Neurocognitive endophenotypes for bipolar disorder identified in multiplex multigenerational families.

Neurocognitive endophenotypes for bipolar disorder identified in multiplex multigenerational families.
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DOI:
10.1001/archgenpsychiatry.2009.184
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发表时间:
2010-02
影响因子:
--
通讯作者:
Escamilla, Michael A.
Escamilla, Michael A.
中科院分区:
其他
文献类型:
--
作者:
Glahn, David C.;Almasy, Laura;Barguil, Marcela;Hare, Elizabeth;Peralta, Juan Manuel;Kent, Jack W., Jr.;Dassori, Albana;Contreras, Javier;Pacheco, Adriana;Lanzagorta, Nuria;Nicolini, Humberto;Raventos, Henriette;Escamilla, Michael A.

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Although genetic influences on bipolar disorder are well established, localization of genes that predispose to the illness has proven difficult. Given that genes predisposing to bipolar disorder may be transmitted without expression of the categorical clinical phenotype, one strategy for identifying risk genes is the use of quantitative endophenotypes. The goal of the current study is to adjudicate neurocognitive endophenotypes for bipolar disorder. 709 Latino individuals from the central valley of Costa Rica, Mexico City, Mexico, or San Antonio, Texas participated in the study. 660 of these persons were members of extended pedigrees with at least two siblings diagnosed with bipolar disorder (n=230). The remaining subjects were community controls drawn from each site and without personal or family history of bipolar disorder or schizophrenia. All subjects received psychodiagnostic interviews and comprehensive neurocognitive evaluations. Neurocognitive measures found to be heritable were entered into analyses designed to determine which tests are impaired in affected individuals, sensitive to genetic liability for the illness and genetically correlated with affection status. The main outcome measure was neurocognitive test performance. Two of the 21 neurocognitive variables were not significantly heritable and were excluded from subsequent analyses. Patients with bipolar disorder were impaired on 6 of these cognitive measures compared to non-related healthy subjects. Non-bipolar first-degree relatives were impaired on five of these and three tests were genetically correlated with affection status: digit symbol coding, object delayed response, and immediate facial memory. This large-scale extended pedigree study of cognitive functioning in bipolar disorder identified measures of processing speed, working memory and declarative (facial) memory as candidate endophenotypes for bipolar disorder.
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