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Genetic Markers in Late Paraphrenia: A Study of HLA Antigens

Published online by Cambridge University Press:  02 January 2018

Mohsen Naguib*
Affiliation:
University of Wales, College of Medicine
Peter McGuffm
Affiliation:
University of Wales, College of Medicine
Raymond Levy
Affiliation:
The Bethlem Royal and Maudsley Hospitals and the Institute of Psychiatry, London, Denmark Hill, London SE5 8AF
Hilliard Festenstein
Affiliation:
London Hospital Medical College
Antonio Alonso
Affiliation:
London Hospital Medical College
*
Senior Lecturer and Honorary Consultant Psychiatrist, St Charles Hospital, Exmoor Street, London W10

Abstract

Patients with late paraphrenia were typed for HLA-A, -B and -C. Increased frequencies of BW55 (P= 0.036), B37 (P= 0.008) and CW6 (P=0.056) were found relative to controls. Unlike findings in paranoid schizophrenia, there was no HLAA9 association, suggesting that paraphrenics may be genetically distinct from schizophrenics. The primary association seems to be with B37, which has the lowest corrected P value and highest relative risk; if this were replicated, it would make possession of this antigen a strong risk factor for developing the disorder.

Type
Brief Reports
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Blackwelder, W. C., Mittal, K. K., McNamara, P. M. & Payne, F. J. (1982) Lack of association between HLA and age in an ageing population. Tissue Antigens, 20, 188192.CrossRefGoogle Scholar
Cooper, A. F., Kay, D. W. K., Curry, A. R., Garside, R. F. & Roth, M. (1974) Hearing loss in paranoid and affective psychoses of the elderly. Lancet, 11, 831861.Google Scholar
Copeland, J. R. M., Kellett, J. M., Gourlay, A. J., Gurland, B. J., FLeiss, J. L. & Sharpe, L. (1976) A semistructured clinical interview for the assessment of diagnosis and mental state in the elderly: The Geriatric Mental State Schedule: 1. Development and reality. Psychological Medicine, 6, 439449.Google Scholar
Eberhard, G., Franzen, G. & Low, B. (1975) Schizophrenia susceptibility and HLA antigens. Neuropsychobiology, 1, 211.Google Scholar
Edwards, J. H. (1974) HLA and disease. The detection of associations. Journal of Immunogenetics, 1, 249–238.Google Scholar
Farmer, A. E., McGuffin, P. & Gottesman, I. L. (1984) Searching for the split in schizophrenia, a twin study perspective. Psychiatry Research, 13, 109118.CrossRefGoogle ScholarPubMed
Festenstein, H., Adams, E., Burke, J., Oliver, B. T. D., Sachs, J. A. & Wolf, E. (1973) The distribution of HLA antigens in expatriates from East Bengal living in London. In Histocompatibility Testing 1972 (ed. Dausset). Copenhagen: J. Munskgaard.Google Scholar
Funding, T. (1961) Genetics of paranoid psychoses in later life. Acta Psychiatrica Scandinavica, 37, 267282.Google Scholar
Goldin, L. R., & Gershon, E. S. (1983) Association and linkage studies of genetic marker loci in major psychiatric disorders. Psychiatric Developments, 4, 387418.Google Scholar
Green, A. (1982) The epidemiologic approach to studies of association between HLA and disease. II Estimation of absolute risks, etiologie and preventive fraction. Tissue Antigens, 19, 239268.Google Scholar
Haldane, J. B. S. (1933) The estimation and significance of the logarithm of a ratio of frequencies. Annals of Human Genetics, 20. 309311.CrossRefGoogle Scholar
Herbert, M. E. & Jacobson, S. (1967) Late paraphrenia. British Journal of Psychiatry, 113, 461469.Google Scholar
Ivanyi, P., Droes, J., Schreuder, G. M. T. H., D'Amaro, J. & Van Rood, J. J. (1983) A search for association of HLA antigens with paranoid schizophrenia. Tissue Antigens, 22, 186193.Google Scholar
Kay, D. W. K. (1963) Late paraphrenia and its bearing on the aetiology of schizophrenia. Acta Psychiatrica Scandanavica, 39, 159169.Google Scholar
Kay, D. W. K. (1972) Schizophrenia and schizophrenia like states in the elderly. British Journal of Hospital Medicine, 7, 369376.Google Scholar
Kay, D. W. K., Roth, M. (1961) Environmental and hereditary factors in the schizophrenia of old age (late paraphrenia) and their bearing on the general problem of causation in schizophrenia. Journal of Mental Science, 107, 649686.Google Scholar
McGuffin, P., Farmer, A. E. & Yonace, A. H. (1981) HLA antigens and subtypes of schizophrenia. Psychiatry Research, 5, 115122.Google Scholar
Post, F. (1966) Persistent Persecutory States of the Elderly, Oxford: Pergamon Press.Google Scholar
Reich, T., James, J. W. & Morris, C. A. (1972) The use of multiple thresholds in determining the mode of transmission of semi-continuous traits. Annals of Human Genetics, 36, 163184.Google Scholar
Retterstol, (1968) Paranoid Psychoses. British Journal of Psychiatry, 114, 533.Google Scholar
Svejgaard, A., Platz, P., Ryder, L. P., Neilson, L. S. & Thomson, M. (1975) HLA and disease association: a survey. Transplant Review, 22, 339.Google ScholarPubMed
Tiilikainen, A., Lassus, A., Arvonen, J., Vartiainen, P. & Julin, M. (1980). Psoriasis and HLA-CW6. British Journal of Dermatology, 102, 179.Google Scholar
Woolf, B. (1955) On estimating the relation between blood groups and disease. Annals of Human Genetics, 19, 251253.Google Scholar
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