Schizophrenia with the 22q11.2 deletion and additional genetic defects: case history

作者:Toyosima M; Maekawa M*; Toyota T; Iwayama Y; Arai M; Ichikawa T; Miyashita M; Arinami T; Itokawa M; Yoshikawa T
来源:The British Journal of Psychiatry, 2011, 199(3): 245-246.
DOI:10.1192/bjp.bp.111.093849

摘要

The 22q11.2 deletion is the most prominent known genetic risk factor for schizophrenia, but its penetrance is at most approximately 50% suggesting that additional risk factors are required for disease progression. We examined a woman with schizophrenia with this deletion for such risk factors. She had high plasma pentosidine levels ('carbonyl stress') and a frameshift mutation in the responsible gene, GLO1. She also had a constant exotropia, so we examined the PHOX2B gene associated with both schizophrenia and strabismus, and detected a 5-alanine deletion. We propose that the combination of these genetic defects may have exceeded the threshold for the manifestation of schizophrenia.

  • 出版日期2011-9