Evidence map›Paper›PMID 41291230›Full record

ArticleNature neuroscience2026

Trans-ancestry genome-wide analyses of bipolar disorder in East Asian and European populations improve genetic discovery.

Chu-Yi Zhang, Miao Li, Ping Sun, Li Hui, Yuan Gao, Jian-Zhong Yang, Nan Zhang, Xiaoyang Feng, Yong Wu, Lei Guo and 42 more

Abstract read
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Article in Nature neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

52 authors.

Chu-Yi Zhang *State Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.ORCID http://orcid.org/0000-0003-3369-1883
Miao Li *State Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.
Ping Sun *Qingdao Mental Health Center, Qingdao, China.
Li Hui *Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.ORCID http://orcid.org/0000-0001-6162-1335
Yuan Gao *Department of Psychiatry, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID http://orcid.org/0009-0004-1968-0648
Jian-Zhong Yang *Department of Psychiatry, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Nan ZhangDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
Xiaoyang FengPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.ORCID http://orcid.org/0000-0003-1065-8597
Yong WuState Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.ORCID http://orcid.org/0000-0003-4769-935X
Lei GuoZhejiang Key Laboratory of Pathophysiology, Health Science Center, Ningbo University, Ningbo, China.
Jing YuanDepartment of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Hong-Yan JiangDepartment of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Yu-Qi ChengDepartment of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Simeng MaDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.ORCID http://orcid.org/0000-0002-1775-5202
Qian GongDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
Yaoyao SunPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.ORCID http://orcid.org/0000-0001-8096-3568
Yi LiAffiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Na QuAffiliated Wuhan Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xu-Yuan YinSuzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
Lu WangState Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.
Yongfeng YangHenan Mental Hospital, The Second Affiliated Hospital of Henan Medical University, Xinxiang, China.ORCID http://orcid.org/0000-0003-0358-0752
Chuansheng WangHenan Mental Hospital, The Second Affiliated Hospital of Henan Medical University, Xinxiang, China.
Luxian LvHenan Mental Hospital, The Second Affiliated Hospital of Henan Medical University, Xinxiang, China.ORCID http://orcid.org/0000-0002-3963-660X
Dongsheng ZhouDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo, China.ORCID http://orcid.org/0009-0002-9326-4242
Xingxing LiDepartment of Psychiatry, Ningbo Kangning Hospital, Ningbo, China.
Xiaogang ChenDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.
Chen ZhangClinical Research Center & Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0003-4071-1627
Jun ChenClinical Research Center & Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-3837-2761
Xueqin SongThe First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Jinsong TangDepartment of Psychiatry, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.ORCID http://orcid.org/0000-0003-3796-1377
Jun CaiClinical Research Center & Division of Mood Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Weixing FanJinhua Second Hospital, Jinhua, China.
Wei TangDepartment of Psychiatry, The Affiliated Kangning Hospital of Wenzhou Medical University, Wenzhou, China.
Wenxin TangHangzhou Seventh People's Hospital, Hangzhou, China.
Wenqiang LiHenan Mental Hospital, The Second Affiliated Hospital of Henan Medical University, Xinxiang, China.
Xia TangState Key Laboratory of Genetic Engineering, Center for Evolutionary Biology, School of Life Sciences, Fudan University, Shanghai, China.
Xiaoxi ZhangState Key Laboratory of Genetic Engineering, Center for Evolutionary Biology, School of Life Sciences, Fudan University, Shanghai, China.
Yan LuState Key Laboratory of Genetic Engineering, Center for Evolutionary Biology, School of Life Sciences, Fudan University, Shanghai, China.
Yong-Gang YaoState Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.ORCID http://orcid.org/0000-0002-2955-0693
Chuang WangZhejiang Key Laboratory of Pathophysiology, Health Science Center, Ningbo University, Ningbo, China.ORCID http://orcid.org/0000-0002-3816-230X
Hon-Cheong SoKIZ-CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China.
Nakao IwataDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan.ORCID http://orcid.org/0000-0003-3189-6076
Masashi IkedaDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan.
Takeo SaitoDepartment of Psychiatry, Fujita Health University School of Medicine, Toyoake, Japan.
Zhongchun LiuDepartment of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China.
Shuahua XuState Key Laboratory of Genetic Engineering, Center for Evolutionary Biology, School of Life Sciences, Fudan University, Shanghai, China.
Weihua YuePeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.ORCID http://orcid.org/0000-0002-1201-8465
GeseDNA Research Team
Yiru FangDepartment of Psychiatry & Affective Disorders Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. yirufang@aliyun.com.ORCID http://orcid.org/0000-0002-8748-9085
Feng ZhuDepartment of Psychiatry, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. zhufeng1982@xjtu.edu.cn.ORCID http://orcid.org/0000-0003-3986-8803
Xiao XiaoState Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China. xiaoxiao2@mail.kiz.ac.cn.ORCID http://orcid.org/0000-0003-3608-6208
Ming LiState Key Laboratory of Genetic Evolution & Animal Models, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China. limingkiz@mail.kiz.ac.cn.ORCID http://orcid.org/0000-0002-8197-6552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genome-wide association studies (GWASs) of bipolar disorder (BD) have predominantly included individuals of European (EUR) ancestry, underrepresenting non-EUR populations and limiting insight into disease mechanisms. Here we performed a GWAS of BD in Han Chinese individuals (5,164 cases and 13,460 controls) and conducted comparative and integrative analyses with independent East Asian (EAS, 4,479 cases and 75,725 controls) and EUR (59,287 cases and 781,022 controls) cohorts from the PGC4 GWAS. Our GWAS in EAS ancestry identified two genome-wide significant risk loci, including variants at the major histocompatibility complex (MHC) class II region. Incorporating EAS data into trans-ancestry GWAS revealed 93 significant loci (23 novel). Heritability enrichment analyses implicated a variety of neuronal cell types. Multidimensional post-GWAS prioritization identified 39 high-confidence risk genes, of which 15 were differentially expressed in the brains of patients with BD, 12 modulated BD-relevant behaviors in mice and 18 are pharmacologically tractable. This work advances understanding of the biological underpinnings of BD and provides direction for future research in underrepresented populations.

Indexed as

Bipolar DisorderEast Asian PeopleGenetic Predisposition to DiseaseGenome-Wide Association StudyWhite PeopleAnimalsAsia, EasternFemaleHumansMaleMicePolymorphism, Single Nucleotide

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