Major Affective Disorder 7
A number sign (#) is used with this entry because of evidence that susceptibility to bipolar disorder mapping to chromosome 22q12 is caused by polymorphism in the XBP1 gene (194355).
MappingKelsoe et al. (2001) conducted a genome survey of bipolar disorder using 443 microsatellite markers in a set of 20 families from the general North American population to identify possible susceptibility loci. A maximum lod score of 3.8 was obtained at D22S278 on 22q. Positive scores were found spanning a region of nearly 32 cM on 22q, with a possible secondary peak at D22S419. D22S278 is located on 22q12; D22S419, which showed a lod score of 2.19, lies 15 cM proximal to D22S278.
Molecular GeneticsKakiuchi et al. (2003) found an association between a -116G polymorphism in the promoter region of the XBP1 gene (194355.0001) and susceptibility to bipolar disorder (odds ratio = 4.6) in Japanese patients. The polymorphism occurs at the putative binding site of XBP1 and presumably interferes with the feedback loop. The concordance rate in monozygotic twins (more than 65%) is much higher than in dizygotic twins (more than 14%). Possible mechanisms of discordance between monozygotic twins include point mutations, extension of triplet repeats, chromosomal aberrations, altered X chromosome inactivation, and aberrant DNA methylation.