Genetics of psychiatry Flashcards
Risk of developing schizophrenia for the general population
1%
Risk of developing schizophrenia with an affected sibling
9%
Risk of developing schizophrenia with an affected child
6%
Risk of developing schizophrenia with an affected parent
13%
Risk of developing schizophrenia with an affected DZ twin
17%
Risk of developing schizophrenia with an affected MZ twin
48%
Most frequently developed personality disorder among patients with a relative with schizophrenia
Schizotypal disorder
Type of schizophrenia with highest MZ twin concordance
Hebephrenic
Most likely candidate genes and chromosomes for schizophrenia
COMT gene - chromosome 22
Dysbindin gene - 6p22.3
Neuregulin 1 gene - 8p21-22
DISC1 - chromosome 1
Action of COMT protein coded for by COMT gene which may be relevant to its role in schizophrenia
Degrades catecholamines including dopamine, adrenaline and noradrenaline
Inherited disorder which has a significant risk of psychosis and where the COMT gene is deleted
DiGeorge syndrome
Risk of schizophrenia among patients with DiGeorge syndrome
20-25%
Action of neuregulin seen in patients with schizophrenia which may affect presentation
Suppresses NMDA receptors leading to lowered glutamate levels
Age of onset of schizophrenia among patients with a stronger family background
Younger on average
Risk of bipolar disorder among the general population
0.5-1.5%
Risk of bipolar disorder with an affected first degree relative
5-10%
Risk of bipolar disorder with an affected MZ twin
40-70%
Genes and loci suspected in bipolar disorder
BDNF gene 11p13
DAO G72/G30 13q33
COMT 22q11
Risk of unipolar depression with an affected first degree relative
5-30%
Suggested link between BDNF gene and depression
Decreased neurogenesis in the hippocampus seen in depression, which is dependent on BDNF
Genes and chromosomes affected by mutations that are implicated in familial Alzheimer’s disease before the age of 60
Amyloid precursor protein - chromosome 21
Presenilin 1 - chromosome 14
Presenilin 2 - chromosome 1
Gene and locus with the largest impact on Alzheimer’s dementia risk
APOE - chromosome 19q
Three co-dominant alleles of APOE
2
3
4
Protective APOE allele for Alzheimer’s dementia
2