Tsuang M T, Bucher K D, Fleming J A
Br J Psychiatry. 1982 Jun;140:595-9. doi: 10.1192/bjp.140.6.595.
Segregation analysis was applied to blind family data concerning schizophrenia to decide if the transmission of schizophrenia could be explained by a single major gene. Our results showed that the Mendelian model was unacceptable. Therefore, the monogenic hypothesis could not account for the transmission of schizophrenia. Since the hypothesis of no parent-child transmission was also not accepted, there was an indication that some form of vertical transmission existed which could be psychosocial, or an interaction between genetic and psychosocial factors. Our results suggest genetic heterogeneity in schizophrenia. Currently available clinical criteria for defining subgroups must be improved in conjunction with detection of biological indicators so that segregation analysis of family data could be effectively used in determining modes of transmission in schizophrenia.
对有关精神分裂症的盲法家庭数据进行了分离分析,以确定精神分裂症的传递是否可以用一个主要基因来解释。我们的结果表明孟德尔模型不可接受。因此,单基因假说无法解释精神分裂症的传递。由于亲子传递不存在的假说也未被接受,这表明存在某种形式的垂直传递,可能是心理社会方面的,或者是基因与心理社会因素之间的相互作用。我们的结果提示精神分裂症存在基因异质性。目前用于定义亚组的临床标准必须结合生物指标的检测加以改进,以便家庭数据的分离分析能够有效地用于确定精神分裂症的传递模式。