Genes for schizophrenia? Recent findings and their pathophysiological implications.

CONTEXT: Schizophrenia is highly heritable, but the genes have remained elusive. Identifying the genes is essential if the pathogenesis and pathophysiology of schizophrenia is finally to be understood, and to give the prospect of more effective treatment. STARTING POINT: H Stefansson and colleagues...

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Main Authors: Harrison, P, Owen, M
Format: Journal article
Language:English
Published: 2003
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author Harrison, P
Owen, M
author_facet Harrison, P
Owen, M
author_sort Harrison, P
collection OXFORD
description CONTEXT: Schizophrenia is highly heritable, but the genes have remained elusive. Identifying the genes is essential if the pathogenesis and pathophysiology of schizophrenia is finally to be understood, and to give the prospect of more effective treatment. STARTING POINT: H Stefansson and colleagues (Am J Hum Genet 2002; 71: 877-92) showed association of the neuregulin (NRG1) gene with schizophrenia. Other recent papers describe six additional susceptibility genes. Replications are already being reported for some of them. The genes are biologically plausible, and may have convergent effects on glutamatergic and other synapses. We review the evidence for each gene, the possible pathogenic mechanisms, and the implications of the findings. WHERE NEXT? Given earlier failures to replicate apparent breakthroughs, the results should be viewed with caution. Unequivocal replications remain the top priority. The respective contributions of each gene, epistatic effects, and functional interactions between the gene products, all need investigation. Confirmation that any of the genes is a true susceptibility gene for schizophrenia could trigger the same rapid therapeutic progress as has occurred recently in Alzheimer's disease.
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spelling oxford-uuid:67948a52-95f5-4d73-a20b-95ab7a471eea2022-03-26T18:39:14ZGenes for schizophrenia? Recent findings and their pathophysiological implications.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:67948a52-95f5-4d73-a20b-95ab7a471eeaEnglishSymplectic Elements at Oxford2003Harrison, POwen, M CONTEXT: Schizophrenia is highly heritable, but the genes have remained elusive. Identifying the genes is essential if the pathogenesis and pathophysiology of schizophrenia is finally to be understood, and to give the prospect of more effective treatment. STARTING POINT: H Stefansson and colleagues (Am J Hum Genet 2002; 71: 877-92) showed association of the neuregulin (NRG1) gene with schizophrenia. Other recent papers describe six additional susceptibility genes. Replications are already being reported for some of them. The genes are biologically plausible, and may have convergent effects on glutamatergic and other synapses. We review the evidence for each gene, the possible pathogenic mechanisms, and the implications of the findings. WHERE NEXT? Given earlier failures to replicate apparent breakthroughs, the results should be viewed with caution. Unequivocal replications remain the top priority. The respective contributions of each gene, epistatic effects, and functional interactions between the gene products, all need investigation. Confirmation that any of the genes is a true susceptibility gene for schizophrenia could trigger the same rapid therapeutic progress as has occurred recently in Alzheimer's disease.
spellingShingle Harrison, P
Owen, M
Genes for schizophrenia? Recent findings and their pathophysiological implications.
title Genes for schizophrenia? Recent findings and their pathophysiological implications.
title_full Genes for schizophrenia? Recent findings and their pathophysiological implications.
title_fullStr Genes for schizophrenia? Recent findings and their pathophysiological implications.
title_full_unstemmed Genes for schizophrenia? Recent findings and their pathophysiological implications.
title_short Genes for schizophrenia? Recent findings and their pathophysiological implications.
title_sort genes for schizophrenia recent findings and their pathophysiological implications
work_keys_str_mv AT harrisonp genesforschizophreniarecentfindingsandtheirpathophysiologicalimplications
AT owenm genesforschizophreniarecentfindingsandtheirpathophysiologicalimplications