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Chunk #28 — Discussion

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Genome-wide association study of more than 40,000 bipolar disorder cases provides new insights into the underlying biology.
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Our GWAS of subtypes BD I and BD II identified additional associated loci. Consistent with previous findings24, our analysis showed that the two subtypes were highly but imperfectly genetically correlated (rg = 0.85), and that BD I is more genetically correlated with schizophrenia, while BD II has stronger genetic correlation with major depression. The subtypes are sufficiently similar to justify joint analysis as BD, but are not identical in their genetic composition, and as such contribute to the genetic heterogeneity of BD91. We identified 13 loci passing genome-wide significance for BD I, and one for BD II, which did not reach significance in the main BD GWAS, further illustrating the partially differing genetic composition of the two subtypes. Understanding the shared and distinct genetic components of BD subtypes and symptoms requires detailed phenotyping efforts in large cohorts and is an important area for future psychiatric genetics research.