Identifying Blood Biomarkers for Mood Disorders Using Convergent
Molecular Psychiatry (2009) 14, 156–174 & 2009 Nature Publishing Group All rights reserved 1359-4184/09 $32.00 www.nature.com/mp ORIGINAL ARTICLE Identifying blood biomarkers for mood disorders using convergent functional genomics H Le-Niculescu1,2,3, SM Kurian4, N Yehyawi1,5, C Dike1,5, SD Patel1,3, HJ Edenberg6, MT Tsuang7, DR Salomon4, JI Nurnberger Jr3 and AB Niculescu1,2,3,5 1Laboratory of Neurophenomics, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA; 2INBRAIN, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA; 3Institute of Psychiatric Research, Indiana University School of Medicine, Indianapolis, IN, USA; 4Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA, USA; 5Indianapolis VA Medical Center, Indianapolis, IN, USA; 6Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, USA and 7Department of Psychiatry, University of California at San Diego, La Jolla, CA, USA There are to date no objective clinical laboratory blood tests for mood disorders. The current reliance on patient self-report of symptom severity and on the clinicians’ impression is a rate- limiting step in effective treatment and new drug development. We propose, and provide proof of principle for, an approach to help identify blood biomarkers for mood state. We measured whole-genome gene expression differences in blood samples from subjects with bipolar disorder that had low mood vs those that had high mood at the time of the blood draw, and separately, changes in gene expression in brain and blood of a mouse pharmacogenomic model. We then integrated our human blood gene expression data with animal model gene expression data, human genetic linkage/association data and human postmortem brain data, an approach called convergent functional genomics, as a Bayesian strategy for cross- validating and prioritizing findings.
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