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Schizophrenia Genes Linked To Bipolar Disorder

Schizophrenia Genes Linked To Bipolar Disorder

Schizophrenia and bipolar disorder both involve genetic mutations that increase the risk of developing the diseases, two new studies report.

The studies also found that the mental disorders share a large amount of genetic overlap.

In one of the studies, conducted at the University of Chicago, researchers reviewed 17 studies encompassing nearly 22,000 people, about half of which were schizophrenia patients. The study uncovered seven genetic variants, five of them new.

One in particular -- known as rs1625579 -- plays a key role in regulating brain cells. The results were published in Nature Genetics.

To scientists then duplicated the genome search with almost 30,000 other patients.

In the other study about patients with bipolar disorder, also published in Nature Genetics, researchers at Mount Sinai School of Medicine in New York first looked at the genomes of 7,481 people with the disorder and 9,250 healthy individuals. The study confirmed a strong link with the CACNA1C gene, which has also has been associated with schizophrenia.

Schizophrenia is characterized by hearing voices that are not real, as well as paranoid thinking and disorganized speech and thoughts. It affects about one percent of adults.

Bipolar disorder is characterized by drastic mood changes that swing from severe depression to euphoria, and it also affects about one percent of the population.

Researchers of both studies are hopeful that learning more about the affected pathways in the brain will lead to a better understanding of what causes schizophrenia and bipolar disorder, and that better drug treatments can be developed as a result.

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Bipolar Disorder Shares Many Brain Similarities With Schizophrenia

Bipolar Disorder Shares Many Brain Similarities With Schizophrenia

Bipolar disorder and schizophrenia share striking brain similarities, according to new research by the Royal College of Surgeons in Ireland and Beaumont Hospital.

The new study also found that in both conditions, a process occurs affecting how information is transmitted from neuron to neuron, a finding which could lead to the developments of improved treatments.

This was the first study to look at sub-regions of the hippocampus, the region in which abnormalities most often occur in both schizophrenia and bipolar disorder. Certain areas of the hippocampus were discovered to be different in people with the disorders, in terms of how proteins are affected, compared to the normal population.

Additionally, in both conditions, a process occurs which controls how information is transmitted by the shuttling of proteins to and from the synapse.

"Our study is the first to show the depth of protein similarities between schizophrenia and bipolar disorder as they appear in the brain and the processes associated with them,” said Professor David Cotter of the Department of Psychiatry, RCSI and Beaumont Hospital, as quoted by News Medical. “Although, the two conditions present with different symptoms, the research has shown that they are almost identical in terms of how they present in the brain.” 

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Stem Cell Research Shows Promise For Uncovering Bipolar Disorder Secrets

Stem Cell Research Shows Promise For Uncovering Bipolar Disorder Secrets

Stem cell research conducted at the University of Michigan is showing new promise in unlocking the biological secrets that make up bipolar disorder.

By taking stem cell lines from the skin of bipolar adults, scientists will be able to uncover new findings from the cell donors, who are participating in the study.

According to Melvin McInnis, Professor of Bipolar Disorder and Depression at the U-M Medical School and associate director the U-M Depression Center, the new research could lead to treatments that are more effective.

“Currently the best treatments for bipolar disorder are only effective for 30 percent to 50 percent of patients. New discoveries have been limited, in part due to the lack of access to tissue and cells from individuals with bipolar disorder. But that is now changing because of the Prechter research program and advances in stem cell research,” McInnis said, as quoted by www.uofmhealth.org.

The new stem cell lines were created out of fibroblasts taken from skin samples from both adults with bipolar disorder and without the disorder. In the lab, scientists manipulate these cells to develop into different types of body cells.

Sue O’Shea, Ph.D., a professor of cell and developmental biology at the Medical School, says the goal is to develop 30 cell lines. So far, five have been created.

“We will be able to see if there are differences in how the neurons of a person with bipolar disorder make connections, determine how they respond to different medications and explore potential deficiencies in signaling pathways,” said O’Shea, as quoted by www.uofmhealth.org. “We often think of stems cells being used in therapies to treat disease, but this is a great example of stem cells’ usefulness for studying the mechanisms of disease… The iPS cells renew themselves, so they’re an unlimited source of material and offer hope to individuals with bipolar disorder.” Bipolar disorder, caused by chemical imbalances in the brain, affects 5.7 million adults in the United States. It creates drastic changes in mood, thoughts, and behavior. Research on the disorder has focused on genetic factors, since bipolar disorder runs in families.   According to McInnis, between 5 and 15 percent of bipolar patients will attempt to commit suicide during their lives.
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Bipolar Treatment Abilify Questioned For Long-Term Use

Bipolar Treatment Abilify Questioned For Long-Term Use

The bipolar treatment drug Abilify is used frequently in the long-term care of patients, but its use is based largely on a single questionable clinical trial and could potentially be keeping doctors from prescribing more established drugs, a new review suggests.

Abilify (aripiprazole), originally used to treat patients with schizophrenia and acute episodes of mania, was approved by the FDA to treat bipolar patients in 2005. Since then it has become one of the most popular treatments for bipolar maintenance therapy.

However, according to Alexander C. Tsai of Harvard University, a lead author on the study, there is not enough research to support the drug’s widespread use.

"We failed to find sufficient data to support its use,” Tsai said, as quoted by CNN Health. "It may actually be working for some people, but it's certainly worth talking to your doctor about how it's working for you."

Tsai and colleagues only found one randomized-controlled clinical trial which studied the use of Abilify, and it had several limitations: it was short (only 26 weeks) and only one-fifth of the patients completed the 48-hour follow-up phase. The study population was also limited to bipolar patients whose moods had already stabilized.

"Frankly, I think it's an embarrassment to the profession that [Abilify] has been accepted so uncritically for this indication,” CNN Health quoted Tsai as saying.

According to Gregory E. Simon, M.D., a psychiatrist at Group Health Research Institute in Seattle, lithium is a much more well-supported treatment for bipolar disorder. 

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Catherine Zeta-Jones Opens Up About Bipolar Disorder

Catherine Zeta-Jones Opens Up About Bipolar Disorder

Catherine Zeta Jones at the Hasty Pudding Woman of the Year Parade, Cambridge, MA.

Catherine Zeta-Jones spoke out about her battle with bipolar disorder, saying "there is no need to suffer silently."

The 41-year-old Hollywood star said last month she was treated for five days at a hospital after becoming stressed due to her husband Michael Douglas’ battle with throat cancer.

In a statement released to this week's People magazine, she said: "This is a disorder that affects millions of people and I am one of them. If my revelation of having Bipolar II has encouraged one person to seek help, then it is worth it. There is no need to suffer silently and there is no shame in seeking help."

Bipolar disorder is a mental illness where sufferers have elevated or irritable moods alternating with periods of depression. Bipolar II is has longer mood swings and more severe depression, usually triggered by major life changes.

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Catherine Zeta-Jones: The New Face Of Bipolar Disorder

Catherine Zeta-Jones: The New Face Of Bipolar Disorder

Catherine Zeta-Jones at the press call for Death Defying Acts, at Sydney Opera House in Australia.

Why are we so shocked to learn that Catherine Zeta-Jones has bipolar disorder and checked herself into a mental health facility?

Because she is ravishingly beautiful, classy and charming, has a healthy sense of humor, a flair for elegant fashion, and seems to be a devoted wife and mother who handled the horribly stressful situation of her husband Michaels throat cancer with grace and fierce loyalty?

How could Catherine Zeta-Jones be the face of bipolar disorder?

Because, like cancer, brain disorders have no boundaries that limit them to those with less money, beauty, or luck. The number floated around most often is that one in four adult Americans have a mental health challenge of some kind, whether OCD, PTSD, depression, anxiety, or a more serious diagnosis like schizophrenia.

Identifying Zeta-Jones as having Bipolar Disorder II whether it was a decision she made or she was outed by a tabloid could be one of the best things that ever happened to others with Bipolar Disorder. It opens a forum for discussion and it destigmatizes an illness that is often kept secret to the detriment of those who have it and their families.

Bipolar Disorder II is not so different from other variations of Bipolar Disorder. It still involves mood swings between depression and mania. But the emphasis is on depression and the mania is not so pronounced, more of a hypomania, or below mania. In fact, it often presents as feeling optimistic, having more energy and feeling mentally sharper and more creative all attributes that would seem to characterize Zeta-Jones more accurately than bipolar.

But its a package deal. With hypomania comes crippling depressions that are so painful it is not unusual for those who are suffering to self-medicate with alcohol or drugs; and reports are that Zeta-Jones was drinking excessively. Unfortunately, alcohol often only makes symptoms like irritability, restlessness, fatigue, and inability to sleep worse.Stress is a major factor in setting off the symptoms, as is lack of sleep. Zeta-Jones may have been able to publicly hold it together while supporting her husband through his health crisis. But there is no doubt that the watching her husband undergo intense treatment for a severe cancer would have set off a depressive episode.The wonder and glory of Catherine Zeta-Jones situation is that she sought help and signed herself in (reportedly with her husband at her side) to a mental health facility for a 5-day stay. During her stay she would have received individual and group therapy and perhaps had a medication change under supervision.By naming and treating her condition, Zeta-Jones has given Bipolar Disorder II the best press it could ever have. Her husband had cancer and dealt with it. She has Bipolar Disorder II and is dealing with it. How refreshingly adult, how positively life-affirming. Thank you, Catherine Zeta-Jones.Judy Kirkwood is an advocate for understanding early onset bipolar disorder and adolescent addiction.
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