Study Report

Basic Info
Reference |
Kandaswamy R, 2013 PMID: 23575746
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Citation |
Kandaswamy, R., A. McQuillin, et al. (2013). "Genetic association, mutation screening, and functional analysis of a kozak sequence variant in the metabotropic glutamate receptor 3 gene in bipolar disorder." JAMA Psychiatry 70(6): 591-598.
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Disease Type |
bipolar disorder |
Study Design |
case-control |
Study Type |
Candidate-gene association study and Mutational study |
Sample Size |
1099 individuals with bipolar disorder, 1152 healthy controls |
SNP/Region/Marker Size |
3 SNPs |
Predominant Ethnicity |
Caucasian |
Population |
British or Irish |

Detail Info
Sample Diagnosis |
Research Diagnostic Criteria |
Sample Status |
This study included 1099 individuals with bipolar disorder, sampled in 2 cohorts. The first cohort (UCL1) comprised 506 bipolar I cases and 510 healthy comparison participants. The second cohort (UCL2) comprised 409 bipolar I (69%) and 184 bipolar II participants. Bipolar disorder diagnoses were confirmed in all bipolar participants according to Research Diagnostic Criteria. All of the bipolar participants were also rated with the 90- item Operational Criteria Checklist for Psychotic Disorders. |
Technique |
sequencing, genotyping, ELECTROPHORETIC MOBILITY SHIFT ASSAYS, CONSTRUCTION OF RECOMBINANT LUCIFERASE CONSTRUCTS, TRANSIENT TRANSFECTION AND LUCIFERASE ASSAYS, QUANTITATIVE REAL-TIME POLYMERASE CHAIN REACTION FOR MESSENGER RNA ANALYSIS |
Statistical Method |
Genotypic and allelic associations for SNPs were determined using X2 tests. Haplotype tests of association were performed using Haploview. Significance values shown for all analyses are uncorrected for multiple testing, and a cutoff significance value of P<0.05 was used. |
Result Summary |
A base pair variant (rs148754219) was found in the Kozak sequence of exon 1 of the GRM3 gene, 2 bases before the translation start codon of one of the receptor isoforms, in 23 of 2251 people who were screened and genotyped. Nineteen of the 1099 bipolar cases (1.7%) were mutation carriers compared with 4 of 1152 healthy comparators (0.3%). The variant was associated with bipolar disorder (P = .005; odds ratio, 4.20). Bioinformatic, electrophoretic mobility shift assay, and gene expression analysis found that the variant created a new transcription factor protein binding site and had a strong effect on gene transcription and translation. Confirmation of these findings is needed before the Kozak sequence variant can be accepted as a potential marker for personalized treatment of affective disorders with drugs targeting the metabotropic glutamate receptor 3. |

SNPs reported by this study for BD (count: 3)
SNP |
Related Gene(s) |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
rs2237563 |
GRM3
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G/A |
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allelic P-value=3.85E-05, OR=1.56 for UCL1, P-value=0.95, OR=1.01 for UCL2, P-value=0.01, OR=1.22 for UCL1 and 2
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It was found to be associated with bipolar affective disorde......
It was found to be associated with bipolar affective disorder in the UCL1 cohort in the GWA study. It showed no association with bipolar disorder in the UCL2 case-control sample. It remained significantly associated with bipolar disorder when we combined the genotyping data of the 3 SNPs in UCL1 and UCL2.
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Positive
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rs274621 |
GRM3
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C/T |
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allelic P-value=0.007, OR=1.29 for UCL1, P-value=0.82, OR=0.98 for UCL2, P-value=0.18, OR=1.09 for UCL1 and 2
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It was found to be associated with bipolar affective disorde......
It was found to be associated with bipolar affective disorder in the UCL1 cohort in the GWA study. It showed no association with bipolar disorder in the UCL2 case-control sample. It did not remain significantly associated with bipolar disorder when we combined the genotyping data of the 3 SNPs in UCL1 and UCL2.
More...
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Positive
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rs2158786 |
GRM3
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G/A |
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allelic P-value=0.01, OR=0.78 for UCL1, P-value=0.67, OR=0.96 for UCL2, P-value=0.03, OR=0.85 for UCL1 and 2
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It was found to be associated with bipolar affective disorde......
It was found to be associated with bipolar affective disorder in the UCL1 cohort in the GWA study. It showed no association with bipolar disorder in the UCL2 case-control sample. It remained significantly associated with bipolar disorder when we combined the genotyping data of the 3 SNPs in UCL1 and UCL2.
More...
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Positive
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Genes reported by this study for BD (count: 1)
Gene |
Statistical Values/Author Comments |
Result Category |
GRM3 |
Genetic markers at the gene encoding the metabotropic glutamate receptor 3 (GRM3) showed allelic ass......
Genetic markers at the gene encoding the metabotropic glutamate receptor 3 (GRM3) showed allelic association with bipolar disorder.
More...
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Positive
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