In an attempt to identify susceptibility loci for bipolar affective disorde
r, we are currently conducting a systematic genome screen with highly polym
orphic microsatellite markers at an average marker spacing of 10 cM in a se
ries of 75 families, comprising 66 families from Germany, eight families fr
om Israel, and one family from Italy. The families were ascertained through
index cases with bipolar affective disorder. The distribution of diagnoses
is as follows: 126 individuals with bipolar I disorder, 40 with bipolar II
disorder, 14 with schizoaffective disorder of the bipolar type, 40 individ
uals with recurrent unipolar depression, 51 with a minor psychiatric diagno
sis, and two individuals with a diagnosis of schizophrenia. One hundred and
seventy-one individuals are unaffected. Here, we present results from chro
mosome 10. Linkage analyses using a total of 33 microsatellite markers with
parametric and non-parametric methods provided evidence for linkage at chr
omosomal region 10q25-q26. The highest two-point LOD score (2.86, theta = 0
.05) was obtained for D10S217 using a dominant genetic model and a broad de
finition of affection status. The GENEHUNTER program localized the putative
susceptibility locus within a ca 15-cM interval between markers D10S1483 a
nd D10S217 with a maximum NPL(all) score of 3.12 (P= 0.0013). Positive link
age findings that have been reported by two independent studies further sup
port the hypothesis of a susceptibility gene for bipolar affective disorder
on 10q25-q26.