Evidence map›Paper›PMID 30297702›Full record

ArticleTranslational psychiatry2018

Elevated expression of a minor isoform of ANK3 is a risk factor for bipolar disorder.

Timothy Hughes, Ida E Sønderby, Tatiana Polushina, Lars Hansson, Asbjørn Holmgren, Lavinia Athanasiu, Christian Melbø-Jørgensen, Sahar Hassani, Louise K Hoeffding, Stefan Herms and 14 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Proceedings of the National Academy of Sciences of the United States of America · 2026
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  5. Article
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  8. Clinical case report: mosaicCold Spring Harbor molecular case studies · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Ankyrins and neurological disease.Current opinion in neurobiology · 2021
    Review
  20. Article
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

24 authors at 8 institutions in 5 countries.

Timothy HughesDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway. timothy.hughes@medisin.uio.no.
Ida E SønderbyDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Tatiana PolushinaDepartment of Clinical Science, NORMENT, KG Jebsen Centre for Psychosis Research, University of Bergen, Bergen, Norway.
Lars HanssonDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Asbjørn HolmgrenDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Lavinia AthanasiuNORMENT, KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Christian Melbø-JørgensenNORMENT, KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Sahar HassaniNORMENT, KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Louise K HoeffdingInstitute of Biological Psychiatry, Mental Health Centre Sct. Hans, Copenhagen University Hospital, Roskilde, Denmark.
Stefan HermsDepartment of Biomedicine, Human Genomics Research Group, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-2786-8200
Sarah E BergenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Robert KarlssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-8949-2587
Jie SongDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Marcella RietschelDepartment of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.ORCID http://orcid.org/0000-0002-5236-6149
Markus M NöthenInstitute of Human Genetics, University of Bonn, Bonn, Germany.
Andreas J ForstnerDepartment of Biomedicine, Human Genomics Research Group, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-1876-6368
Per HoffmannDepartment of Biomedicine, Human Genomics Research Group, University of Basel, Basel, Switzerland.
Christina M HultmanDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Mikael LandénDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Sven CichonDepartment of Biomedicine, Human Genomics Research Group, University of Basel, Basel, Switzerland.
Thomas WergeInstitute of Biological Psychiatry, Mental Health Centre Sct. Hans, Copenhagen University Hospital, Roskilde, Denmark.
Ole A AndreassenNORMENT, KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Stephanie Le HellardDepartment of Clinical Science, NORMENT, KG Jebsen Centre for Psychosis Research, University of Bergen, Bergen, Norway.
Srdjan DjurovicDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-8140-8061
Oslo University Hospital · NOKarolinska Institutet · SEUniversity of Bonn · DEUniversity of Oslo · NOHaukeland University Hospital · NOCopenhagen University Hospital · DKHeidelberg University · DEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ankyrin-3 (ANK3) is one of the few genes that have been consistently identified as associated with bipolar disorder by multiple genome-wide association studies. However, the exact molecular basis of the association remains unknown. A rare loss-of-function splice-site SNP (rs41283526*G) in a minor isoform of ANK3 (incorporating exon ENSE00001786716) was recently identified as protective of bipolar disorder and schizophrenia. This suggests that an elevated expression of this isoform may be involved in the etiology of the disorders. In this study, we used novel approaches and data sets to test this hypothesis. First, we strengthen the statistical evidence supporting the allelic association by replicating the protective effect of the minor allele of rs41283526 in three additional large independent samples (meta-analysis p-values: 6.8E-05 for bipolar disorder and 8.2E-04 for schizophrenia). Second, we confirm the hypothesis that both bipolar and schizophrenia patients have a significantly higher expression of this isoform than controls (p-values: 3.3E-05 for schizophrenia and 9.8E-04 for bipolar type I). Third, we determine the transcription start site for this minor isoform by Pacific Biosciences sequencing of full-length cDNA and show that it is primarily expressed in the corpus callosum. Finally, we combine genotype and expression data from a large Norwegian sample of psychiatric patients and controls, and show that the risk alleles in ANK3 identified by bipolar disorder GWAS are located near the transcription start site of this isoform and are significantly associated with its elevated expression. Together, these results point to the likely molecular mechanism underlying ANK3´s association with bipolar disorder.

Indexed as

Genetic Predisposition to DiseaseAllelesAnkyrinsBipolar DisorderBrainCohort StudiesGene Expression Regulation, DevelopmentalGenetic Association StudiesGenome-Wide Association StudyHumansPolymorphism, Single NucleotideProtein IsoformsRisk FactorsSchizophreniaANK3 protein, humanAnkyrinsProtein Isoforms

Identifiers

PMID30297702
PMCPMC6175894
OpenAlexW2895445208

What OpenQuestion holds

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LicenceCC BY
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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.