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Lithium response in bipolar disorder is associated with focal adhesion and PI3K-Akt networks: a multi-omics replication study

  • Anna H. Ou
  • , Sara B. Rosenthal
  • , Mazda Adli
  • , Kazufumi Akiyama
  • , Nirmala Akula
  • , Martin Alda
  • , Azmeraw T. Amare
  • , Raffaella Ardau
  • , B. rbara Arias
  • , Jean-Michel Aubry
  • , Lena Backlund
  • , Michael Bauer
  • , Bernhard T. Baune
  • , Frank Bellivier
  • , Antonio Benabarre
  • , Susanne Bengesser
  • , Abesh Kumar Bhattacharjee
  • , Joanna M. Biernacka
  • , Pablo Cervantes
  • , Guo-Bo Chen
  • Hsi-Chung Chen, Caterina Chillotti, Sven Cichon, Scott R. Clark, Francesc Colom, David A. Cousins, Cristiana Cruceanu, Piotr M. Czerski, Clarissa R. Dantas, Alexandre Dayer, Maria del Zompo, Franziska Degenhardt, J. Raymond DePaulo, Bruno Étain, Peter Falkai, Frederike Tabea Fellendorf, Ewa Ferensztajn-Rochowiak, Andreas J. Forstner, Louise Frisén, Mark A. Frye, Janice M. Fullerton, S. bastien Gard, Julie S. Garnham, Fernando S. Goes, Maria Grigoroiu-Serbanescu, Paul Grof, Oliver Gruber, Ryota Hashimoto, Joanna Hauser, Urs Heilbronner, Stefan Herms, Per Hoffmann, Andrea Hofmann, Liping Hou, Stephane Jamain, Esther Jiménez, Jean-Pierre Kahn, Layla Kassem, Tadafumi Kato, Sarah Kittel-Schneider, Barbara König, Po-Hsiu Kuo, Ichiro Kusumi, Nina Lackner, Gonzalo Laje, Mikael Landén, Catharina Lavebratt, Marion Leboyer, Susan G. Leckband, Carlos A. L. pez Jaramillo, Glenda MacQueen, Mario Maj, Mirko Manchia, Cynthia Marie-Claire, Lina Martinsson, Manuel Mattheisen, Michael J. McCarthy, Susan L. McElroy, Francis J. McMahon, Philip B. Mitchell, Marina Mitjans, Francis M. Mondimore, Palmiero Monteleone, Caroline M. Nievergelt, Markus M. Nöthen, Tomas Novák, Urban Ösby, Norio Ozaki, Sergi Papiol, Roy H. Perlis, Claudia Pisanu, James B. Potash, Andrea Pfennig, Daniela Reich-Erkelenz, Andreas Reif, Eva Z. Reininghaus, Marcella Rietschel, Guy A. Rouleau, Janusz K. Rybakowski, Martin Schalling, Peter R. Schofield, K. Oliver Schubert, Thomas G. Schulze, Barbara W. Schweizer, Florian Seemüller, Giovanni Severino, Tatyana Shekhtman, Paul D. Shilling, Kazutaka Shimoda, Christian Simhandl, Claire M. Slaney, Alessio Squassina, Thomas Stamm, Pavla Stopkova, Sarah K. Tighe, Alfonso Tortorella, Gustavo Turecki, Eduard Vieta, Julia Volkert, Stephanie Witt, Naomi R. Wray, Adam Wright, L. Trevor Young, Peter P. Zandi, John R. Kelsoe*
*Corresponding author for this work
  • University of California at San Diego
  • Charité – Universitätsmedizin Berlin
  • Center for Psychiatry
  • Dokkyo Medical University
  • National Institutes of Health
  • Dalhousie University
  • National Institute of Mental Health
  • University of Adelaide
  • University of Cagliari
  • University of Barcelona
  • ISCIII
  • University of Geneva
  • Karolinska University Hospital
  • Medizinische Klinik und Poliklinik I, University Hospital Carl Gustav Carus, Dresden Germany
  • University of Münster
  • Université Paris Cité
  • Medical University of Graz
  • Mayo Clinic Rochester, MN
  • McGill University Health Center
  • National Taiwan University
  • University of Bonn
  • University of Basel
  • Institute for Ageing and Health, Newcastle University
  • Douglas Mental Health University Institute
  • University of Medical Sciences Poznan
  • Universidade Estadual de Campinas
  • Johns Hopkins University
  • University Hospital Munich
  • Child and Adolescent Psychiatry Research Center
  • Neuroscience Research Australia
  • University of New South Wales
  • Centre Hospitalier Charles Perrens
  • Alexandru Obregia Hospital
  • Mood Disorders Center of Ottawa
  • Georg-August-University
  • National Center of Neurology and Psychiatry Kodaira
  • INSERM U955
  • Université de Lorraine
  • RIKEN
  • Goethe University Frankfurt
  • Landesklinikum Neunkirchen
  • Hokkaido University
  • Sahlgrenska Academy
  • Karolinska Institutet
  • Assistance publique – Hôpitaux de Paris
  • Department of Veterans Affairs
  • Universidad de Antioquia
  • University of Calgary
  • University of Campania Luigi Vanvitelli
  • Aarhus University
  • University of Cincinnati
  • University of Salerno
  • Nagoya University
  • Ludwig Maximilian University of Munich
  • Brigham and Women’s Hospital
  • University of Iowa
  • Heidelberg University 
  • McGill University
  • VA Medical Center
  • Bipolar Center
  • University of Queensland
  • University of Toronto

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Abstract

Lithium is the gold standard treatment for bipolar disorder (BD). However, its mechanism of action is incompletely understood, and prediction of treatment outcomes is limited. In our previous multi-omics study of the Pharmacogenomics of Bipolar Disorder (PGBD) sample combining transcriptomic and genomic data, we found that focal adhesion, the extracellular matrix (ECM), and PI3K-Akt signaling networks were associated with response to lithium. In this study, we replicated the results of our previous study using network propagation methods in a genome-wide association study of an independent sample of 2039 patients from the International Consortium on Lithium Genetics (ConLiGen) study. We identified functional enrichment in focal adhesion and PI3K-Akt pathways, but we did not find an association with the ECM pathway. Our results suggest that deficits in the neuronal growth cone and PI3K-Akt signaling, but not in ECM proteins, may influence response to lithium in BD.
Original languageEnglish
Article number109
JournalTranslational psychiatry
Volume14
Issue number1
DOIs
Publication statusPublished - 1 Dec 2024
Externally publishedYes

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