RT Journal A1 Ernst C, Marshall CR, Shen Y, et al T1 HIghly penetrant alterations of a critical region including bdnf in human psychopathology and obesity JF Archives of General Psychiatry JO Archives of General Psychiatry YR 2012 FD December 1 VO 69 IS 12 SP 1238 OP 1246 DO 10.1001/archgenpsychiatry.2012.660 UL http://dx.doi.org/10.1001/archgenpsychiatry.2012.660 AB Context  Brain-derived neurotrophic factor (BDNF) is suspected of being a causative factor in psychiatric disorders based on case reports or studies involving large structural anomalies.Objective  To determine the involvement of BDNF in human psychopathology.Design  Case-control study.Setting  Microarray-based comparative genomic hybridization data from 7 molecular diagnostic centers including 38 550 affected subjects and 28 705 unaffected subjects.Patients  Subjects referred to diagnostic screening centers for microarray-based comparative genomic hybridization for physical or cognitive impairment.Main Outcome Measures  Genomic copy number gains and losses.Results  We report 5 individuals with psychopathology and genomic deletion of a critical region including BDNF. The defined critical region was never disrupted in control subjects or diagnostic cases without developmental abnormalities.Conclusion  Hemizygosity of the BDNF region contributes to variable psychiatric phenotypes including anxiety, behavioral, and mood disorders.