PMID- 29869414 OWN - NLM STAT- MEDLINE DCOM- 20191011 LR - 20191011 IS - 1600-0447 (Electronic) IS - 0001-690X (Linking) VI - 138 IP - 5 DP - 2018 Nov TI - HLA genetics in bipolar disorder. PG - 464-471 LID - 10.1111/acps.12912 [doi] AB - OBJECTIVE: Bipolar Disorder (BD) is characterized by deregulated adaptive immune processes. Recent genome-wide association studies (GWAS) implicate the major histocompatibility complex (MHC) region in BD. The present study investigates the potential influence of variations in human leukocyte antigen (HLA) on BD risk and/or clinical presentations. This may have relevance to the dysregulated inflammatory processes commonly found in BD. METHOD: DNAs from 475 BD patients and 195 healthy controls (HC) were genotyped for classical HLA class I and II loci. RESULTS: We found that: (i) the HLA-A*02~B*44~DRB1*07 sub-haplotype is less prevalent in BD, vs. HC (pc = 2.4 x 10(-2) ); (ii) the 57.1 and the 8.1-derived ancestral haplotypes i.e. HLA-A*02~B*57~Cw*06~DRB1*07~DQB1*09 and HLA-A*02~B*08~Cw*07 are associated with rapid cycling (pc = 1.9 x 10(-3) and 1.05 x 10(-2) , respectively); (iii) the 8.1AH-derived HLA class II-DRB*03~HLA-DQB1*02 sub-haplotype is more frequent in BD patients with a history of suicidal behaviors (pc = 2.1 x 10(-2) ); and (iv) disease onset by an hypomanic episode or by psychotic symptoms are, respectively, more frequent in BD patients bearing the 7.1 AH-derived A*03~B*07~DRB1*15 sub-haplotype (pc = 8.5 x 10(-3) ) and the HLA-A*02~B*07~DRB1*15 sub-haplotype (pc = 4.0 x 10(-2) ). CONCLUSION: Corroborating the established link between these HLA haplotypes/sub haplotypes and common immune disorders, our findings suggest possible HLA-mediated proinflammatory processes operating in BD. CI - (c) 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Tamouza, R AU - Tamouza R AUID- ORCID: 0000-0003-3992-9565 AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. AD - Cordons de Vie Association, Monaco and LabEx Transplantex, Strasbourg, France. FAU - Oliveira, J AU - Oliveira J AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. FAU - Etain, B AU - Etain B AUID- ORCID: 0000-0002-5377-1488 AD - FondaMental Foundation, Creteil, France. AD - Department of Psychiatry & Addiction Medicine, INSERM UMR-S1144 - VariaPsy, University Paris Diderot, AP-HP, Fernand Widal Hospital, Paris, France. FAU - Bengoufa, D AU - Bengoufa D AD - INSERM, U1160, Saint Louis Hospital, Paris, France. FAU - Hamdani, N AU - Hamdani N AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. FAU - Manier, C AU - Manier C AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - INSERM, U1160, Saint Louis Hospital, Paris, France. FAU - Mariaselvam, C AU - Mariaselvam C AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - INSERM, U1160, Saint Louis Hospital, Paris, France. FAU - Sundaresh, A AU - Sundaresh A AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - INSERM, U1160, Saint Louis Hospital, Paris, France. FAU - Bellivier, F AU - Bellivier F AUID- ORCID: 0000-0002-3660-6640 AD - FondaMental Foundation, Creteil, France. AD - Department of Psychiatry & Addiction Medicine, INSERM UMR-S1144 - VariaPsy, University Paris Diderot, AP-HP, Fernand Widal Hospital, Paris, France. FAU - Henry, C AU - Henry C AUID- ORCID: 0000-0002-1549-9604 AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. FAU - Kahn, J-P AU - Kahn JP AD - Department of Psychiatry and Clinical Psychology, CHU of Nancy, Brabois Hospitals, Vandoeuvre Les Nancy, France. FAU - Krishnamoorthy, R AU - Krishnamoorthy R AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. FAU - Charron, D AU - Charron D AD - FondaMental Foundation, Creteil, France. FAU - Leboyer, M AU - Leboyer M AD - INSERM, U955, Translational Psychiatry, Paris-East University, School of Medicine, AP-HP, DHU PePSY, Pole of Psychiatry, Henri Mondor University Hospital, Creteil, France. AD - FondaMental Foundation, Creteil, France. LA - eng GR - I-GIVE 13-SAMA-0004-01/Agence Nationale de la Recherche/International GR - U940/INSERM/International GR - U1160/INSERM/International GR - U955/INSERM/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180604 PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 RN - 0 (HLA-A Antigens) RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Bipolar Disorder/*genetics MH - Female MH - HLA-A Antigens/*genetics MH - Haplotypes MH - Histocompatibility Antigens Class II/*genetics MH - Humans MH - Inflammation/*genetics MH - Male MH - Middle Aged MH - Young Adult OTO - NOTNLM OT - HLA haplotypes OT - bipolar disorder OT - inflammation OT - polarity at onset OT - rapid cycling OT - suicidal behavior EDAT- 2018/06/06 06:00 MHDA- 2019/10/12 06:00 CRDT- 2018/06/06 06:00 PHST- 2018/05/16 00:00 [accepted] PHST- 2018/06/06 06:00 [pubmed] PHST- 2019/10/12 06:00 [medline] PHST- 2018/06/06 06:00 [entrez] AID - 10.1111/acps.12912 [doi] PST - ppublish SO - Acta Psychiatr Scand. 2018 Nov;138(5):464-471. doi: 10.1111/acps.12912. Epub 2018 Jun 4.