Study Report

Basic Info
| Reference |
Shi, J., 2008 (d) PMID: 18228528
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| Citation |
Shi, J., J. K. Wittke-Thompson, et al. (2008). "Clock genes may influence bipolar disorder susceptibility and dysfunctional circadian rhythm." Am J Med Genet B Neuropsychiatr Genet 147B(7): 1047-1055.
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| Disease Type |
Bipolar Disorder |
| Study Design |
family-based |
| Study Type |
Candidate-gene association study |
| Sample Size |
A total of 416 samples were included in a modest-sized BPsample set (Sample I). Sample II consists of 1,158 individuals, including 70 trios and 237 quads, which includes the same 114 families but not necessarily the same individuals as Sample I. |
| SNP/Region/Marker Size |
19 SNPs within five circadian genes in a modest-sizedBPsample set (Sample I); 62 SNPs within ten circadian genes in the extended BP family sample (Sample II). |
| Predominant Ethnicity |
Caucasian |
| Population |
CNG, NIMH and the CHIP collections |
| Gender |
Of 194 offspring in sample I, 105 are females and 89 are males. Of 544 affected offspring in sample II, 326 are females and 218 are males. |

Detail Info
| Sample Diagnosis |
Diagnostic Instrument for Genetic Studies (DIGS) and the Family Interview for Genetic Studies (FIGS); DSM-III-R or DSM-IV. |
| Sample Status |
Of 194 offspring, 154 meet DSM-III-R criteria for BPI, 29 for BPII, and 11 for schizoaffective disorder bipolar type (SAB) in Sample I. Of 544 affected offspring from 70 trios and 237 quads, 481 had BPI, 37 had BPII, and 26 had SAB in Sample II. |
| Technique |
genotyping |
| Statistical Method |
Pairwise LD, using the standard LD coefficient D', was calculated between every pair of markers in each gene using Haploview (version 4.0). Haplotype blocks were identified using the solid spine of LD method in Haploview. Allelic association of individual SNPs was tested using the sib_tdt program in the program package ASPEX 2.5. Haplotypic association tests were carried out using PDTPHASE, in the program package UNPHASED. To evaluate interactions between genes without significant main effects, we used the ''focused interaction testing framework'' (FITF) method. We also tested, separately, gene-gene interaction among 10 genes in Sample II as this is a larger sample set. Multiple testing was corrected by the false discovery rate (FDR), which is designed to reduce the proportion of all positive results that are false and is less conservative (has a less negative effect on power) than the Bonferroni correction. Significant results were then tested using a betaversion of MDR-PDT. |
| Result Summary |
In Sample II, the Sibling- Transmission Disequilibrium Test (sib-tdt) analysis showed nominally significant association of BP with three SNPs within or near the CLOCK gene (rs534654, P=0.0097; rs6850524, P=0.012; rs4340844, P=0.015). In addition, SNPs in the ARNTL2, CLOCK, DBP, and TIMELESS genes and haplotypes in the ARNTL, CLOCK, CSNK1E,and TIMELESS genes showed suggestive evidence of association with several circadian phenotypes identified in BP patients. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing. A multi-locus interaction between rs6442925 in the 5' upstream of BHLHB2, rs1534891 inCSNK1E, and rs534654 near the 3' end of the CLOCK gene, however, is significantly associated with BP. It remains significant after correcting for multiple testing using the False Discovery Rate method. Our results indicate an interaction between three circadian genes in susceptibility to bipolar disorder. |

SNPs reported by this study for BD (count: 6)
| SNP |
Related Gene(s) |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
| rs7660668 |
CLOCK
RN7SKP30
|
C/G |
|
Allelic TDT P-value = 0.59 in bipolar disorder (Sample II)
|
|
Negative
|
| rs6850524 |
CLOCK
|
C/G |
|
Allelic TDT P-value = 0.012 in bipolar disorder (Sample II)
|
In Sample II, which is larger, three SNPs (rs534654, rs68505......
In Sample II, which is larger, three SNPs (rs534654, rs6850524, and rs4340844) at the CLOCK gene region showed suggestive evidence for transmission disequilibrium. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|
| rs534654 |
CLOCK
TMEM165
|
A/G |
|
Allelic TDT P-value = 0.0097 in bipolar disorder (Sample II)
|
In Sample II, which is larger, three SNPs (rs534654, rs68505......
In Sample II, which is larger, three SNPs (rs534654, rs6850524, and rs4340844) at the CLOCK gene region showed suggestive evidence for transmission disequilibrium. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|
| rs4340844 |
CLOCK
|
A/C |
|
Allelic TDT P-value = 0.015 in bipolar disorder (Sample II)
|
In Sample II, which is larger, three SNPs (rs534654, rs68505......
In Sample II, which is larger, three SNPs (rs534654, rs6850524, and rs4340844) at the CLOCK gene region showed suggestive evidence for transmission disequilibrium. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|
| rs2412648 |
CLOCK
TMEM165
|
A/C |
|
Allelic TDT P-value = 0.12 in bipolar disorder (Sample II)
|
|
Negative
|
| rs11735267 |
CLOCK
|
A/G |
|
Allelic TDT P-value = 0.059 in bipolar disorder (Sample II)
|
|
Negative
|

Haplotypes reported by this study for BD (count: 7)
| Markers |
Haplotype |
Related Gene(s)/Region(s) |
Statistical Values |
Author Comments |
Result Category |
| rs2137947 - rs6850524 - rs1534891 |
|
DEC1
CLOCK
CSNK1E
|
FDR-cutoff P-value = 1.77E 06; FITF P-value = 7.59E 05
|
|
Negative
|
| rs6442925 - rs714359 - rs16965644 |
|
DEC1
CRY1
NR1D1
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FDR-cutoff P-value = 1.77E 06; FITF P-value = 8.88E 06
|
|
Negative
|
| rs534654 - rs2412648 - rs4340844 - rs11735267 - rs6850524 - rs7660668 |
GACAGC |
CLOCK
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P-value = 0.028
|
Several haplotypes consisting of six SNPs at the CLOCK gene ......
Several haplotypes consisting of six SNPs at the CLOCK gene region also showed nominal association with disease. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|
| rs534654 - rs2412648 - rs4340844 - rs11735267 - rs6850524 - rs7660668 |
AAAGCC |
CLOCK
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P-value = 0.034
|
Several haplotypes consisting of six SNPs at the CLOCK gene ......
Several haplotypes consisting of six SNPs at the CLOCK gene region also showed nominal association with disease. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|
| rs6442925 - rs534654 - rs135757 |
|
DEC1
TMEM165
CSNK1E
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FDR-cutoff P-value = 1.77E 06; FITF P-value = 2.62E 05
|
|
Negative
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| rs6442925 - rs534654 - rs1534891 |
|
DEC1
TMEM165
CSNK1E
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FDR-cutoff P-value = 1.77E 06; FITF P-value = 1.72E 06
|
A significant multi-locus interaction between rs6442925 in B......
A significant multi-locus interaction between rs6442925 in BHLHB2, rs1534891 in CSNK1E, and rs534654 near 3' of CLOCK gene was identified in Sample II, which remained significant after correction for multiple testing using a false discovery rate method.
More...
|
Positive
|
| rs534654 - rs2412648 - rs4340844 - rs11735267 - rs6850524 - rs7660668 |
GAAACG |
CLOCK
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P-value = 0.025
|
Several haplotypes consisting of six SNPs at the CLOCK gene ......
Several haplotypes consisting of six SNPs at the CLOCK gene region also showed nominal association with disease. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|

Genes reported by this study for BD (count: 1)
| Gene |
Statistical Values/Author Comments |
Result Category |
| CLOCK |
rs534654, TDT P = 0.0097; rs6850524, TDT P = 0.012; rs4340844, TDT P = 0.015.
Three SNPs at the CLOCK gene region showed suggestive evidence for transmission disequilibrium. Howe......
Three SNPs at the CLOCK gene region showed suggestive evidence for transmission disequilibrium. However, none of these associations reached gene-wide or experiment-wide significance after correction for multiple-testing.
More...
|
Positive
|

Gene-gene interactions reported by this study for BD (count: 3)
| Gene Group |
Markers |
Statistical Values |
Author Comments |
Result Category |
|
DEC1
TMEM165
CSNK1E
|
rs6442925 - rs534654 - rs1534891; rs6442925 - rs534654 - rs135757 |
For markers "rs6442925 - rs534654 - rs1534891", FDR-cutoff P-value = 1.77E-06; FITF P-value = 1.72E-06. For markers "rs6442925 - rs534654 - rs135757", FDR-cutoff P-value = 1.77E-06; FITF P-value = 2.62E-05.
|
A significant multi-locus interaction between rs6442925 in B......
A significant multi-locus interaction between rs6442925 in BHLHB2, rs1534891 in CSNK1E, and rs534654 near 3' of CLOCK gene was identified in Sample II, which remained significant after correction for multiple testing using a false discovery rate method.
More...
|
Positive
|
|
DEC1
CLOCK
CSNK1E
|
rs2137947 - rs6850524 - rs1534891 |
FDR-cutoff P-value = 1.77E-06; FITF P-value = 7.59E-05
|
|
Negative
|
|
DEC1
CRY1
NR1D1
|
rs6442925 - rs714359 - rs16965644 |
FDR-cutoff P-value = 1.77E-06; FITF P-value = 8.88E-06
|
|
Negative
|