Cited by 332Genomic variations and chromosomal abnormalitiesBipolar Disorder and TreatmentSchizophrenia research and treatment

High frequencies of de novo CNVs in bipolar disorder and schizophrenia

Open access
Malhotra, Dheeraj, McCarthy, Shane, Michaelson, Jacob J., Vacic, Vladimir, Burdick, Katherine E., Yoon, Seungtai, Cichon, Sven, Corvin, Aiden +18 more·2011·Neuron

Abstract

While it is known that rare copy-number variants (CNVs) contribute to risk for some neuropsychiatric disorders, the role of CNVs in bipolar disorder is unclear. Here, we reasoned that a contribution of CNVs to mood disorders might be most evident for de novo mutations. We performed a genome-wide analysis of de novo CNVs in a cohort of 788 trios. Diagnoses of offspring included bipolar disorder (n = 185), schizophrenia (n = 177), and healthy controls (n = 426). Frequencies of de novo CNVs were significantly higher in bipolar disorder as compared with controls (OR = 4.8 [1.4,16.0], p = 0.009). De novo CNVs were particularly enriched among cases with an age at onset younger than 18 (OR = 6.3 [1.7,22.6], p = 0.006). We also confirmed a significant enrichment of de novo CNVs in schizophrenia (OR = 5.0 [1.5,16.8], p = 0.007). Our results suggest that rare spontaneous mutations are an important contributor to risk for bipolar disorder and other major neuropsychiatric diseases.

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Crossref · 10.1016/j.neuron.2011.11.007

Cites

48 of 48 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 33 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    No significant associations were detected between de novo CNV regions and bipolar disorder in the case-control analysis.

    “No significant associations were detected in bipolar disorder (Table S6A).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
  • Findingown data

    In bipolar disorder and schizophrenia cohorts, de novo mutation rates were not higher in sporadic cases than in subjects with a positive family history.

    “In BD and SCZ cohorts, rates of de novo mutation were not higher in sporadic cases as compared with subjects with a positive family history (Table S5).”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
    • Rests on an assumption: The family history information used to classify cases as familial or sporadic is accurate.
  • Findingown data

    The majority of de novo CNVs were not flanked by segmental duplications.

    “By contrast, the majority of de novo CNVs were not flanked by SDs.”
    Quote in the paperNot a substantial claim
  • Findingown data

    About one-third (8/23) of de novo CNVs were flanked by segmental duplications at one or both boundaries.

    “About one-third (8/23) of de novo CNVs in our study were flanked by segmental duplications (SDs) at one (6/23) or at both boundaries (2/23).”
    Quote in the paperNot a substantial claim
  • Findingown data

    No effect of age at onset on de novo CNV frequency was observed in schizophrenia.

    “By contrast, we did not observe an effect of AAO on the frequency of de novo mutations in schizophrenia (Table 2, Figure 3B).”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
  • May combine two claims. 20
  • Classified as probably not a substantial claim. 28
  • May combine two claims.

    Findingown data

    No significant enrichment of inherited deletions or duplications was observed in sporadic bipolar disorder or in schizophrenia.

    “Likewise, we did not observe a significant enrichment of deletions or duplications in sporadic bipolar disorder or in schizophrenia (Table 3).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
    • Rests on an assumption: The family history information used to classify cases as familial or sporadic is accurate.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    Breakpoint sequences were obtained for five deletions.

    “Breakpoint sequences were obtained for five deletions (Table 1).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    De novo CNVs in the study ranged from 15.1 to 7,178 kb, with a median size of 112 kb and a median of two genes.

    “De novo CNVs ranged in size from 15.1 to 7,178 kb, with a median size of 112 kb, and contained a median of two genes.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Of five deletion breakpoints, three junction sequences were in SINE repetitive elements and two had unique breakpoint sequences.

    “Junction sequences of three out of five deletions were in short interspersed nuclear element (SINE) repetitive elements and two deletions had unique sequences at their breakpoints.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    The median size of segmental-duplication-mediated de novo CNVs was 722 kb, and of non-SD-mediated de novo CNVs was 67 kb.

    “Notably, the median size of SD and non-SD-mediated de novo CNVs was 722 kb and 67 kb respectively, consistent with previous studies that have found differences in CNV size related to the underlying mutational mechanism (Itsara et al., 2010 and Stefansson et al., 2008).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    A 1 bp insertion occurred at one of the deletion breakpoints.

    “A 1 bp insertion occurred at one of the breakpoints (see underlined base in Figure 2I).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Inherited CNVs detected in this study included a 1q21.1 duplication in a bipolar disorder subject and a duplication and a deletion at 15q13.3 in bipolar disorder and schizophrenia subjects, respectively.

    “Notably, inherited CNVs detected in this study included variants at loci that have been previously linked to schizophrenia (International Schizophrenia Consortium, 2008 and Stefansson et al., 2008), including a duplication at 1q21.1 in a subject with bipolar disorder and a duplication and a deletion at 15q13.3 detected in subjects with bipolar disorder and schizophrenia, respectively (Document S2,”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites International Schizophrenia Consortium, 2008

      Not checked in the free run.

    • cites Stefansson et al., 2008 source

      Not checked in the free run.

    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
  • May combine two claims.

    Findingown data

    In 45 autism spectrum disorder trios, the method detected and validated all three de novo CNVs from the previous study and found one additional novel de novo CNV of 38 kb.

    “In 45 ASD trios we detected and validated all 3 de novo CNVs that were identified in our previous study and in addition, we identified one novel de novo CNV 38 kb in size (Table S8).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sebat et al., 2007 source

      Not checked in the free run.

  • May combine two claims.

    Findingown data

    DAVID analysis found eight enriched categories for schizophrenia de novo CNVs, seven for bipolar disorder de novo CNVs, and nine for control de novo CNVs.

    “Based on analysis using DAVID, eight categories were enriched among de novo CNVs in SCZ (Table 4), seven categories were enriched among de novo CNVs in BD (Table 5), and nine categories were enriched among de novo CNVs in controls (Table S7).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Three of the four de novo events were shared between the two groups, and the one event unique to each group was smaller than 20 kb.

    “Three out of four de novo events overlapped between two groups. One de novo event that was unique to each group was < 20 kb in size.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The final set of rare CNVs comprised 3,856 calls in 788 offspring (bipolar disorder, schizophrenia, and controls) and 45 autism spectrum disorder subjects.

    “This final rare CNV call sets consisted of 3,856 CNVs in 788 offspring including BD, SCZ, and controls and in 45 ASD subjects (Table S1).”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Findingown data

    The GRS score distributions separated first-degree relative pairs from unrelated pairs.

    “Based on this test, first-degree relative pairs (i.e., mother-child and father-child) were clearly distinguishable from the distribution of GRS scores for unrelated individuals (i.e., mother-father pairs) as shown in Figure S2.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In the same 426 control trios, our group and Levy et al. each identified four validated de novo CNVs, giving an identical de novo CNV rate of 0.9%.

    “Both groups identified four validated de novo CNVs in controls and therefore observed an identical rate (0.9%) of de novo CNVs in 426 controls.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Levy et al., 2011 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Validation rates were highest for CNVs larger than 100 kb and lowest, at 3%, for CNVs smaller than 20 kb.

    “As expected, the validation rate was highest for CNVs > 100 kb in size and lowest (3%) for CNVs that were < 20 kb in size.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationown data

    Intermediate-size CNVs may contribute to risk for these disorders, but they occur in only 2%-3% of cases and have a smaller relative effect size than large de novo CNVs.

    “Based on these observations, intermediate-size CNVs may contribute to risk for these disorders; however, they occur in a small fraction (2%–3%) of cases, and the relative effect size is smaller than for large de novo CNVs.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The control de novo CNV rate of 0.9% is consistent with previous estimates ranging from 0.5% to 3%.

    “This rate is consistent with estimates from previous studies ranging from 0.5% to 3% (Conrad et al., 2010, Itsara et al., 2010, Levy et al., 2011, Sebat et al., 2007 and Xu et al., 2008).”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Conrad et al., 2010 source

      Not checked in the free run.

    • cites Itsara et al., 2010 source

      Not checked in the free run.

    • cites Levy et al., 2011 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationcitation

    The size difference between SD-mediated and non-SD-mediated de novo CNVs is consistent with prior studies linking CNV size to mutational mechanism.

    “Notably, the median size of SD and non-SD-mediated de novo CNVs was 722 kb and 67 kb respectively, consistent with previous studies that have found differences in CNV size related to the underlying mutational mechanism (Itsara et al., 2010 and Stefansson et al., 2008).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Itsara et al., 2010 source

      Not checked in the free run.

    • cites Stefansson et al., 2008 source

      Not checked in the free run.

  • May combine two claims.

    Study design and conductnone given

    The high-density microarray platform used (2.1 million probes) provides good ascertainment of CNVs >10 kb, a substantial improvement in sensitivity over earlier studies of schizophrenia and autism.

    “The high-density microarray platform used in this study (2.1 million probes) provides good ascertainment of CNVs > 10 kb, a substantial improvement in sensitivity over earlier studies of schizophrenia and autism.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationcitation

    Based on this study, a contemporaneous study, and an earlier study, the overall frequency of de novo CNVs >10 kb is estimated to be approximately 4% in bipolar disorder and 5%-10% in schizophrenia.

    “Based on our study, a contemporaneous study (Kirov et al., 2011), and an earlier study by our coauthor (Xu et al., 2008), we estimate that the overall frequency of de novo CNVs > 10 kb is approximately 4% in BD and 5%–10% in SCZ.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Kirov et al., 2011

      Not checked in the free run.

    • cites Xu et al., 2008

      Not checked in the free run.

    • Rests on an assumption: The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.
    • Rests on an assumption: The 788 trio cohort is representative of the broader bipolar disorder and schizophrenia populations.
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductcitation

    The enriched pathways were tested in rare CNVs from large independent case-control datasets: 8,290 schizophrenia cases and 7,431 controls from Vacic et al., a combined sample from three studies, and a bipolar disorder case-control set of 2,777 cases and 3,508 controls from BiGS.

    “We extended our analysis of pathways identified in this study (Table 4 and Table 5, and S7) to rare CNVs from large case-controls studies of SCZ and BD. These included rare CNVs from 8,290 SCZ cases and 7,431 controls from Vacic et al. (2011), a combined sample of three studies from our group, MGS (Levinson et al., 2011), and the International Schizophrenia Consortium (International Schizophrenia”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites Vacic et al. (2011) source

      Not checked in the free run.

    • cites Levinson et al., 2011 source

      Not checked in the free run.

    • cites Smith et al., 2009 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Stringent QC filters were applied to arrays and CNV calls to ensure that CNV ascertainment was consistent between subjects and their parents.

    “Stringent QC filters were applied to arrays and CNV calls to ensure that the ascertainment of CNVs was consistent between subjects and their parents (see Supplemental Experimental Procedures and Table S1).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Preliminary studies have found evidence that the exomic burden of de novo point mutations is increased in schizophrenia.

    “Indeed, preliminary studies of a small number of families have found evidence that the exomic burden of de novo point mutations is increased in schizophrenia (Girard et al., 2011 and Xu et al., 2011).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Girard et al., 2011 source

      Not checked in the free run.

    • cites Xu et al., 2011

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Sample coding and random-order hybridization were used to prevent plate effects.

    “Samples were coded and hybridizations were done in random order to avoid any plate effects.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisereasoning

    De novo CNV calls are more likely than inherited calls to contain technical errors, particularly false positives in offspring and false negatives in parents.

    “While CNV calls that show mendelian patterns of inheritance (which is the overwhelming majority of CNVs in the genome) are quite reliable, the fraction of CNV calls that are present in offspring and not in parents are enriched for technical errors, in particular false-positive calls (in the offspring) and false-negative calls (in parents).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Parentage testing excluded 32 families, leaving 788 trios for analysis.

    “Thirty-two families failed parentage testing, and the remaining 788 trios were included in our analysis.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    A pathway was considered enriched only if it reached nominal significance (p < 0.05) in both the case-only and case-control permutation tests.

    “A category was defined as “enriched” if nominally significant (p < 0.05) by all case-only and case-control permutation tests.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Two permutation-based tests were used to correct for CNV biases: a case-only permutation test and a case-control enrichment test in PLINK.

    “In order to correct for these biases we applied two permutation-based tests to the pathways found to be enriched by DAVID. First, we performed a case-only permutation-based test by constructing empirical null distributions that took the CNV size distribution and gene number into account.”
    • Also stated in: § Gene Set Enrichment Analysis of De Novo CNVs · plain
      “Second we applied a case-control CNV enrichment test implemented in PLINK”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Every putative de novo CNV was independently validated using a second custom tiling array platform.

    “All putative de novo CNVs detected in our whole-genome scans were independently validated on second custom tiling array platform.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Rare CNVs overlapping known segmental duplications by more than 70% were excluded.

    “Second, we removed rare CNVs which had > 70% overlap with known SDs from the UCSC hg18 Human Genome browser annotations.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisenone given

    The enrichment of technical errors in de novo CNV calls is greater for smaller CNVs.

    “In addition, the enrichment of such errors is greater for smaller CNVs.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    Parentage was verified with the Glaubitz Relationship Score using a >0.37 threshold and with Graphical Representation of Relationships.

    “We applied a threshold of > 0.37 to define relatedness.”
    • Also stated in: § Parentage Testing · plain
      “Pairwise relationship of all subjects in 788 trios was confirmed using a second relatedness testing method, Graphical Representation of Relationships (GRR, http://www.sph.umich.edu/csg/abecasis/GRR/).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Glaubitz et al., 2003 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductown data

    The confidence-score thresholds were tuned within each CNV size class so that the overall rate of mendelian inconsistency was 5%.

    “Thresholds for CS were then adjusted within each size class of CNV to achieve a 5% rate of mendelian inconsistency across all size classes (Figure S1).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    A small set of ASD trios, three carrying known de novo CNVs, was included as a positive control to confirm sensitivity of de novo detection methods.

    “In addition, a small set of autism spectrum disorder (ASD) trios (n = 45), all of which had been included in a previous study (Sebat et al., 2007) and three of which carried known de novo CNVs, were included as a “positive control” to confirm the sensitivity of our methods for detecting de novo events.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sebat et al., 2007 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    Permutation-based tests were used to correct for the known bias of CNVs toward large genes in the functional enrichment analysis.

    “Enrichment of functional classes of genes was tested using the DAVID software (http://david.abcc.ncifcrf.gov/), followed by two additional permutation-based tests to correct for the known bias of CNVs toward large genes (Raychaudhuri et al., 2010), one implemented as a case-only analysis and a second implemented as a case-control analysis in PLINK (http://pngu.mgh.harvard.edu/~purcell/plink/cnv.s”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Raychaudhuri et al., 2010 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Arrays with a derivative log2 ratio spread greater than 0.2 were repeated.

    “Experiments with poor derivative log2 ratio spread (DLRS > 0.2) were repeated.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    For control de novo CNVs, pathway enrichment significance was assessed with a single control-only permutation test.

    “Pathway enrichment analysis was also applied to de novo CNVs in control, and significance was based on a single (control only) permutation test.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductreasoning

    A child's rare CNV was classified as inherited when either parent had a confidence score ≤0.04 and as de novo when both parents had a confidence score >0.04.

    “Rare CNVs in children were called inherited if the CS was ≤ 0.04 in either of the two biological parents and de novo if CS was > 0.04 in both biological parents.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Positive CNV calls were confirmed by manually inspecting log2 ratios in the child, mother, and father.

    “Positive CNV calls were further verified by manual inspection of log2 ratios in the subject, mother, and father.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    Parental false-negative calls were minimized by directly genotyping the CNV region with MeZOD and assigning parental genotypes from confidence scores.

    “In order to minimize the number of false-negative calls in parents, the CNV region was directly genotyped using the MeZOD, and a confidence score was used to assign genotypes to the parents.”
    Quote in the paperSubstantial claim
39 of 39
  • The paper relies on this without support.

    The clinical diagnoses of bipolar disorder, schizophrenia, and healthy control status in the trio cohort are accurate.

    “Diagnoses of subjects included bipolar disorder (n = 185, including 107 with an age at onset ≤ 18), schizophrenia (n = 177), and healthy controls (n = 426).”
  • The paper relies on this without support.

    The 788 trio cohort is representative of the broader bipolar disorder and schizophrenia populations.

    “Our study sample included 788 subject-mother-father trios with confirmed parentage.”
  • The paper relies on this without support.

    The family history information used to classify cases as familial or sporadic is accurate.

    “We stratified subjects based on evidence of positive family history, defined as having a first-degree relative with a diagnosis of bipolar I, bipolar II, major depression, schizophrenia, schizoaffective disorder, autism, or intellectual disability.”
  • The paper relies on this without support.

    The age at onset information used to define early-onset cases is accurate.

    “After stratifying patients by age at onset ≤ 18, we observed a significantly higher rate of de novo CNVs in early-onset BD (p = 0.006, OR = 6.3 [1.7,22.6], Table 2).”
  • The paper relies on this without support.

    The reference population of 4,081 unrelated subjects is representative of the general population for estimating CNV frequency.

    “We determined the population frequency of CNVs detected in our study sample by comparison with CNV calls (based on ≥ 50% reciprocal overlap of its CNV length) from a larger reference population of 4,081 unrelated subjects analyzed in our laboratory using the same array platform.”
5 of 5

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Kirov et al. and Malhotra et al. observed a high rate of de novo CNVs in schizophrenia (5% in both) compared with controls, but neither found a significant difference between sporadic and familial cases.

    “Subsequent studies by Kirov et al. (Kirov et al., 2011) and by our group (Malhotra et al., 2011), also observed a high rate of de novo CNVs in schizophrenia (5% in both studies) as compared with controls; however, neither study observed a significant difference in rate between in sporadic and famial cases.”

    From CNVs: Harbingers of a Rare Variant Revolution in Psychiatric Genetics (2012) · cites this paper as Malhotra et al., 2011

  • Inherited or de novo CNVs are enriched in individuals with early-onset mania.

    “The enrichment of inherited or de novo CNVs in subjects with an early onset of mania (Malhotra et al., 2011; Priebe et al., 2011; Zhang et al., 2009a) is consistent with the notion of distinct subtypes and suggest that individuals with an early onset of mania might constitute a subclass of bipolar disorder in which there is a greater contribution from rare alleles of large effect.”

    From CNVs: Harbingers of a Rare Variant Revolution in Psychiatric Genetics (2012) · cites this paper as Malhotra et al., 2011

  • Current evidence suggests CNVs have a role in bipolar disorder, but large deletions in particular play a very limited role.

    “Current evidence suggests that CNVs have a role to play (Malhotra et al., 2011), but some, particularly large deletions appear to play a very limited role (Grozeva et al., 2010; Malhotra et al., 2011).”

    From CNVs: Harbingers of a Rare Variant Revolution in Psychiatric Genetics (2012) · cites this paper as Malhotra et al., 2011

  • Early CNV studies suggest that rare variants play a role in bipolar disorder.

    “Results from early CNV studies suggest that rare variants play a role in bipolar disorder (Malhotra et al., 2011; Priebe et al., 2011; Zhang et al., 2009a).”

    From CNVs: Harbingers of a Rare Variant Revolution in Psychiatric Genetics (2012) · cites this paper as Malhotra et al., 2011

  • Very few CNVs contributing to schizophrenia are also associated with bipolar disorder, with possible exceptions being 16p11.2 microduplications and 3q29 microdeletions.

    “Notably, very few of the CNVs that contribute to risk for schizophrenia are also associated with bipolar disorder, the possible exceptions being microduplications of 16p11.2 (McCarthy et al., 2009) and microdeletions of 3q29 (Clayton-Smith et al., 2010; Malhotra et al., 2011), which have been reported in multiple cases (Table 1).”

    From CNVs: Harbingers of a Rare Variant Revolution in Psychiatric Genetics (2012) · cites this paper as Malhotra et al., 2011

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Early-onset age cutoff differs between sections

    Minor

    The abstract describes the enriched group as having onset before age 18, while the study defines early onset as age 18 or younger. The latter includes patients whose onset was at 18.

1 of 1

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Authors
Malhotra, D., McCarthy, S., Michaelson, J. J., Vacic, V., Burdick, K. E., Yoon, S., Cichon, S., Corvin, A., Gary, S., Gershon, E. S., Gill, M., Karayiorgou, M., Kelsoe, J. R., Krastoshevsky, O., Krause, V., Leibenluft, E., Levy, D. L., Makarov, V., Bhandari, A., Malhotra, A. K., McMahon, F. J., Nöthen, M. M., Potash, J. B., Rietschel, M., Schulze, T. G., & Sebat, J.
Affiliations
  • Cold Spring Harbor Laboratory (US)
  • University of California San Diego (US)
  • Icahn School of Medicine at Mount Sinai (US)
  • University of Bonn (DE)
  • Trinity College Dublin (IE)
  • University of Chicago (US)
  • Columbia University (US)
  • McLean Hospital (US)
  • National Institutes of Health (US)
  • Northwell Health (US)
  • University of Iowa (US)
  • Heidelberg University (DE)
  • University of Göttingen (DE)
Corresponding author
Sebat, Jonathan
Venue
Neuron
Publisher
Elsevier BV
Published
2011-12
Volume
72
Issue
6
Pages
951-963
ISSN
0896-6273 (ISSN-L)
OpenAlex
W2151834457
Cited by
325
References
50
Citations by year
2026: 7 · 2025: 5 · 2024: 8 · 2023: 10 · 2022: 17 · 2021: 11 · 2020: 21 · 2019: 34 · 2018: 15 · 2017: 17 · 2016: 21 · 2015: 39 · 2014: 52 · 2013: 36 · 2012: 31
FWCI
23.94
Type
journal article
Language
en
Open access
Locations
  • Neuron (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • JuSER (Forschungszentrum Jülich) (submittedVersion)
  • DZNE Pub (submittedVersion)
  • GRO (submittedVersion)
  • Cold Spring Harbor Laboratory Institutional Repository (Cold Spring Harbor Laboratory) (submittedVersion)
  • Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion)
Funders
  • Wellcome Trust (072894)
  • National Institutes of Health (Z99 MH999999, 5r01mh071523-05)
  • National Institute of Mental Health (MH061399, ZIAMH002778, R01MH061399, MH076431, MH071523, R01-MH071523, R01MH076431)
  • National Human Genome Research Institute (P41HG004222, HG04222)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
de novo copy number variants, bipolar disorder, schizophrenia, neuropsychiatric disorders, trios, age of onset, genetic risk, spontaneous mutation, mood disorders
MeSH terms
Adolescent, Adult, Bipolar Disorder, Child, Female, Humans, Male, Schizophrenia, Genetic Variation, Case-Control Studies, Genome-Wide Association Study, Young Adult, DNA Copy Number Variations

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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