroprotective mechanisms in the pathophysiology of both disorders. They further suggest that different clinical manifestations of bipolar disorder may reflect differential genetic contributions and argue for the utility of clinical subphenotypes in identifying additional molecular pathways leading to illness.

Indexed as

Genome-Wide Association StudyAdultBipolar DisorderChromosomes, Human, Pair 3ComorbidityFeeding and Eating DisordersFemaleHumansMaleMiddle AgedBipolar disorderComorbidityEating disordersGenome-wide association (GWAS)SOX2-OT

Identifiers

PMID26433762
PMCPMC4640946
OpenAlexW2114996028

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.