Recently, we cloned the human myo-inositol monophosphatase 2 (IMPA2) cDNA a
nd established its map location to chromosome 18p11.2, a region previously
implicated in bipolar disorder. Because the myo-inositol monophosphatase en
zyme has been shown to be inhibited by lithium, an effective therapeutic ag
ent for bipolar disorder, IMPA2 is a plausible positional and functional ca
ndidate gene. To permit comprehensive screening for variants we characteriz
ed the genomic structure and isolated the potential promoter of IMPA2 The g
ene was found to encode eight exons spanning similar to 27 kb, The proximal
1-kb 5' flanking region did not contain an obvious TATA box but multiple p
otential binding sites for Spl and consensus motifs for AP2 and other trans
cription factors were evident. Sequencing of the coding region and splice j
unctions in unrelated bipolar disorder patients detected novel variants. A
missense mutation in exon 2, His76Tyr, was found in one patient. His76 is e
volutionarily conserved and replacement with Tyr introduces a potential sit
e for phosphorylation. The other polymorphisms included an Rsal polymorphis
m, IVS1-15G>A, and a T --> C silent mutation in the third nucleotide of cod
on 53 in exon 2. By Fisher's exact test the silent mutation showed a trend
for association (P = 0.051) with bipolar disorder suggesting that further s
crutiny of this gene is warranted.