RT Journal Article SR Electronic T1 Genome-wide association study identifies 30 Loci Associated with Bipolar Disorder JF bioRxiv FD Cold Spring Harbor Laboratory SP 173062 DO 10.1101/173062 A1 Eli A Stahl A1 Andreas J Forstner A1 Andrew McQuillin A1 Stephan Ripke A1 Vassily Trubetskoy A1 Manuel Mattheisen A1 Weiqing Wang A1 Yunpeng Wang A1 Jonathan R I Coleman A1 Héléna A Gaspar A1 Christiaan A de Leeuw A1 Jennifer M Whitehead Pavlides A1 Loes M Olde Loohuis A1 Anil P S Ori A1 Tune H Pers A1 Peter A Holmans A1 Douglas M Ruderfer A1 Phil H Lee A1 Alexander W Charney A1 Amanda L Dobbyn A1 Laura Huckins A1 James Boocock A1 Claudia Giambartolomei A1 Panos Roussos A1 Niamh Mullins A1 Swapnil Awasthi A1 Esben Agerbo A1 Thomas D Als A1 Carsten Bøcker Pedersen A1 Jakob Grove A1 Ralph Kupka A1 Eline J Regeer A1 Adebayo Anjorin A1 Miquel Casas A1 Cristina Sánchez-Mora A1 Pamela B Mahon A1 Shaun M Purcell A1 Steve McCarroll A1 Judith Allardyce A1 Valentina Escott-Price A1 Liz Forty A1 Christine Fraser A1 Marian L Hamshere A1 George Kirov A1 Manolis Kogevinas A1 Josef Frank A1 Fabian Streit A1 Jana Strohmaier A1 Jens Treutlein A1 Stephanie H Witt A1 James L Kennedy A1 John S Strauss A1 Julie Garnham A1 Claire O’Donovan A1 Claire Slaney A1 Stacy Steinberg A1 Thorgeir E Thorgeirsson A1 Martin Hautzinger A1 Michael Steffens A1 Ralph Kupka A1 Steve McCarroll A1 Roy H Perlis A1 Miquel Casas A1 Cristina Sánchez-Mora A1 Maria Hipolito A1 William B Lawson A1 Evaristus A Nwulia A1 Shawn E Levy A1 Shaun M Purcell A1 Tatiana M Foroud A1 Stéphane Jamain A1 Allan H Young A1 James D McKay A1 Thomas D Als A1 Carsten Bøcker Pedersen A1 Jakob Grove A1 Diego Albani A1 Peter Zandi A1 Pamela B Mahon A1 James B Potash A1 Peng Zhang A1 J Raymond DePaulo A1 Sarah E Bergen A1 Anders Juréus A1 Robert Karlsson A1 Radhika Kandaswamy A1 Peter McGuffin A1 Margarita Rivera A1 Jolanta Lissowska A1 Roy H Perlis A1 Cristiana Cruceanu A1 Susanne Lucae A1 Pablo Cervantes A1 Monika Budde A1 Katrin Gade A1 Urs Heilbronner A1 Marianne Giørtz Pedersen A1 Carsten Bøcker Pedersen A1 Derek W Morris A1 Cynthia Shannon Weickert A1 Thomas W Weickert A1 Donald J MacIntyre A1 Jacob Lawrence A1 Torbjørn Elvsåshagen A1 Olav B Smeland A1 Srdjan Djurovic A1 Simon Xi A1 Elaine K Green A1 Piotr M Czerski A1 Joanna Hauser A1 Wei Xu A1 Helmut Vedder A1 Lilijana Oruc A1 Anne T Spijker A1 Scott D Gordon A1 Sarah E Medland A1 David Curtis A1 Thomas W Mühleisen A1 Judith Badner A1 William A Scheftner A1 Engilbert Sigurdsson A1 Nicholas J Schork A1 Alan F Schatzberg A1 Marie Bækvad-Hansen A1 Jonas Bybjerg-Grauholm A1 Christine Søholm Hansen A1 James A Knowles A1 Helena Medeiros A1 Szabolcs Szelinger A1 Grant W Montgomery A1 Derek W Morris A1 Marco Boks A1 Annelie Nordin Adolfsson A1 Miquel Casas A1 Stéphane Jamain A1 Nicholas Bass A1 David Curtis A1 Per Hoffmann A1 Michael Bauer A1 Andrea Pfennig A1 Markus Leber A1 Sarah Kittel-Schneider A1 Andreas Reif A1 Katrin Gade A1 Jurgen Del-Favero A1 Sascha B Fischer A1 Stefan Herms A1 Per Hoffmann A1 Thomas W Mühleisen A1 Céline S Reinbold A1 Srdjan Djurovic A1 Franziska Degenhardt A1 Stefan Herms A1 Per Hoffmann A1 Anna C Koller A1 Anna Maaser A1 Wolfgang Maier A1 Nelson B Freimer A1 Anil Ori A1 Anders M Dale A1 Chun Chieh Fan A1 Tiffany A Greenwood A1 Caroline M Nievergelt A1 Tatyana Shehktman A1 Paul D Shilling A1 Olav B Smeland A1 William Byerley A1 William Bunney A1 Ney Alliey-Rodriguez A1 Douglas H R Blackwood A1 Toni-Kim Clarke A1 Donald J MacIntyre A1 Margarita Rivera A1 Chunyu Liu A1 William Coryell A1 Huda Akil A1 Margit Burmeister A1 Matthew Flickinger A1 Jun Z Li A1 Melvin G McInnis A1 Fan Meng A1 Robert C Thompson A1 Stanley J Watson A1 Sebastian Zollner A1 Weihua Guan A1 Melissa J Green A1 Cynthia Shannon Weickert A1 Thomas W Weickert A1 Olav B Smeland A1 David Craig A1 Janet L Sobell A1 Lili Milani A1 James L Kennedy A1 John S Strauss A1 Wei Xu A1 Katherine Gordon-Smith A1 Sarah V Knott A1 Amy Perry A1 José Guzman Parra A1 Fermin Mayoral A1 Fabio Rivas A1 Miquel Casas A1 Cristina Sánchez-Mora A1 Caroline M Nievergelt A1 Ralph Kupka A1 John P Rice A1 Jack D Barchas A1 Anders D Børglum A1 Preben Bo Mortensen A1 Ole Mors A1 Maria Grigoroiu-Serbanescu A1 Frank Bellivier A1 Bruno Etain A1 Marion Leboyer A1 Josep Antoni Ramos-Quiroga A1 Marta Ribasés A1 Tõnu Esko A1 Jordan W Smoller A1 Nicholas Craddock A1 Ian Jones A1 Michael J Owen A1 Marcella Rietschel A1 Thomas G Schulze A1 John Vincent A1 Tõnu Esko A1 Eduard Vieta A1 Merete Nordentoft A1 Martin Alda A1 Hreinn Stefansson A1 Kari Stefansson A1 Danielle Posthuma A1 Ingrid Agartz A1 Frank Bellivier A1 Tõnunu Esko A1 Ketil J Oedegaard A1 Eystein Stordal A1 Josep Antoni Ramos-Quiroga A1 Marta Ribasés A1 Richard M Myers A1 René S Kahn A1 Frank Bellivier A1 Bruno Etain A1 Marion Leboyer A1 Bruno Etain A1 Anders D Børglum A1 Ole Mors A1 Thomas Werge A1 Qingqin S Li A1 Thomas G Schulze A1 Fernando Goes A1 Ingrid Agartz A1 Christina M Hultman A1 Mikael Landén A1 Patrick F Sullivan A1 Cathryn M Lewis A1 Susan L McElroy A1 Jordan W Smoller A1 Bertram Müller-Myhsok A1 Joanna M Biernacka A1 Mark Frye A1 Gustavo Turecki A1 Guy A Rouleau A1 Thomas G Schulze A1 Thomas Werge A1 Guy A Rouleau A1 Bertram Müller-Myhsok A1 Martin Alda A1 Francis J McMahon A1 Thomas G Schulze A1 Janice M Fullerton A1 Peter R Schofield A1 Eystein Stordal A1 Gunnar Morken A1 Ulrik F Malt A1 Ingrid Melle A1 Sara A Paciga A1 Nicholas G Martin A1 Arne E Vaaler A1 Gunnar Morken A1 David M Hougaard A1 Carlos Pato A1 Michele T Pato A1 Nicholas G Martin A1 Aiden Corvin A1 Michael Gill A1 René S Kahn A1 Rolf Adolfsson A1 Josep Antoni Ramos-Quiroga A1 Frank Bellivier A1 Bruno Etain A1 Marion Leboyer A1 Thomas G Schulze A1 Bernhard T Baune A1 Ketil J Oedegaard A1 Alessandro Serretti A1 Markus M Nöthen A1 Elliot S Gershon A1 Thomas Werge A1 Andrew M McIntosh A1 Mikael Landén A1 Kari Stefansson A1 Bertram Müller-Myhsok A1 Michael Boehnke A1 Udo Dannlowski A1 Janice M Fullerton A1 Philip B Mitchell A1 Peter R Schofield A1 Patrick F Sullivan A1 Ingrid Agartz A1 Ingrid Melle A1 Wade H Berrettini A1 Vishwajit Nimgaonkar A1 Tõnu Esko A1 Andres Metspalu A1 Lisa A Jones A1 Josep Antoni Ramos-Quiroga A1 Marta Ribasés A1 John Nurnberger A1 Naomi R Wray A1 Arianna Di Florio A1 Michael C O’Donovan A1 Howard Edenberg A1 Roel A Ophoff A1 Laura J Scott A1 Sven Cichon A1 Ole A Andreassen A1 Pamela Sklar A1 John Kelsoe A1 Gerome Breen A1 for the Bipolar Disorder Working Group of the Psychiatric Genomics Consortium. YR 2017 UL http://biorxiv.org/content/early/2017/08/08/173062.1.abstract AB Bipolar disorder is a highly heritable psychiatric disorder that features episodes of mania and depression. We performed the largest genome-wide association study to date, including 20,352 cases and 31,358 controls of European descent, with follow-up analysis of 881 sentinel variants at loci with P<1×10−4 in an independent sample of 9,412 cases and 137,760 controls. In the combined analysis, 30 loci achieved genome-wide significance including 20 novel loci. These significant loci contain genes encoding ion channels and neurotransmitter transporters (CACNA1C, GRIN2A, SCN2A, SLC4A1), synaptic components (RIMS1, ANK3), immune and energy metabolism components, and multiple potential therapeutic targets for mood stabilizer drugs. Bipolar disorder type I (depressive and manic episodes; ~73% of our cases) is strongly genetically correlated with schizophrenia whereas type II (depressive and hypomanic episodes; ~17% of our cases) correlated more with major depression. Furthermore, bipolar disorder has a positive genetic correlation with educational attainment yet has no significant genetic correlation with intelligence. These findings address key clinical questions and provide potential new biological mechanisms for bipolar disorder.