Thome J, Jönsson E, Foley P, Harsányi A, Sedvall G, Riederer P
Department of Psychiatry, University of Würzburg, Germany.
Psychiatr Genet. 1997 Summer;7(2):79-82. doi: 10.1097/00041444-199722000-00004.
According to the maldevelopmental hypothesis, the neurotrophic factor system represents an important area which might be genetically and neurochemically involved in the etiopathogenesis of schizophrenic psychoses. Patients suffering from schizophrenic psychoses and control persons were genotyped for a null mutation of the ciliary neurotropic factor gene. There were no significant differences in the allelic and genotypic distributions in the total schizophrenic and control samples. However, there was a negative association with a family history of psychosis. Thus, it cannot be excluded that this genetic variant represents a vulnerability marker for specific schizophrenic subtypes. The development of valid diagnostic instruments based on biological criteria is crucial for schizophrenia research; more homogeneous subgroups are more likely to represent distinct nosological entities than the heterogenous group of diseases presently categorized as schizophrenia.
根据发育异常假说,神经营养因子系统是一个重要领域,可能在精神分裂症的病因发病机制中涉及遗传和神经化学因素。对精神分裂症患者和对照者进行了睫状神经营养因子基因无效突变的基因分型。在整个精神分裂症患者和对照样本中,等位基因和基因型分布没有显著差异。然而,它与精神病家族史呈负相关。因此,不能排除这种基因变异是特定精神分裂症亚型的易感性标志物。基于生物学标准开发有效的诊断工具对精神分裂症研究至关重要;与目前归类为精神分裂症的异质性疾病组相比,更同质的亚组更有可能代表不同的疾病实体。