Study Report

Basic Info
| Reference |
Raybould, R.,2005 PMID: 15820225
|
| Citation |
Raybould, R., E. K. Green, et al. (2005). Bipolar disorder and polymorphisms in the dysbindin gene (DTNBP1). Biol Psychiatry 57(7): 696-701.
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| Disease Type |
Bipolar I Disorder |
| Study Design |
case-control |
| Study Type |
Candidate-gene association study |
| Sample Size |
726 bipolar I patients; 1407 ethnically matched controls. |
| SNP/Region/Marker Size |
3 SNPs |
| Predominant Ethnicity |
Caucasian |
| Population |
British |
| Gender |
38.2% male in bipolar I patients;52.4% in controls |
| Age Group |
Adults
:
Mean age(SD)(year):47.7 (13.1)[mean age onset:26.2 (10.1)] in BPI patients,40.8 (12.5) in controls
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Detail Info
| Sample Diagnosis |
DSM |
| Sample Status |
All the cases used met DSM-IV (American Psychiatric Association 1994) criteria for bipolar I disorder and were recruited through mental health services in England and Wales.Consent was obtained for control subjects following local ethical approval guidelines. Family history of psychiatric illness in first or second degree relative:59.8%,Lifetime rapid cycling:12.4%,Lifetime occurrence of at least one psychotic symptom:63.4%, Psychotic symptoms occur in 50% or more of episodes of illness:18.3%,Predominantly mood incongruent psychotic features:21.6%,Lifetime occurrence of puerperal triggering of mood episodes:15.8%. Controls were all of Caucasian UK origin collected from two sources:The British Blood Transfusion Service (n=1298). The sample was not specifically screened for psychiatric illness but individuals were not taking regular prescribed medications.Family Practitioner Clinic (n=109). Individuals were recruitedfrom amongst those attending for nonpsychiatric reasons.This sample was screened to exclude a personal history of mood disorder. |
| Technique |
genotyping |
| Statistical Method |
Departure from Hardy-Weinberg equilibrium was tested using a X2 goodness-of-fit test. Tests for differences between allele and haplotype frequencies were performed using UNPHASED 2.40 (Dudbridge 2003). |
| Result Summary |
RESULTS: No significant differences were found in the distribution of the 3-locus haplotype in the full sample. Within the subset of bipolar I cases with predominantly psychotic episodes of mood disturbance (n = 133) we found nominally significant support for association at this haploptype (p < .042) and at SNP rs2619538 (p = .003), with a pattern of findings similar to that in our schizophrenia sample. This finding was not significant after correction for multiple testing. CONCLUSIONS: Our data suggest that variation at the polymorphisms examined does not make a major contribution to susceptibility to bipolar disorder in general. They are consistent with the possibility that DTNBP1 influences susceptibility to a subset of bipolar disorder cases with psychosis. However, our subset sample is small and the hypothesis requires testing in independent, adequately powered samples. |

SNPs reported by this study for BD (count: 3)
| SNP |
Related Gene(s) |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
| rs2619538 |
DTNBP1
|
T/A |
|
Single-Marker Analysis: for all BPI, allele P-value = 0.360; for BPI with Psychotic Symptoms in 50% or More of Episodes, allele P-value = 0.004
|
No significant association was observed.
No significant association was observed.
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Negative
|
| rs3213207 |
DTNBP1
|
G/A |
|
Single-Marker Analysis: for all BPI, allele P-value = 0.829; for BPI with Psychotic Symptoms in 50% or More of Episodes, allele P-value = 0.475
|
No significant association was observed.
No significant association was observed.
|
Negative
|
| rs2619539 |
DTNBP1
|
G/C |
|
Single-Marker Analysis: for all BPI, allele P-value = 0.999; for BPI with Psychotic Symptoms in 50% or More of Episodes, allele P-value = 0.415
|
No significant association was observed.
No significant association was observed.
|
Negative
|

Haplotypes reported by this study for BD (count: 1)
| Markers |
Haplotype |
Related Gene(s)/Region(s) |
Statistical Values |
Author Comments |
Result Category |
| rs2619539 - rs3213207 - rs2619538 |
|
DTNBP1
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Haplotypic association:in BPI, for risk/protective/other, global P-value = 0.420; for six haplotypes, global P-value = 0.076; in BPI with Psychotic Symptoms in 50% or More of Episodes, for risk/protective/other, global P-value = 0.042; for six haplotypes, global P-value = 0.079
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No significant association was found .
No significant association was found .
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Negative
|

Genes reported by this study for BD (count: 1)
| Gene |
Statistical Values/Author Comments |
Result Category |
| DTNBP1 |
Our data suggest that variation at the polymorphisms examined does not make a major contribution to ......
Our data suggest that variation at the polymorphisms examined does not make a major contribution to susceptibility to bipolar disorder in general. They are consistent with the possibility that DTNBP1 influences susceptibility to a subset of bipolar disorder cases with psychosis.
More...
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Negative
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