Breakthrough in Bipolar Disorder Research: Rare Genetic Variants Identified

Mar 25, 2025 at 2:22 PM

In a groundbreaking study published in Nature Genetics, scientists from deCODE genetics, an Amgen subsidiary, have uncovered significant links between bipolar disorder and rare loss-of-function variants in two specific genes. This discovery adds to the growing body of research identifying genetic biomarkers associated with psychiatric conditions, potentially paving the way for more effective treatments. While bipolar disorder is highly heritable and characterized by extreme mood swings, current treatments often come with challenging side effects. The identification of these rare genetic variants could provide critical insights into the underlying biology of the condition.

Details of the Scientific Discovery

Through an innovative variant burden analysis conducted on whole-genome sequencing data from Iceland and the UK Biobank, researchers identified associations between rare loss-of-function (LOF) variants in two genes—HECTD2 and AKAP11—and bipolar disorder. These findings were further validated using data from the Bipolar Exomes study (BipEx). Notably, while both genes are newly linked to bipolar disorder, AKAP11 has previously been associated with psychosis and schizophrenia. The proteins encoded by these genes interact with GSK3β, a key protein targeted by lithium, the most effective mood stabilizer currently available. This suggests that dysfunction in specific cellular pathways involving these gene products may play a crucial role in the development of bipolar disorder.

The AKAP11 gene encodes an anchoring protein that regulates the localization of protein kinase A (PKA), while HECTD2 codes for an E3 ubiquitin ligase, which tags proteins for degradation. Both genes contribute to processes essential for cellular function, making them promising targets for developing new therapies.

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