Evidence map›Paper›PMID 30686506›Full record

ArticleBiological psychiatry2019

Contribution of Rare Copy Number Variants to Bipolar Disorder Risk Is Limited to Schizoaffective Cases.

Alexander W Charney, Eli A Stahl, Elaine K Green, Chia-Yen Chen, Jennifer L Moran, Kimberly Chambert, Richard A Belliveau, Liz Forty, Katherine Gordon-Smith, Phil H Lee and 36 more

Abstract read
In one paragraph

Article in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  10. Independent inheritance of cognition and bipolar disorder in a family sample.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2025
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  13. Proceedings of the National Academy of Sciences of the United States of America · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors.

Alexander W CharneyDepartment of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Neurosurgery, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Genetics and Genomic Sciences, Icahn Institute of Genomics and Multiscale Biology, New York, New York. Electronic address: alexander.charney@mssm.edu.
Eli A StahlDepartment of Genetics and Genomic Sciences, Icahn Institute of Genomics and Multiscale Biology, New York, New York.
Elaine K GreenSchool of Biomedical and Health Sciences, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth University, Portland Square, Plymouth, UK.
Chia-Yen ChenStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts; Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Boston, Massachusetts.
Jennifer L MoranDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Kimberly ChambertStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts.
Richard A BelliveauStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts.
Liz FortyMRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.
Katherine Gordon-SmithDepartment of Psychiatry, University of Birmingham, Birmingham, UK.
Phil H LeeStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts; Center for Human Genetic Research, Massachusetts General Hospital, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts.
Evelyn J BrometDepartment of Psychiatry, Stony Brook University, Stony Brook, New York.
Peter F BuckleySchool of Medicine, Virginia Commonwealth University, Richmond, Virginia; Department of Psychiatry, Georgia Regents University Medical Center, Augusta, Georgia.
Michael A EscamillaCenter of Excellence in Neuroscience, Department of Psychiatry, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas.
Ayman H FanousDepartment of Psychiatry and the Behavioral Sciences, State University of New York, Downstate Medical Center, New York, New York; Department of Psychiatry, VA New York Harbor Healthcare System, Brooklyn, New York.
Laura J FochtmannDepartment of Psychiatry, Stony Brook University, Stony Brook, New York.
Douglas S LehrerDepartment of Psychiatry, Wright State University, Dayton, Ohio.
Dolores MalaspinaDepartment of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Genetics and Genomic Sciences, Icahn Institute of Genomics and Multiscale Biology, New York, New York; Department of Psychiatry, New York University, New York, New York.
Stephen R MarderSemel Institute for Neuroscience, University of California, Los Angeles, California.
Christopher P MorleyDepartment of Psychiatry and Behavioral Science, State University of New York, Upstate Medical University, Syracuse, New York; Department of Family Medicine, State University of New York, Upstate Medical University, Syracuse, New York; Department of Public Health and Preventive Medicine, State University of New York, Upstate Medical University, Syracuse, New York.
Humberto NicoliniCenter for Genomic Sciences, Universidad Autónoma de la Ciudad de México, Mexico City, Mexico; Department of Psychiatry, Carracci Medical Group, Mexico City, Mexico.
Diana O PerkinsDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Jeffrey J RakofskyDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia.
Mark H RapaportDepartment of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia.
Helena MedeirosDepartment of Psychiatry and the Behavioral Sciences, State University of New York, Downstate Medical Center, New York, New York.
Janet L SobellDepartment of Psychiatry and the Behavioral Sciences, University of Southern California, Keck School of Medicine, Los Angeles, California.
Lena BacklundDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Sarah E BergenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Anders JuréusDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Martin SchallingDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
James A KnowlesDepartment of Cell Biology, State University of New York, Downstate Medical Center, New York, New York.
Katherine E BurdickDepartment of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts.
Ian JonesMRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.
Lisa A JonesDepartment of Psychiatry, University of Birmingham, Birmingham, UK.
Christina M HultmanDepartment of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Roy PerlisCenter for Experimental Therapeutics, Massachusetts General Hospital, Boston, Massachusetts.
Shaun M PurcellDepartment of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts.
Steven A McCarrollStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts; Department of Genetics, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts.
Carlos N PatoDepartment of Psychiatry and the Behavioral Sciences, State University of New York, Downstate Medical Center, New York, New York.
Michele T PatoDepartment of Psychiatry and the Behavioral Sciences, State University of New York, Downstate Medical Center, New York, New York.
Ariana Di FlorioDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.
Nick CraddockMRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Cardiff, UK.
Mikael LandénDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Institute of Neuroscience and Physiology, Sahlgenska Academy at the Gothenburg University, Gothenburg, Sweden.
Jordan W SmollerStanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts; Psychiatric and Neurodevelopmental Genetics Unit, Center for Genomic Medicine, Boston, Massachusetts.
Douglas M RuderferDivision of Genetic Medicine, Departments of Medicine, Biomedical Informatics, and Psychiatry, Vanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: douglas.ruderfer@vanderbilt.edu.
Pamela SklarDepartment of Psychiatry, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Neuroscience, Friedman Brain Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Genetics and Genomic Sciences, Icahn Institute of Genomics and Multiscale Biology, New York, New York.

Funding

African Ancestry Genomic Psychiatry CohortR01MH104964 · NIMH · SUNY DOWNSTATE MEDICAL CENTER · PI BIGDELI, TIM BERNARD, FANOUS, AYMAN H · 2015 to 2024
$16.7M
Genomic Psychiatry CohortR01MH085548 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI PATO, CARLOS N, PATO, MICHELE T · 2008 to 2012
$16.3M
International Cohort Collection for Bipolar DisorderR01MH085542 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SMOLLER, JORDAN W · 2008 to 2012
$10.7M
Latino Ancestry Genomic Psychiatry CohortR01MH123451 · NIMH · SUNY DOWNSTATE MEDICAL CENTER · PI BIGDELI, TIM BERNARD, FANOUS, AYMAN H · 2020 to 2025
$7.1M
3/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109536 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHARNEY, ALEXANDER W, HUCKINS, LAURA MARIANNE · 2016 to 2020
$2.7M
Comprehensive analysis of genetic pleiotropy in eleven neuropsychiatric disordersR01MH119243 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, PHIL H. · 2020 to 2024
$2.3M
1/3 Genetic Analysis of the International Cohort Collection for Bipolar DisorderR01MH106531 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI STAHL, ELI A · 2015 to 2017
$1.2M
Neuroimaging genetics to study social cognitive deficits in ASD and schizophreniaR00MH101367 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, PHIL H. · 2017 to 2019
$747k
3/3 Genetic Analysis of the International Cohort Collection for Bipolar DisorderR01MH106547 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SMOLLER, JORDAN W · 2015 to 2017
$522k
Neuroimaging genetics to study social cognitive deficits in ASD and schizophreniaK99MH101367 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LEE, PHIL H. · 2014 to 2015
$237k
Medical Research Council MR/L010305/1NIMH NIH HHS K99 MH101367NIMH NIH HHS R00 MH101367NIMH NIH HHS R01 MH085542NIMH NIH HHS R01 MH085548NIMH NIH HHS R01 MH104964NIMH NIH HHS R01 MH106531NIMH NIH HHS R01 MH106547NIMH NIH HHS R01 MH119243NIMH NIH HHS R01 MH123451NIMH NIH HHS U01 MH109536Wellcome Trust
6 · The paper itself

Abstract

backgroundGenetic risk for bipolar disorder (BD) is conferred through many common alleles, while a role for rare copy number variants (CNVs) is less clear. Subtypes of BD including schizoaffective disorder bipolar type (SAB), bipolar I disorder (BD I), and bipolar II disorder (BD II) differ according to the prominence and timing of psychosis, mania, and depression. The genetic factors contributing to the combination of symptoms among these subtypes are poorly understood.

methodsRare large CNVs were analyzed in 6353 BD cases (3833 BD I [2676 with psychosis, 850 without psychosis, and 307 with unknown psychosis history], 1436 BD II, 579 SAB, and 505 BD not otherwise specified) and 8656 controls. CNV burden and a polygenic risk score (PRS) for schizophrenia were used to evaluate the relative contributions of rare and common variants to risk of BD, BD subtypes, and psychosis.

resultsCNV burden did not differ between BD and controls when treated as a single diagnostic entity. However, burden in SAB was increased relative to controls (p = .001), BD I (p = .0003), and BD II (p = .0007). Burden and schizophrenia PRSs were increased in SAB compared with BD I with psychosis (CNV p = .0007, PRS p = .004), and BD I without psychosis (CNV p = .0004, PRS p = 3.9 × 10

conclusionsCNV burden in BD is limited to SAB. Rare and common genetic variants may contribute differently to risk for psychosis and perhaps other classes of psychiatric symptoms.

Indexed as

Bipolar DisorderCase-Control StudiesCohort StudiesDNA Copy Number VariationsGene DuplicationGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMultifactorial InheritancePsychotic DisordersSchizophreniaBipolar disorderCopy number variantGeneticsPolygenic risk scoreRare variant burdenSchizophrenia

Identifiers

PMID30686506
PMCPMC6586545

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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.