Pathway-Specific Polygenic Scores for Predicting Clinical Lithium Treatment Response in Patients With Bipolar Disorder
Por:
Sharew NT, Clark SR, Papiol S, Heilbronner U, Degenhardt F, Fullerton JM, Hou L, Shekhtman T, Adli M, Akula N, Akiyama K, Ardau R, Arias B, Hasler R, Richard-Lepouriel H, Perroud N, Backlund L, Bhattacharjee AK, Bellivier F, Benabarre A, Bengesser S, Biernacka JM, Birner A, Marie-Claire C, Cervantes P, Chen HC, Chillotti C, Cichon S, Cruceanu C, Czerski PM, Dalkner N, Del Zompo M, DePaulo JR, Étain B, Jamain S, Falkai P, Forstner AJ, Frisen L, Frye MA, Gard S, Garnham JS, Goes FS, Grigoroiu-Serbanescu M, Fallgatter AJ, Stegmaier S, Ethofer T, Biere S, Petrova K, Schuster C, Adorjan K, Budde M, Heilbronner M, Kalman JL, Kohshour MO, Reich-Erkelenz D, Schaupp SK, Schulte EC, Senner F, Vogl T, Anghelescu IG, Arolt V, Dannlowski U, Dietrich DE, Figge C, Jäger M, Lang FU, Juckel G, Konrad C, Reimer J, Schmauß M, Schmitt A, Spitzer C, von Hagen M, Wiltfang J, Zimmermann J, Andlauer TFM, Fischer A, Bermpohl F, Ritter P, Matura S, Gryaznova A, Falkenberg I, Yildiz C, Kircher T, Schmidt J, Koch M, Gade K, Trost S, Haussleiter IS, Lambert M, Rohenkohl AC, Kraft V, Grof P, Hashimoto R, Hauser J, Herms S, Hoffmann P, Jiménez E, Kahn JP, Kassem L, Kuo PH, Kato T, Kelsoe J, Kittel-Schneider S, Ferensztajn-Rochowiak E, König B, Kusumi I, Laje G, Landén M, Lavebratt C, Leboyer M, Leckband SG, Tortorella A, Manchia M, Martinsson L, McCarthy MJ, McElroy S, Colom F, Millischer V, Mitjans M, Mondimore FM, Monteleone P, Nievergelt CM, Nöthen MM, Novák T, O'Donovan C, Ozaki N, Pfennig A, Pisanu C, Potash JB, Reif A, Reininghaus E, Rouleau GA, Rybakowski JK, Schalling M, Schofield PR, Schweizer BW, Severino G, Shilling PD, Shimoda K, Simhandl C, Slaney CM, Squassina A, Stamm T, Stopkova P, Maj M, Turecki G, Vieta E, Veeh J, Viswanath B, Witt SH, Wright A, Zandi PP, Mitchell PB, Bauer M, Alda M, Rietschel M, McMahon FJ, Schulze TG, Baune BT, Schubert KO and Amare AT
Publicada:
1 sep 2025
Ahead of Print:
1 ago 2025
Resumen:
BACKGROUND: Polygenic scores (PGSs) hold the potential to identify
patients who respond favorably to specific psychiatric treatments.
However, their biological interpretation remains unclear. In this study,
we developed pathway-specific PGSs (PSPGSs) for lithium response and
assessed their association with clinical lithium response in patients
with bipolar disorder.
METHODS: Using sets of genes involved in pathways affected by lithium,
we developed 9 PSPGSs and evaluated their associations with lithium
response in the International Consortium on Lithium Genetics
(ConLi(+)Gen) (N = 2367), with validation in combined PsyCourse
(Pathomechanisms and Signatures in the Longitudinal Course of Psychosis)
(N = 105) and BipoLife (N = 102) cohorts. The association between each
PSPGS and lithium response-defined both as a continuous ALDA score and a
categorical outcome (good vs. poor responses)-was evaluated using
regression models, with adjustment for confounders. The cutoff for a
significant association was p,.05 after multiple testing correction.
RESULTS: The PGSs for acetylcholine, GABA (gamma-aminobutyric acid), and
mitochondria were associated with response to lithium in both
categorical and continuous outcomes. However, the PGSs for calcium
channel, circadian rhythm, and GSK (glycogen synthase kinase) were
associated only with the continuous outcome. Each score explained 0.29%
to 1.91% of the variance in the categorical and 0.30% to 1.54% of the
variance in the continuous outcomes. A multivariate model combining
PSPGSs that showed significant associations in the univariate analysis
(combined PSPGS) increased the percentage of variance explained (R-2) to
3.71% and 3.18% for the categorical and continuous outcomes,
respectively. Associations for PGSs for GABA and circadian rhythm were
replicated. Patients with the highest genetic loading (10th decile) for
acetylcholine variants were 3.03 times more likely (95% CI, 1.95 to
4.69) to show a good lithium response (categorical outcome) than
patients with the lowest genetic loading (1st decile).
CONCLUSIONS: PSPGSs achieved predictive performance comparable to the
conventional genome-wide PGSs, with the added advantage of biological
interpretability using a smaller list of genetic variants.
Filiaciones:
Sharew NT:
Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia
Clark SR:
Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
Papiol S:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Heilbronner U:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Degenhardt F:
Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Duisburg-Essen, Rheinische Kliniken, Essen, Germany
Fullerton JM:
Neuroscience Research Australia, Sydney, New South Wales, Australia
School of Biomedical Sciences, University of New South Wales, Sydney, New South Wales, Australia
Hou L:
Intramural Research Program, National Institute of Mental Health, National Institutes of Health, United States Department of Health and Human Services, Bethesda, Maryland
Shekhtman T:
Department of Psychiatry, University of California San Diego, San Diego, California
Adli M:
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
Akula N:
Intramural Research Program, National Institute of Mental Health, National Institutes of Health, United States Department of Health and Human Services, Bethesda, Maryland
Akiyama K:
Department of Biological Psychiatry and Neuroscience, Dokkyo Medical University School of Medicine, Tochigi, Japan
Ardau R:
Unit of Clinical Pharmacology, Hospital University Agency of Cagliari, Cagliari, Italy
Arias B:
Unitat de Zoologia i Antropologia Biològica (Dpt. Biologia Evolutiva, Ecologia i Ciències Ambientals), Facultat de Biologia and Institut de Biomedicina, University of Barcelona, CIBERSAM, Barcelona, Spain
Hasler R:
Department of Psychiatry, Mood Disorders Unit, HUG - Geneva University Hospitals, Geneva, Switzerland
Richard-Lepouriel H:
Department of Psychiatry, Mood Disorders Unit, HUG - Geneva University Hospitals, Geneva, Switzerland
Perroud N:
Department of Psychiatry, Mood Disorders Unit, HUG - Geneva University Hospitals, Geneva, Switzerland
Backlund L:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden
Bhattacharjee AK:
Department of Psychiatry, University of California San Diego, San Diego, California
Bellivier F:
Institut National de la Santé et de la Recherche Médicale (INSERM) UMR-S 1144, Université Paris Cité, Département de Psychiatrie et de Médecine Addictologique, L'Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Saint-Louis-Lariboisière-F.Widal, Paris, France
Benabarre A:
Bipolar and Depressive Disorders Program, Institute of Neuroscience, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
Bengesser S:
Department of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria
Biernacka JM:
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
Birner A:
Department of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria
Marie-Claire C:
Institut National de la Santé et de la Recherche Médicale (INSERM) UMR-S 1144, Université Paris Cité, Département de Psychiatrie et de Médecine Addictologique, L'Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Saint-Louis-Lariboisière-F.Widal, Paris, France
Université Paris Cité, Inserm, Optimisation Thérapeutique en Neuropsychopharmacologie, Paris, France
Cervantes P:
Neuromodulation Unit, McGill University Health Centre, Montreal, Quebec, Canada
Chen HC:
Department of Psychiatry & Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan
Chillotti C:
Unit of Clinical Pharmacology, Hospital University Agency of Cagliari, Cagliari, Italy
Cichon S:
Human Genomics Research Group, Department of Biomedicine, University Hospital Basel, Basel, Switzerland
Institute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland
Institute of Neuroscience and Medicine, Research Center Jülich, Jülich, Germany
Cruceanu C:
Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada
Czerski PM:
Psychiatric Genetic Unit, Poznan University of Medical Sciences, Poznan, Poland
Dalkner N:
Department of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria
Del Zompo M:
Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy
DePaulo JR:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Étain B:
Institut National de la Santé et de la Recherche Médicale (INSERM) UMR-S 1144, Université Paris Cité, Département de Psychiatrie et de Médecine Addictologique, L'Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Saint-Louis-Lariboisière-F.Widal, Paris, France
Jamain S:
Inserm U955, Fondation FondaMental, Translational Psychiatry Laboratory, Créteil, France
Falkai P:
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Max Planck Institute of Psychiatry, Munich, Germany
Forstner AJ:
Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany
Institute of Neuroscience and Medicine, Research Center Jülich, Jülich, Germany
Frisen L:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
Frye MA:
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota
Gard S:
Pôle de Psychiatrie Générale Universitaire, Hôpital Charles Perrens, Bordeaux, France
Garnham JS:
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
Goes FS:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Grigoroiu-Serbanescu M:
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
Fallgatter AJ:
Biometric Psychiatric Genetics Research Unit, Alexandru Obregia Clinical Psychiatric Hospital, Bucharest, Romania
Stegmaier S:
University Department of Psychiatry and Psychotherapy Tuebingen, University of Tübingen, Tübingen, Germany
Ethofer T:
Department of General Psychiatry, University of Tübingen, Tübingen, Germany
Department of Biomedical Resonance, University of Tübingen, Tübingen, Germany
Biere S:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Frankfurt, Goethe University, Frankfurt, Germany
Petrova K:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Frankfurt, Goethe University, Frankfurt, Germany
Schuster C:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Frankfurt, Goethe University, Frankfurt, Germany
Adorjan K:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychiatry and Psychotherapie, University of Bern, Bern, Switzerland
Budde M:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Heilbronner M:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Kalman JL:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Kohshour MO:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Immunology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Reich-Erkelenz D:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Schaupp SK:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Schulte EC:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Senner F:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Vogl T:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Anghelescu IG:
Department of Psychiatry and Psychotherapy, Mental Health Institute Berlin, Berlin, Germany
Arolt V:
Institute for Translational Psychiatry, University of Münster, Münster, Germany
Dannlowski U:
Institute for Translational Psychiatry, University of Münster, Münster, Germany
Dietrich DE:
AMEOS Clinical Center Hildesheim, Hildesheim, Germany
Center for Systems Neuroscience, Hannover, Germany
Figge C:
Karl-Jaspers Clinic, European Medical School Oldenburg-Groningen, Oldenburg, Germany
Jäger M:
Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, Günzburg, Germany
Lang FU:
Department of Psychiatry II, Ulm University, Bezirkskrankenhaus Günzburg, Günzburg, Germany
Juckel G:
Department of Psychiatry, Ruhr University Bochum, LWL University Hospital, Bochum, Germany
Konrad C:
Department of Psychiatry and Psychotherapy, Agaplesion Diakonieklinikum, Rotenburg, Germany
Reimer J:
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Department of Psychiatry, Health North Hospital Group, Bremen, Germany
Schmauß M:
Department of Psychiatry and Psychotherapy, Bezirkskrankenhaus Augsburg, Augsburg, Germany
Schmitt A:
Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
Laboratory of Neuroscience, Institute of Psychiatry, University of Sao Paulo, São Paulo, Brazil
Spitzer C:
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Rostock, Rostock, Germany
von Hagen M:
Clinic for Psychiatry and Psychotherapy, Clinical Center Werra-Meißner, Eschwege, Germany
Wiltfang J:
Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
German Center for Neurodegenerative Diseases, University of Göttingen, Göttingen, Germany
Zimmermann J:
Psychiatrieverbund Oldenburger Land GmbH, Karl-Jaspers-Klinik, Bad Zwischenahn, Germany
Andlauer TFM:
Department of Neurology, University Hospital Rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany
Fischer A:
German Center for Neurodegenerative Diseases, University of Göttingen, Göttingen, Germany
Bermpohl F:
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
Ritter P:
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Medical Faculty, Technische Universität Dresden, Dresden, Germany
Matura S:
Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Frankfurt, Goethe University, Frankfurt, Germany
Gryaznova A:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Falkenberg I:
Department of Psychiatry and Psychotherapy, Philipps-University, Marburg, Germany
Yildiz C:
Department of Psychiatry and Psychotherapy, Philipps-University, Marburg, Germany
Kircher T:
Department of Psychiatry and Psychotherapy, Philipps-University, Marburg, Germany
Schmidt J:
Institute for Medical Informatics, University Medical Center Göttingen, Göttingen, Germany
Koch M:
Institute for Medical Informatics, University Medical Center Göttingen, Göttingen, Germany
Gade K:
Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
Trost S:
Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany
Haussleiter IS:
Department of Psychiatry, Ruhr University Bochum, LWL University Hospital, Bochum, Germany
Lambert M:
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Rohenkohl AC:
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Kraft V:
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
Grof P:
Mood Disorders Center of Ottawa, Ottawa, Ontario, Canada
Hashimoto R:
Department of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
Hauser J:
Psychiatric Genetic Unit, Poznan University of Medical Sciences, Poznan, Poland
Herms S:
Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany
Institute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland
Hoffmann P:
Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany
Institute of Medical Genetics and Pathology, University Hospital Basel, Basel, Switzerland
Jiménez E:
Bipolar and Depressive Disorders Program, Institute of Neuroscience, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
Kahn JP:
Service de Psychiatrie et Psychologie Clinique, Centre Psychothérapique de Nancy, Université de Lorraine, Nancy, France
Kassem L:
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
Kuo PH:
Department of Public Health & Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Kato T:
Laboratory for Molecular Dynamics of Mental Disorders, RIKEN Brain Science Institute, Saitama, Saitama, Japan
Kelsoe J:
Department of Psychiatry, University of California San Diego, San Diego, California
Kittel-Schneider S:
Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, University Hospital of Würzburg, Würzburg, Germany
Ferensztajn-Rochowiak E:
Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, Poland
König B:
Department of Psychiatry and Psychotherapeutic Medicine, Landesklinikum Neunkirchen, Neunkirchen, Austria
Kusumi I:
Department of Psychiatry, Hokkaido University Graduate School of Medicine, Sapporo, Japan
Laje G:
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
Landén M:
Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the Gothenburg University, Gothenburg, Sweden
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Lavebratt C:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden
Leboyer M:
Inserm U955, Translational Psychiatry Laboratory, Université Paris-Est-Créteil, Department of Psychiatry and Addictology of Mondor University Hospital, AP-HP, Fondation FondaMental, Créteil, France
Leckband SG:
Office of Mental Health, VA San Diego Healthcare System, San Diego, California
Tortorella A:
Department of Psychiatry, University of Perugia, Perugia, Italy
Manchia M:
Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada
Martinsson L:
Department of Clinical Neurosciences, Karolinska Institute, Stockholm, Sweden
McCarthy MJ:
Department of Psychiatry, University of California San Diego, San Diego, California
Department of Psychiatry, VA San Diego Healthcare System, San Diego, California
McElroy S:
Department of Psychiatry, Lindner Center of Hope, University of Cincinnati, Mason, Ohio
Colom F:
Mental Health Research Group, Hospital del Mar Medical Research Institute, Barcelona, Catalonia, Spain
Department of Genetics, Microbiology and Statistics, Faculty of Biology, University of Barcelona, Barcelona, Spain
Millischer V:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden
Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria
:
Department of Genetics, Microbiology and Statistics, Faculty of Biology, University of Barcelona, Barcelona, Spain
CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
Institut de Biomedicina de la Universitat de Barcelona, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Mondimore FM:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Monteleone P:
Neurosciences Section, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy
Department of Psychiatry, University of Campania "Luigi Vanvitelli", Naples, Italy
Nievergelt CM:
Department of Psychiatry, University of California San Diego, San Diego, California
Nöthen MM:
Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany
Novák T:
National Institute of Mental Health, Klecany, Czechia
O'Donovan C:
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
Ozaki N:
Department of Psychiatry & Department of Child and Adolescent Psychiatry, Nagoya University Graduate School of Medicine, Nagoya, Japan
Pfennig A:
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Medical Faculty, Technische Universität Dresden, Dresden, Germany
Pisanu C:
Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy
Potash JB:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Reif A:
Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Frankfurt, Germany
Reininghaus E:
Department of Psychiatry and Psychotherapeutic Medicine, Research Unit for Bipolar Affective Disorder, Medical University of Graz, Graz, Austria
Rouleau GA:
Montreal Neurological Institute and Hospital, McGill University, Montréal, Québec, Canada
Rybakowski JK:
Department of Adult Psychiatry, Poznan University of Medical Sciences, Poznan, Poland
Schalling M:
Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden
Schofield PR:
Neuroscience Research Australia, Sydney, New South Wales, Australia
School of Biomedical Sciences, University of New South Wales, Sydney, New South Wales, Australia
Schweizer BW:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Severino G:
Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy
Shilling PD:
Department of Psychiatry, University of California San Diego, San Diego, California
Shimoda K:
Department of Psychiatry, Dokkyo Medical University School of Medicine, Tochigi, Japan
Simhandl C:
Bipolar Center Wiener Neustadt, Sigmund Freud University, Medical Faculty, Vienna, Austria
Slaney CM:
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
Squassina A:
Department of Biomedical Sciences, University of Cagliari, Cagliari, Italy
Stamm T:
Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Campus Charité Mitte, Berlin, Germany
Department of Clinical Psychiatry and Psychotherapy, Brandenburg Medical School, Brandenburg, Germany
Stopkova P:
National Institute of Mental Health, Klecany, Czechia
Maj M:
Department of Psychiatry, University of Campania "Luigi Vanvitelli", Naples, Italy
Turecki G:
Douglas Mental Health University Institute, McGill University, Montreal, Quebec, Canada
Vieta E:
Bipolar and Depressive Disorders Program, Institute of Neuroscience, Hospital Clínic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain
Veeh J:
Institute of Neuroscience and Physiology, the Sahlgrenska Academy at the Gothenburg University, Gothenburg, Sweden
Viswanath B:
Department of Psychiatry, National Institute of Mental Health and Neuroscience, Bangalore, India
Witt SH:
Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
Wright A:
School of Psychiatry, University of New South Wales and Black Dog Institute, Sydney, New South Wales, Australia
Zandi PP:
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Mitchell PB:
School of Psychiatry, University of New South Wales and Black Dog Institute, Sydney, New South Wales, Australia
Bauer M:
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Medical Faculty, Technische Universität Dresden, Dresden, Germany
Alda M:
Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
National Institute of Mental Health, Klecany, Czechia
Rietschel M:
Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
McMahon FJ:
Intramural Research Program, National Institute of Mental Health, National Institutes of Health, United States Department of Health and Human Services, Bethesda, Maryland
Schulze TG:
Institute of Psychiatric Phenomics and Genomics, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany
Intramural Research Program, National Institute of Mental Health, National Institutes of Health, United States Department of Health and Human Services, Bethesda, Maryland
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland
Department of Genetic Epidemiology in Psychiatry, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
Department of Psychiatry and Behavioral Sciences, Norton College of Medicine, SUNY Upstate Medical University, Syracuse, New York
Department of Psychiatry and Psychotherapy, University Medical Center, Georg-August University Göttingen, Göttingen, Germany
Baune BT:
Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany
Department of Psychiatry, Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia
Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville, Victoria, Australia
Schubert KO:
Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
Northern Adelaide Local Health Network, Mental Health Services, Adelaide, South Australia, Australia
Amare AT:
Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, South Australia, Australia
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