Study Report

Basic Info
Reference |
Goldstein, I.,2009 PMID: 19058785
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Citation |
Goldstein, I., E. Lerer, et al. (2009). Association between sodium- and potassium-activated adenosine triphosphatase alpha isoforms and bipolar disorders. Biol Psychiatry 65(11): 985-991.
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Disease Type |
Bipolar I Disorder |
Study Design |
family-based |
Study Type |
Candidate-gene association study |
Sample Size |
118 families,126 patients with BD(120 patients with BD-I,6 patients with BD-II) |
SNP/Region/Marker Size |
16 SNPs |
Predominant Ethnicity |
|
Population |
Palestinian Arabs |
Gender |
male/female:73/53 in cases |

Detail Info
Sample Diagnosis |
DSM |
Sample Status |
Altogether, 126 subjects (Palestinian Arabs) with BD (73 men and 53 women) and their parents (88 mothers and 88 fathers) and unaffected siblings (19) were recruited. In total,118 families, out of which 22 families had two or more children diagnosed with BD, were included in the research group. Exclusion criteria included absence of both parents and non-Palestinian ancestry (two generations). All patients were interviewed by two experienced psychiatrists using the Structured Clinical Interview for DSM Disorders (SCID) interview and diagnosis as BD was assigned according to DSM-IV criteria.Cumulative years of illness were 7.2(SD=0.744) (1-28 years). The average number of hospitalizations was 4.9(SD=0.53) (1-24 episodes). |
Technique |
genotyping |
Statistical Method |
The multivariate family-based association test (MFBAT),the transmission disequilibrium test (TDT),the extended transmission disequilibrium test (ETDT) and Permutation test |
Result Summary |
Significant nominal association with BD was observed for six single SNPs (alpha1: rs11805078; alpha2: rs2070704, rs1016732, rs2854248, and rs2295623; alpha3: rs919390) in the three genes of Na+, K+-ATPase alpha isoforms. Haplotype analysis of the alpha2 isoform (ATP1A2 gene) showed a significant association with two loci haplotypes with BD (rs2295623: rs2070704; global p value = .0198, following a permutation test). CONCLUSIONS: This study demonstrates for the first time that genetic variations in Na+, K+-ATPase are associated with BD, suggesting a role of this enzyme in the etiology of this disease. |

SNPs reported by this study for BD (count: 6)
SNP |
Related Gene(s) |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
rs1016732 |
ATP1A2
ATP1A1
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A/G |
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Single SNP association: additive model: FBAT P-value = 0.0393; dominant model: FBAT P-value = 0.006; recessive model: FBAT P-value = 0.0066
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The SNP was significantly associated with BD in several mode......
The SNP was significantly associated with BD in several modes.
More...
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Positive
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rs11805078 |
ATP1A1
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C/T |
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Single SNP association: additive model: FBAT P-value = 0.0184
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The SNP was significantly associated with BD only in the add......
The SNP was significantly associated with BD only in the additive mode.
More...
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Positive
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rs2070704 |
ATP1A2
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A/G |
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Single SNP association: additive model: FBAT P-value = 0.0236; dominant model: FBAT P value=0.0158; recessive model: FBAT P-value = 0.0158; heterozygote model: FBAT P-value = 0.022
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The SNP was significantly associated with BD in several mode......
The SNP was significantly associated with BD in several modes.
More...
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Positive
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rs2295623 |
ATP1A2
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A/C |
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Single SNP association: dominant model: FBAT P-value = 0.0208; recessive model: FBAT P-value = 0.0208; heterozygote model: FBAT P-value = 0.0014
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The SNP was significantly associated with BD in several mode......
The SNP was significantly associated with BD in several modes.
More...
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Positive
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rs919390 |
ATP1A3
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C/G |
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Single SNP association: additive model: FBAT P-value = 0.0163; dominant model: FBAT P-value = 0.0268; recessive model: FBAT P-value = 0.0268
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The SNP was significantly associated with BD in several mode......
The SNP was significantly associated with BD in several modes.
More...
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Positive
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rs2854248 |
ATP1A2
ATP1A1
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A/T |
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Single SNP association: dominant model: FBAT P-value = 0.0110; recessive model: FBAT P-value = 0.0110; heterozygote model: FBAT P-value = 0.0031
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The SNP was significantly associated with BD in several mode......
The SNP was significantly associated with BD in several modes.
More...
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Positive
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Haplotypes reported by this study for BD (count: 1)
Markers |
Haplotype |
Related Gene(s)/Region(s) |
Statistical Values |
Author Comments |
Result Category |
rs2070704 - rs2295623 |
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ATP1A2
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multimarker association analysis:P-value = 0.0918 after Permutation test
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This haplotype block in the ATP1A2 gene (rs2070704 -rs229562......
This haplotype block in the ATP1A2 gene (rs2070704 -rs2295623) was significantly associated with BD .
More...
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Positive
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Genes reported by this study for BD (count: 3)
Gene |
Statistical Values/Author Comments |
Result Category |
ATP1A2 |
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in th......
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in the three genes of isoforms of Na<sup>+</sup , K<sup>+</sup> -ATPase are associated with BD and suggest the role of this enzyme in the etiology of BD.
More...
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Positive
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ATP1A3 |
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in th......
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in the three genes of isoforms of Na<sup>+</sup , K<sup>+</sup> -ATPase are associated with BD and suggest the role of this enzyme in the etiology of BD.
More...
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Positive
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ATP1A1 |
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in th......
In summary, this study demonstrates for the first time that genetic variations in tagging SNPs in the three genes of isoforms of Na<sup>+</sup , K<sup>+</sup> -ATPase are associated with BD and suggest the role of this enzyme in the etiology of BD.
More...
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Positive
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