Julien R A, Mercier P, Chouraqui P, Sutter J M
Encephale. 1978;4(2):99-113.
Schizophrenias have a genetical support as it is now proved by the study of twins born from schizophrenic parents and of the adopted children of schizophrenics. The HLA typing brings an additional argument in favour of this hypothesis. After a recall of data concerning the system of tissular histocompatibility, the results are given of the HLA typing of a population of 65 schizophrenics (59 men, 6 women) including 27 hebephrenics and 38 paranoïds. The paranoïd group is clearly individualized from a genetic point of view. If 40% of the schizophrenics carry the A9 antigen versus 21,2% found in the normal population, 47,4 % of the paranoïd schizophrenics present this antigen (X2) = 12,16 p less than 0,001). The association of the two antigens A9 and CW4 is even more significant: 14,3 % of the total schizophrenic population, as opposed to 2,7 % in the normal population (X2) = 13,3 p less than 0,0005). The paranoid group reached a rate of 24,3% (x(2) = 27,3 p less than 0,0005). A subject carrier of both antigens A9 + CW4 has 11,5 times more the risk of being a paranoïd schizophrenic than a subject not possessing these two antigens.
精神分裂症具有遗传依据,这一点现已通过对精神分裂症患者所生双胞胎以及精神分裂症患者收养子女的研究得到证实。人类白细胞抗原(HLA)分型为这一假说提供了额外论据。在回顾了有关组织相容性系统的数据后,给出了对65名精神分裂症患者(59名男性,6名女性)进行HLA分型的结果,其中包括27名青春型精神分裂症患者和38名偏执型精神分裂症患者。从遗传学角度来看,偏执型精神分裂症组明显具有个体特征。如果40%的精神分裂症患者携带A9抗原,而正常人群中这一比例为21.2%,那么47.4%的偏执型精神分裂症患者具有这种抗原(X2 = 12.16,p小于0.001)。两种抗原A9和CW4的关联更为显著:精神分裂症患者总数的14.3%携带这两种抗原,而正常人群中这一比例为2.7%(X2 = 13.3,p小于0.0005)。偏执型精神分裂症组这一比例达到24.3%(x(2) = 27.3,p小于0.0005)。同时携带A9和CW4两种抗原的个体患偏执型精神分裂症的风险是不具备这两种抗原个体的11.5倍。