Evidence for the involvement of genetic factors in the pathogenesis of bipolar affective disorder is now well established. 1 However, the mode of inheritance is nonmendelian and this makes the identification of susceptibility loci difficult. A short-cut to localisation of a disease gene for an oligogenic/multifactorial disorder such as bipolar disorder may come from observation of cosegregation with a monogenic trait. We have described a family (pedigree 324) in which there was cosegregation of major affective disorder and Darier's disease, a dominantly inherited skin disorder, and hypothesised that this reflects genetic linkage between genes involved in these disorders. 2 Genetic mapping studies have placed the locus for Darier's disease on chromosome 12q23-q24. 3-7 We conducted subsequent linkage studies (1995) upon 45 bipolar families (without Darier's disease). These results showed some evidence in favour of linkage with chromosome 12q markers with maximum evidence at a trinucleotide repeat marker within intron 1 of the phospholipase A2A (PLA2A) gene. 8 Evidence for linkage was more significant when analysing the 22 families comprising the Cardiff centre sample, which were expected to be most genetically similar to pedigree 324.Phospholipase A2 is a superfamily of distinct enzymes 9 that play a central role in a number of cellular processes including host defence, signal transduction and phospholipid digestion/metabolism. 10 They are a diverse class of enzymes with regard to localisation, regulation, sequence, structure and role of divalent metal ions. 10 All PLA2s perform the same enzymatic reaction involving the hydrolysis of the sn-2 fatty acid acyl bond of phospholipids to yield free fatty acids and lysophospholipids and have an important role in regulation of lipid membrane fluidity. 11 Hibbeln et al 11 proposed that excess PLA2 activity disrupts membrane fluidity and composition and therefore affects the activity of membranedependent proteins, such as neurotransmitter receptoreffector complexes.In the present study mutational analysis was performed on the human PLA2A gene on chromosome 12q. Linked polymorphisms were found within exon three and the upstream region. However, the allele and genotype frequencies of these polymorphisms in samples of individuals affected with bipolar disorder (n = 96) did not differ from those of control subjects (n = 96), suggesting that these variations are not associated with bipolar affective disorder.The PLA2A gene on chromosome 12 encodes a secretory form of PLA2 found predominantly in the pancreas. 12 This might seem to make it an implausible candidate for bipolar disorder. However, it has been shown that secretory PLA2 has significant effects upon neuronal cells 13 demonstrable in vitro and thought to have significance in vivo. 14 Glutamate receptors within the brain may be involved in the mode of action of some antidepressant drugs and therefore, may be involved in the pathogenesis of depression. 15 The presence of PLA2 has been shown to accompany a modulation in me...