Study Report

Basic Info
| Reference |
Dimitrova, A.,2005 PMID: 15505643
|
| Citation |
Dimitrova, A., V. Milanova, et al. (2005). Association study of myo-inositol monophosphatase 2 (IMPA2) polymorphisms with bipolar affective disorder and response to lithium treatment. Pharmacogenomics J 5(1): 35-41.
|
| Disease Type |
Bipolar Disorder |
| Study Design |
case-control and family-based |
| Study Type |
Candidate-gene association study |
| Sample Size |
237 parents-offspring trios(BP) in Bulgaria and UK ,174 BP cases in UK and 170 controls. |
| SNP/Region/Marker Size |
8 SNPs |
| Predominant Ethnicity |
Caucasian |
| Population |
Bulgarian and British |

Detail Info
| Sample Diagnosis |
DSM |
| Sample Status |
We tested 121 Bulgarian patients affected with BP and all their parents.The recruitment of these nuclear families was performed by a team of over 40 psychiatrists in Bulgaria who also recruited families with schizophrenic probands.The psychiatrists attended training courses at the beginning of the sample collection. The probands were either in- or outpatients under the care of the recruiting psychiatrists. Each proband was interviewed with an abbreviated version of the Schedules for Clinical Assessment in Neuropsychiatry(SCAN).Consensus best estimate diagnoses were made according to DSM-IV criteria by two researchers (GK and IN). About 25% of the patients were selected for a second interview by GK or IN. Cases with unclear diagnoses were excluded from the study.In the UK, we recruited 116 parent-offspring trios and 174 unrelated BP patients, who were matched for age and gender with 170 healthy blood donors. All patients were interviewed in person by GK, who used the same rating scales, and consensus best-estimate diagnosis was made by him and another researcher, based on the interview and hospital notes that were available in each case. |
| Technique |
genotyping |
| Statistical Method |
Preferential transmission of alleles from heterozygous parents to affected offspring was analysed by the TDT.Comparison of allele frequencies between poor and good responders was made with X2 statistics.Pairwise LD between the SNPs was estimated by calculating the Lewontin D' value and the r2 coefficient in the two trio samples and is based on phase-certain haplotypes. |
| Result Summary |
No SNP showed association with BP. When good responders to lithium treatment were compared with the poor responders, some statistically significant differences emerged for two SNPs; however, the sample became too small to draw definitive conclusions. We cannot find support for the involvement of variation in IMPA2 in susceptibility to bipolar disorder, but the role of this and other genes from the phosphoinositol signalling pathway in predicting response to lithium treatment merits further investigation. |

SNPs reported by this study for BD (count: 1)
| SNP |
Related Gene(s) |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
| rs3786282 |
IMPA2
|
A/C |
|
Allelic association: P-value(TDT)=0.46 in BG trios; P-value(TDT)=0.92 in UK trios; P-value = 0.43 in UK case/control sample
|
No significant association was observed.
No significant association was observed.
|
Negative
|

Other variants reported by this study for BD (count: 5)
| Variant Name |
Related Gene |
Type |
Allele Change |
Risk Allele |
Statistical Values |
Author Comments |
Result Category |
| IMPA2 443G>A (R148Q) |
IMPA2 |
point mutation |
R148Q |
|
Allelic association:P-value(TDT)=0.16 in UK trios
|
No significant associations were found.
No significant associations were found.
|
Negative
|
| IMPA2 599+99G>A |
IMPA2 |
point mutation |
G/A |
|
Allelic association:P-value(TDT)=0.93 in BG trios;P-value(TDT)=0.13 in UK trios;P-value = 0.71 in UK case/control sample
|
No significant associations were found.
No significant associations were found.
|
Negative
|
| IMPA2 -97-15G>A |
IMPA2 |
point mutation |
G/A |
|
Allelic association:P-value(TDT)=0.8 in BG trios
|
No significant associations were found.
No significant associations were found.
|
Negative
|
| IMPA2 -461C>T |
IMPA2 |
point mutation |
C/T |
|
Allelic association:P-value(TDT)=0.74 in BG trios;P-value(TDT)=0.34 in UK trios;P-value = 0.25 in UK case/control sample
|
No significant associations were found.
No significant associations were found.
|
Negative
|
| IMPA2 599+97G>A |
IMPA2 |
point mutation |
G/A |
|
Allelic association:P-value(TDT)=1 in BG trios;P-value(TDT)=0.11 in UK trios;P-value = 0.89 in UK case/control sample
|
No significant associations were found.
No significant associations were found.
|
Negative
|

Genes reported by this study for BD (count: 1)
| Gene |
Statistical Values/Author Comments |
Result Category |
| IMPA2 |
No SNP showed association with BP. We cannot find support for the involvement of variation in IMPA2 ......
No SNP showed association with BP. We cannot find support for the involvement of variation in IMPA2 in susceptibility to bipolar disorder, but the role of this and other genes from the phosphoinositol signalling pathway in predicting response to lithium treatment merits further investigation.
More...
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Negative
|