"Bipolar disorder (BP) is a highly heritable disorder, however attempts to map genetic risk factors are challenging. One possible reason for these difficulties is the genetic heterogeneity of BP," scientists in the United States report (see also Bipolar Disorder).

"Hence, focusing on clinically homogeneous families to create a genetically more homogeneous sample may increase the power of finding a specific variant. Alcohol abuse (AA) and alcohol dependence (AD) are familial in BP families, and these families may carry a specific risk variant for BP. We tested this hypothesis by performing a genome-wide linkage scan in 638 pedigrees (1,835 individuals) from the National Institute of Mental Health Genetics Initiative for BP, weighting the evidence for linkage according to the family's frequency of AA or AD. Using AA weighting, we identified a linkage region on 9p22.2 with an NPL score of 3.23. The region had previously been identified in a meta-analysis of linkage in bipolar disorder. We used permutation analysis to assess if weighting by AA increased the linkage signal more than expected by chance and observed a significant P-value (P=0.048). Therefore, the genetic risk factor for BP on 9p22.2 has an increased effect in families with high levels of AA," wrote E.F.H. Saunders and colleagues.

The researchers concluded: "In summary, we present an example of using covariates such as AA and AD to define subtypes of BP, demonstrate how using such subtypes can improve the power of a linkage scan, and demonstrate statistical approaches to validate the suggested interaction."

Saunders and colleagues published their study in American Journal of Medical Genetics Part B - Neuropsychiatric Genetics (Suggestive Linkage at 9p22 in Bipolar Disorder Weighted by Alcohol Abuse. American Journal of Medical Genetics Part B - Neuropsychiatric Genetics, 2009;150B(8):1133-1138).

For additional information, contact E.F.H. Saunders, Milton S Hershey Med Center, Penn State Milton S Hershey Med Center, Dept. of Psychiat, HP16, 500 University Dr, POB 850, Hershey, PA 17033, USA.

The publisher's contact information for the American Journal of Medical Genetics Part B - Neuropsychiatric Genetics is: Wiley-Liss, Division John Wiley & Sons Inc., 111 River St., Hoboken, NJ 07030, USA.