The bipolar disorder phenome database: a resource for genetic studies.
OBJECTIVE
The purpose of this study was to assemble and validate a database of phenotypic variables that were collected from families with bipolar disorder as a resource for genetic and other biological studies.


METHODS
Participants were ascertained for two bipolar disorder genetic linkage studies: the University of Chicago, Johns Hopkins, and National Institute of Mental Health (NIMH) Intramural Program (CHIP) Collaboration and the NIMH Genetics Initiative project. All participants underwent detailed, phenotypic assessment with either the Schedule for Affective Disorders and Schizophrenia-Lifetime Version or one of four versions of the Diagnostic Interview for Genetic Studies. Clinicians reviewed the interview items and derived variable definitions that were used to extract data from the original datasets. The combined data were subjected to range and logic assessments, and a subset was re-verified against the original data. Inconsistent data and variables that were deemed unreliable were excluded. Several of the resulting variables were characterized in the total cohort and tested for familial clustering, heritability, and statistical power in genetic linkage and association studies.


RESULTS
The combined database of phenotypic variables contained 197 variables on 5,721 subjects in 1,177 families. Deoxyribonucleic acid (DNA) samples are available for 5,373 of these subjects. The clinical presentation of bipolar disorder varied markedly. Most subjects suffered from serious and often disabling illness. Many phenotypic variables are strongly familial, and some quantitative variables are highly heritable. The cohort assembled in this study offers substantial power to carry out genetic linkage and association studies that use specific clinical features as covariates or as primary phenotypes.


CONCLUSIONS
This is the largest database of phenotypic variables yet assembled for bipolar disorder, and it is now available to the research community. Researchers and clinicians can use this database to explore the connections between phenomenology and genetics in a cohort that is adequately powered to detect even modest genetic effects in bipolar disorder.
Potash
James B
JB
Department of Psychiatry, Johns Hopkins School of Medicine, Baltimore, MD 21287-7419, USA. jpotash@jhmi.edu
Toolan
Jennifer
J
Steele
Jo
J
Miller
Erin B
EB
Pearl
Justin
J
Zandi
Peter P
PP
Schulze
Thomas G
TG
Kassem
Layla
L
Simpson
Sylvia G
SG
Lopez
Victor
V
MacKinnon
Dean F
DF
McMahon
Francis J
FJ
D000328:Adult; D001714:Bipolar Disorder / Q000235:genetics*; D002874:Chromosome Mapping; D015331:Cohort Studies; D015897:Comorbidity; D030541:Databases, Genetic / Q000706:statistics & numerical data*; D005260:Female; D008040:Genetic Linkage; D020022:Genetic Predisposition to Disease / Q000235:genetics; D036281:Genetic Research; D005820:Genetic Testing; D014644:Genetic Variation; D005838:Genotype; D006801:Humans; D008297:Male; D009315:National Institute of Mental Health (U.S.); D010375:Pedigree; D010641:Phenotype; D011618:Psychotic Disorders / Q000235:genetics; D015203:Reproducibility of Results; D012107:Research Design; D014481:United States