Lange V
Psychiatr Clin (Basel). 1980;13(1):38-56.
The 93 patients of the present study resemble each other in their psychosis by phasic course and complete recovery. Frequently the attacks showed an anxious and paranoid syndrome in monopolar repetition or in bipolar change with ecstatic symptoms. Rarely an incoherent state of agitation or stupor could be observed. Considering the distribution of simple inherited serum groups, there is a significant increase of Gc 1-1 and Hp 2-2 in the patient collective. Evidently these serum groups are risk components in a multifactorial hereditary system possessing with Gc 1-1 a marker of the schizophrenic disposition and with Hp 2-2 a determinating trait for affective psychoses. A selective interaction is discussed for both serum groups regarding the vitamin D transport of the Gc fraction with their relation to enuronal function and the possible role of Hp 2-2 in a transport or regulatory system.
本研究中的93名患者在其精神病方面表现出相似之处,即病程呈阶段性且能完全康复。发作时常见单极重复或双相变化,伴有焦虑和偏执综合征以及欣喜症状。极少观察到不连贯的激越状态或木僵状态。考虑到简单遗传血清组的分布情况,患者群体中Gc 1-1和Hp 2-2显著增加。显然,这些血清组是多因素遗传系统中的风险因素,其中Gc 1-1是精神分裂症易感性的标志物,Hp 2-2是情感性精神病的决定性特征。针对这两种血清组,讨论了它们在与神经功能相关的Gc组分维生素D转运方面的选择性相互作用,以及Hp 2-2在转运或调节系统中的可能作用。