Evidence map›Paper›PMID 40133559›Full record

ArticleNature genetics2025

Rare loss-of-function variants in HECTD2 and AKAP11 confer risk of bipolar disorder.

Thorgeir E Thorgeirsson, Vinicius Tragante, Gardar Sveinbjornsson, Gudrun A Jonsdottir, G Bragi Walters, Erna V Ivarsdottir, Gudny A Arnadottir, Arni Sturluson, Brynjar O Jensson, Run Fridriksdottir and 20 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Associations of Rare Variants in theNeuropsychiatric disease and treatment · 2025
    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

30 authors.

Thorgeir E ThorgeirssondeCODE genetics/Amgen, Reykjavik, Iceland. thorgeir@decode.is.ORCID http://orcid.org/0000-0002-5149-7040
Vinicius TragantedeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-8223-8957
Gardar SveinbjornssondeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-2429-9468
Gudrun A JonsdottirdeCODE genetics/Amgen, Reykjavik, Iceland.
G Bragi WaltersdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-5415-6487
Erna V IvarsdottirdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-2069-0681
Gudny A ArnadottirdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-6571-423X
Arni SturlusondeCODE genetics/Amgen, Reykjavik, Iceland.
Brynjar O JenssondeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-2252-4134
Run FridriksdottirdeCODE genetics/Amgen, Reykjavik, Iceland.
Astros Th SkuladottirdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-5048-0933
Gudmundur EinarssondeCODE genetics/Amgen, Reykjavik, Iceland.
Gyda BjornsdottirdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-8100-0306
Arni F GunnarssondeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-5940-7487
Rosa S GisladottirdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-0941-1888
Asgeir SigurdssondeCODE genetics/Amgen, Reykjavik, Iceland.
Asmundur OddssondeCODE genetics/Amgen, Reykjavik, Iceland.
Hakon JonssondeCODE genetics/Amgen, Reykjavik, Iceland.
Olafur Th MagnussondeCODE genetics/Amgen, Reykjavik, Iceland.
Hannes HelgasondeCODE genetics/Amgen, Reykjavik, Iceland.
Gudmundur NorddahldeCODE genetics/Amgen, Reykjavik, Iceland.
Gudmar ThorleifssondeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0003-4623-9087
Magnus HaraldssonDepartment of Psychiatry, Landspitali University Hospital, Reykjavik, Iceland.
Engilbert SigurdssonDepartment of Psychiatry, Landspitali University Hospital, Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-9404-7982
Hilma HolmdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-9517-6636
Gisli MassondeCODE genetics/Amgen, Reykjavik, Iceland.
Daniel F GudbjartssondeCODE genetics/Amgen, Reykjavik, Iceland.
Hreinn StefanssondeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0002-9331-6666
Patrick SulemdeCODE genetics/Amgen, Reykjavik, Iceland.ORCID http://orcid.org/0000-0001-7123-6123
Kari StefanssondeCODE genetics/Amgen, Reykjavik, Iceland. kstefans@decode.is.ORCID http://orcid.org/0000-0003-1676-864X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bipolar disorder is a highly heritable psychiatric disorder; genome-wide association studies of bipolar disorder have yielded over 60 risk loci harboring common variants. To harness the information contained in rare loss-of-function (LOF) variants, holding promise for informing on the underlying biology, we performed a variant burden analysis for bipolar disorder using gene-based aggregation of LOF variants in whole-genome sequencing data from Iceland (4,197 cases, more than 200,000 controls) and the UK Biobank (1,881 cases, 426,622 controls). We found that HECTD2 was associated with bipolar disorder and confirmed it using the Bipolar Exome dataset. Meta-analysis with Bipolar Exome also revealed that LOF variants in AKAP11 were associated with bipolar disorder. Both associations with bipolar disorder are new, but AKAP11 has previously been associated with psychosis and schizophrenia. The products of AKAP11 and HECTD2 interact with GSK3β, a protein inhibited by lithium, the most effective mood stabilizer available to treat bipolar disorder.

Indexed as

A Kinase Anchor ProteinsBipolar DisorderGenetic Predisposition to DiseaseLoss of Function MutationCase-Control StudiesExomeFemaleGenome-Wide Association StudyGlycogen Synthase Kinase 3 betaHumansIcelandMaleA Kinase Anchor ProteinsGlycogen Synthase Kinase 3 beta

Identifiers

PMID40133559
PMCPMC11985335

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.