Skip to main content
Log in

Genetic models of schizophrenia and bipolar disorder

Overlapping inheritance or discrete genotypes?

  • ORIGINAL PAPER
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

Schizophrenia and affective disorder have been considered to be nosologically and etiologically distinct disorders. This postulate is challenged by progress in new biological research. Both disorders are strongly influenced by genetic factors; thus genetic research is a main contributor to this discussion. We review current evidence of the genetic relationship between schizophrenia and affective disorders, mainly bipolar disorder (the various genetic research methods have been particularly applied to bipolar disorder). Recent family and twin studies reveal a growing consistency in demonstrating cosegregation between both disorders which is difficult to detect with certainty given the low base rates. Systematic molecular genetic search for specific genes impacting on either disorder has now identified one gene which is apparently involved in both disorders (G72/G30); other candidate genes reveal some evidence to present as susceptibility genes with very modest effects for each of both disorders, although not consistently so (e. g., COMT, BDNF). There is room for speculation about other common susceptibility genes, given the overlap between candidate regions for schizophrenia and those for bipolar disorder emerging from linkage studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Addington AM, Gornick M, Sporn AL, Gogtay N, Greenstein D, Lenane M, Gochman P, Baker N, Balkissoon R, Vakkalanka RK, et al. (2004) Polymorphisms in the 13q33.2 gene G72/G30 are associated with childhood-onset schizophrenia and psychosis not otherwise specified. Biol Psychiatry 55:976–980

    Article  CAS  PubMed  Google Scholar 

  2. Badner JA, Gershon ES (2002) Meta-analysis of whole-genome linkage scans of bipolar disorder and schizophrenia. Mol Psychiatry 7:405–411

    Article  CAS  PubMed  Google Scholar 

  3. Bassett AS, Chow EW, Waterworth DM, Brzustowicz L (2001) Genetic insights into schizophrenia. Can J Psychiatry 46:131–137

    CAS  PubMed  Google Scholar 

  4. Berrettini W (2003) Evidence for shared susceptibility in bipolar disorder and schizophrenia. Am J Med Genet 123C:59–64

    Article  Google Scholar 

  5. Blackwood DH, Muir WJ (2004) Clinical phenotypes associated with DISC1, a candidate gene for schizophrenia. Neurotox Res 6:35–41

    CAS  PubMed  Google Scholar 

  6. Blackwood DH, Fordyce A, Walker MT, St Clair DM, Porteous DJ, Muir WJ (2001) Schizophrenia and affective disorders—cosegregation with a translocation at chromosome 1q42 that directly disrupts brain-expressed genes: clinical and P300 findings in a family. Am J Hum Genet 69:428–433

    Article  CAS  PubMed  Google Scholar 

  7. Cardno AG, Rijsdijk FV, Sham PC, Murray RM, McGuffin P (2002) A twin study of genetic relationships between psychotic symptoms. Am J Psychiatry 159:539–545

    Article  PubMed  Google Scholar 

  8. Carlson C, Papolos D, Pandita RK, Faedda GL, Veit S, Goldberg R, Shprintzen R, Kucherlapati R, Morrow B (1997) Molecular analysis of velo-cardio-facial syndrome patients with psychiatric disorders. Am J Hum Genet 60:851–859

    CAS  PubMed  Google Scholar 

  9. Chen Y-S, Akula N, Detera-Wadleigh SD, Schulze TG, Thomas J, Potash JB, DePaulo JR, McInnis MG, Cox NJ, McMahon FJ (2004) Findings in an independent sample support an association between bipolar affective disorder and the G72/G30 locus on chromosome 13q33. Mol Psychiatry 9:87–92

    Article  CAS  PubMed  Google Scholar 

  10. Chumakov I, Blumenfeld M, Guerassimenko O, Cavarec L, Palicio M, Abderrahim H, Bougueleret L, Barry C, Tanaka H, La Rosa P, et al. (2002) Genetic and physiological data implicating the new human gene G72 and the gene for D-amino acid oxidase in schizophrenia. Proc Natl Acad Sci USA 99:13675–13680

    Article  CAS  PubMed  Google Scholar 

  11. Clinton SM, Meador-Woodruff JH (2004) Abnormalities of the NMDA receptor and associated intracellular molecules in the thalamus in schizophrenia and bipolar disorder. Neuropsychopharmacology 29:1353–1362

    Article  CAS  PubMed  Google Scholar 

  12. Collier DA, Li T (2003) The genetics of schizophrenia: glutamate not dopamine? Eur J Pharmacol 480:177–184

    CAS  PubMed  Google Scholar 

  13. DeLisi LE, Craddock NJ, Detera-Wadleigh S, Foroud T, Gejman P, Kennedy JL, Lendon C, Macciardi F, McKeon P, Mynett-Johnson L, et al. (2002) Update on chromosomal locations for psychiatric disorders: report of the interim meeting of chromosome workshop chairpersons from the VIIth World Congress of Psychiatric Genetics, Monterey, California, October 14–18:1999. Am J Med Genet 96:434–449

    Google Scholar 

  14. Egan MF, Goldberg TE, Kolachana BS, Callicott JH, Mazzanti CM, Straub RE, Goldman D, Weinberger DR (2001) Effect of COMT Val108/158 Met genotype on frontal lobe function and risk for schizophrenia. Proc Natl Acad Sci USA 98:6917–6922

    CAS  PubMed  Google Scholar 

  15. Egan MF, Kojima M, Callicott JH, Goldberg TE, Kolachana BS, Bertolino A, Zaitsev A, Gold B,Goldman D, Dean M, et al. (2003) The BDNF val66met polymorphism affects activity-dependent secretion of BDNF and human memory and hippocampal function. Cell 112:257–269

    CAS  PubMed  Google Scholar 

  16. Ekelund J, Hovatta I, Parker A, Paunio T, Varilo T, Martin R, Suhonen J, Ellonen P, Chan G, Sinsheimer JS, et al. (2001) Chromosome 1 loci in Finnish schizophrenia families. Hum Mol Genet 10:1611–1617

    CAS  PubMed  Google Scholar 

  17. Erlenmeyer-Kimling L, Adamo UH, Rock D, Roberts SA, Bassett AS, Squires Wheeler E, Cornblatt BA, Endicott J, Pape S, Gottesmann II (1997) The New York High-Risk Project.Prevalence and comorbidity of axis I disorders in offspring of schizophrenic parents at 25-year follow-up. Arch Gen Psychiatry 54:1096–1102

    CAS  PubMed  Google Scholar 

  18. Faraone SV, Matise T, Svrakic D, Pepple J, Malaspina D, Suarez B, Hampe C, Zambuto CT, Schmitt K, Meyer J, et al. (1998) Genome scan of European-American schizophrenia pedigrees: results of the NIMH Genetics Initiative and Millennium Consortium. Am J Med Genet 81:290–295

    CAS  PubMed  Google Scholar 

  19. Foroud T, Castelluccio PF, Koller DL, Edenberg HJ, Miller M, Bowman E, Rau NL, Smiley C, Rice JP, Goate A, et al. (2000) Suggestive evidence of a locus on chromosome 10p using the NIMH genetics initiative bipolar affective disorder pedigrees. Am J Med Genet 96:18–23

    CAS  PubMed  Google Scholar 

  20. Friedman D, Squires-Wheeler E (1994) Event-related potentials (ERPs) as indicators of risk for schizophrenia. Schizophr Bull 20:63–74

    CAS  PubMed  Google Scholar 

  21. Gershon ES, DeLisi LE, Hamovit J, Nurnberger JI Jr, Maxwell ME, Schreiber J, Dauphinais D, Dingman CW 2nd, Guroff JJ (1988) A controlled family study of chronic psychoses. Schizophrenia and schizoaffective disorder. Arch Gen Psychiatry 45:328–336

    CAS  PubMed  Google Scholar 

  22. Glatt SJ, Faraone SV, Tsuang MT (2003) Association between a functional catechol O-methyltransferase gene polymorphism and schizophrenia: meta-analysis of case-control and family-based studies. Am J Psychiatry 160:469–476

    PubMed  Google Scholar 

  23. Green E, Craddock N (2003) Brain-derived neurotrophic factor as a potential risk locus for bipolar disorder: evidence, limitations, and implications. Curr Psychiatry Rep 5:469–476

    PubMed  Google Scholar 

  24. Hattori E, Liu C, Badner JA, Bonner TI, Christian SL, Maheshwari M, Detera-Wadleigh SD, Gibbs RA, Gershon ES (2003) Polymorphisms at the G72/G30 gene locus, on 13q33, are associated with bipolar disorder in two independent pedigree series. Am J Hum Genet 72:1131–1140

    CAS  PubMed  Google Scholar 

  25. Hovatta I, Varilo T, Suvisaari J, Terwilliger JD, Ollikainen V, Arajarvi R, Juvonen H, Kokko-Sahin ML, Vaisanen L, Mannila H, et al. (1999) A genomewide screen for schizophrenia genes in an isolated Finnish subpopulation, suggesting multiple susceptibility loci. Am J Hum Genet 65:1114–1124

    CAS  PubMed  Google Scholar 

  26. Kas MJ,Van Ree JM (2004) Dissecting complex behaviours in the post-genomic era. Trends Neurosci 27:366–369

    CAS  PubMed  Google Scholar 

  27. Kendler KS, McGuire M, Gruenberg AM, O’Hare A, Spellman M, Walsh D (1993) The Roscommon Family Study. IV.Affective illness, anxiety disorders, and alcoholism in relatives. Arch Gen Psychiatry 50:952–960

    CAS  PubMed  Google Scholar 

  28. Knable MB, Barci BM, Webster MJ, Meador-Woodruff J, Torrey EF (2004) Molecular abnormalities of the hippocampus in severe psychiatric illness: postmortem findings from the Stanley Neuropathology Consortium. Mol Psychiatry 9:609–620

    CAS  PubMed  Google Scholar 

  29. Korostishevsky M, Kaganovich M, Cholostoy A, Ashkenazi M, Ratner Y, Dahary D, Bernstein J, Bening-Abu-Shach U, Ben-Asher E, Lancet D, et al. (2004) Is the G72/G30 locus associated with schizophrenia? single nucleotide polymorphisms, haplotypes, and gene expression analysis. Biol Psychiatry 56:169–176

    CAS  PubMed  Google Scholar 

  30. Law AJ, Deakin JF (2001) Asymmetrical reductions of hippocampal NMDAR1 glutamate receptor mRNA in the psychoses. Neuroreport 12:2971–2974

    CAS  PubMed  Google Scholar 

  31. Leboyer M, Bellivier F, Nosten-Bertrand M, Jouvent R, Pauls D, Mallet J (1998) Psychiatric genetics: search for phenotypes. Trends Neurosci 21:102–105

    CAS  PubMed  Google Scholar 

  32. Lewis CM, Levinson DF, Wise LH, DeLisi LE, Straub RE, Hovatta I, Williams NM, Schwab SG, Pulver AE, Faraone SV, et al. (2003) Genome scan meta-analysis of schizophrenia and bipolar disorder, part II: Schizophrenia. Am J Hum Genet 73:34–48

    CAS  PubMed  Google Scholar 

  33. Liu H, Abecasis GR, Heath SC, Knowles A, Demars S, Chen YJ, Roos JL, Rapoport JL, Gogos JA, Karayiorgou M (2002) Genetic variation in the 22q11 locus and susceptibility to schizophrenia. Proc Natl Acad Sci USA 99:16859–16864

    CAS  PubMed  Google Scholar 

  34. Lopez-Figueroa AL, Norton CS, Lopez-Figueroa MO, Armellini-Dodel D, Burke S, Akil H, Lopez JF, Watson SJ (2004) Serotonin 5-HT1A, 5-HT1B, and 5-HT2A receptor mRNA expression in subjects with major depression,bipolar disorder,and schizophrenia. Biol Psychiatry 55:225–233

    CAS  PubMed  Google Scholar 

  35. Maier W, Lichtermann D, Minges J, Hallmayer J, Heun R, Benkert O, Levinson DF (1993) Continuity and discontinuity of affective disorders and schizophrenia. Results of a controlled family study. Arch Gen Psychiatry 50:871–883

    CAS  PubMed  Google Scholar 

  36. Maier W, Lichtermann D, Franke P, Heun R, Falkai P, Rietschel M (2002) The dichotomy of schizophrenia and affective disorders in extended pedigrees. Schizophr Res 57:259–266

    PubMed  Google Scholar 

  37. Mortensen PB, Pedersen CB, Melbye M, Mors O, Ewald H (2003) Individual and familial risk factors for bipolar affective disorders in Denmark. Arch Gen Psychiatry 60:1209–1215

    PubMed  Google Scholar 

  38. Mowry BJ, Holmans PA,Pulver AE, Gejman PV, Riley B, Williams NM, Laurent C, Schwab SG, Wildenauer DB, Bauche S, et al. (2004) Multicenter linkage study of schizophrenia loci on chromosome 22q. Mol Psychiatry 9:784–795

    CAS  PubMed  Google Scholar 

  39. Muglia P, Vicente AM, Verga M, King N, Macciardi F, Kennedy JL (2003) Association between the BDNF gene and schizophrenia. Mol Psychiatry 8:147–148

    Google Scholar 

  40. Nakata K, Ujike H, Sakai A, Uchida N, Nomura A, Imamura T, Katsu T, Tanaka Y, Hamamura T, Kuroda S (2003) Association study of the brain-derived neurotrophic factor (BDNF) gene with bipolar disorder. Neurosci Lett 337:17–20

    CAS  PubMed  Google Scholar 

  41. Neves-Pereira M, Mundo E, Muglia P, King N, Macciardi F, Kennedy JL (2002) The brain-derived neurotrophic factor gene confers susceptibility to bipolar disorder: evidence from a family-based association study. Am J Hum Genet 71:651–655

    CAS  PubMed  Google Scholar 

  42. Ozeki Y, Tomoda T, Kleiderlein J, Kamiya A, Bord L, Fujii K, Okawa M, Yamada N, Hatten ME, Snyder SH, et al. (2003) Disrupted-in-Schizophrenia-1 (DISC-1): mutant truncation prevents binding to NudE-like (NUDEL) and inhibits neurite outgrowth. Proc Natl Acad Sci USA 100:289–294

    CAS  PubMed  Google Scholar 

  43. Pae CU, Lee KU, Han H, Serretti A, Jun TY (2004) Tumor necrosis factor alpha gene-G308A polymorphism associated with bipolar I disorder in the Korean population. Psychiatry Res 125:65–68

    CAS  PubMed  Google Scholar 

  44. Papiol S, Rosa A, Gutierrez B, Martin B, Salgado P, Catalan R, Arias B, Fananas L (2004) Interleukin-1 cluster is associated with genetic risk for schizophrenia and bipolar disorder. J Med Genet 41:219–223

    CAS  PubMed  Google Scholar 

  45. Pierson A, Jouvent R, Quintin P, Perez-Diaz F, Leboyer M (2000) Information processing deficits in relatives of manic depressive patients. Psychol Med 30:545–555

    CAS  PubMed  Google Scholar 

  46. Rice JP, Goate A, Williams JT, Bierut L, Dorr D, Wu W, Shears S, Gopalakrishnan G, Edenberg HJ, Foroud T, et al. (1997) Initial genome scan of the NIMH genetics initiative bipolar pedigrees: chromosomes 1, 6, 8, 10, and 12. Am J Med Genet 74:247–253

    CAS  PubMed  Google Scholar 

  47. Scambler PJ (2000) The 22q11 deletion syndromes. Hum Mol Genet 9:2421–2426

    CAS  PubMed  Google Scholar 

  48. Schulze TG, Chen Y-S, Akula N, Hennessy K, Badner JA, McInnis MG, DePaulo JR, Schumacher J, Cichon S, Propping P, et al. (2004) Can long-range microsatellite data be used to predict shortrange linkage disequilibrium? Hum Mol Genet 11:1363–1372

    Google Scholar 

  49. Schulze TG, Ohlraun S, Czerski PM, Schumacher J, Kassem L, Deschner M, Gross M, Tullius M, Heidman V, Kovalenko S, et al. (in press) Genotype-phenotype studies in bipolar disorder show association between the DAOA/G30 locus and persecutory delusions: A first step towards a molecular genetic classification of psychiatric phenotypes. Am J Psychiatry

  50. Schumacher J, Jamra RA, Freudenberg J, Becker T, Ohlraun S, Otte AC, Tullius M, Kovalenko S, Bogaert AV, Maier W, et al. (2004) Examination of G72 and D-amino-acid oxidase as genetic risk factors for schizophrenia and bipolar affective disorder. Mol Psychiatry 9:203–207

    CAS  PubMed  Google Scholar 

  51. Schwab SG, Hallmayer J, Albus M, Lerer B, Hanses C, Kanyas K, Segman R, Borrman M, Dreikorn B, Lichtermann D, et al. (1998) Further evidence for a susceptibility locus on chromosome 10p14-p11 in 72 families with schizophrenia by nonparametric linkage analysis. Am J Med Genet 81:302–307

    CAS  PubMed  Google Scholar 

  52. Schwab SG, Knapp M, Mondabon S, Hallmayer J, Borrmann-Hassenbach M, Albus M, Lerer B, Rietschel M, Trixler M, Maier W, et al. (2003a) Support for association of schizophrenia with genetic variation in the 6p22.3 gene, dysbindin, in sib-pair families with linkage and in an additional sample of triad families. Am J Hum Genet 72:185–190

    CAS  Google Scholar 

  53. Schwab SG, Mondabon S, Knapp M, Albus M, Hallmayer J, Borrmann-Hassenbach M, Trixler M, Gross M, Schulze TG, Rietschel M (2003b) Association of tumor necrosis factor alpha gene—G308A polymorphism with schizophrenia. Schizophr Res 65:19–25

    Google Scholar 

  54. Segurado R, Detera-Wadleigh SD, Levinson DF, Lewis CM, Gill M, Nurnberger JI jr, Craddock N, DePaulo JR, Baron M, Gershon ES, et al. (2003) Genome scan meta-analysis of schizophrenia and bipolar disorder. Part III: Bipolar disorder. Am J Hum Genet 73:49–62

    CAS  PubMed  Google Scholar 

  55. Shifman S, Bronstein M, Sternfeld M, Pisante-Shalom A, Lev-Lehman E, Weizman A, Reznik I, Spivak B, Grisaru N, Karp L, et al. (2002) A highly significant association between a COMT haplotype and schizophrenia. Am J Hum Genet 71:1296–1302

    CAS  PubMed  Google Scholar 

  56. Shifman S, Bronstein M, Sternfeld M, Pisante A, Weizman A, Reznik I, Spivak B, Grisaru N, Karp L, Schiffer R, et al. (2004) COMT: a common susceptibility gene in bipolar disorder and schizophrenia. Am J Med Genet 128B:61–64

    Google Scholar 

  57. Sklar P, Gabriel SB, McInnis MG, Bennett P, Lim YM, Tsan G, Schaffner S, Kirov G, Jones I, Owen M, et al. (2002) Family-based association study of 76 candidate genes in bipolar disorder: BDNF is a potential risk locus. Brain-derived neutrophic factor. Mol Psychiatry 7:579–593

    CAS  PubMed  Google Scholar 

  58. Stefansson H, Sigurdsson E, Steinthorsdottir V, Bjornsdottir S, Sigmundsson T, Ghosh S, Brynjolfsson J,Gunnarsdottir S, Ivarsson O, Chou TT, et al. (2002) Neuregulin 1 and susceptibility to schizophrenia. Am J Hum Genet 71:877–892

    PubMed  Google Scholar 

  59. Stefansson H, Sarginson J, Kong A, Yates P, Steinthorsdottir V, Gudfinnsson E, Gunnarsdottir S, Walker N, Petursson H, Crombie C, et al. (2003) Association of neuregulin 1 with schizophrenia confirmed in a Scottish population. Am J Hum Genet 72:83–87

    CAS  PubMed  Google Scholar 

  60. Stopkova P, Saito T, Fann CS, Papolos DF, Vevera J, Pacult I, Zukov I, Stryjer R, Strous RD, Lachman HM (2003) Polymorphism screening of PIP5K2A: a candidate gene for chromosome 10p-linked psychiatric disorders. Am J Med Genet 123B:50–58

    Google Scholar 

  61. Straub RE, Jiang Y, MacLean CJ, Ma Y, Webb BT, Myakishev MV, Harris-Kerr C, Wormley B, Sadek H, Kadambi B, et al. (2002) Genetic variation in the 6p22.3 gene DTNBP1, the human ortholog of the mouse dysbindin gene, is associated with schizophrenia. Am J Hum Genet 71:337–348

    CAS  PubMed  Google Scholar 

  62. Szekeres G, Juhasz A, Rimanoczy A, Keri S, Janka Z (2003) The C270T polymorphism of the brain-derived neurotrophic factor gene is associated with schizophrenia. Schizophr Res 65:15–18

    PubMed  Google Scholar 

  63. Tkachev D, Mimmack ML, Ryan MM, Wayland M, Freeman T, Jones PB, Starkey M, Webster MJ, Yolken RH, Bahn S (2003) Oligodendrocyte dysfunction in schizophrenia and bipolar disorder. Lancet 362:798–805

    CAS  PubMed  Google Scholar 

  64. Tsuang MT, Winokur G, Crowe RR (1980 Morbidity risks of schizophrenia and affective disorders among first degree relatives of patients with schizophrenia, mania, depression and surgical conditions. Br J Psychiatry 137:497–504

    CAS  PubMed  Google Scholar 

  65. Tsuang MT, Taylor L, Faraone SV (2004) An overview of the genetics of psychotic mood disorders. J Psychiatr Res 38:3–15

    PubMed  Google Scholar 

  66. Valles V, Van Os J, Guillamat R, Gutierrez B, Campillo M, Gento P, Fananas L (2000) Increased morbid risk for schizophrenia in families of in-patients with bipolar illness. Schizophr Res 42:83–90

    CAS  PubMed  Google Scholar 

  67. Wang X, He G, Gu N,Yang J, Tang J, Chen Q, Liu X, Shen Y, Qian X, Lin W, et al. (2004) Association of G72/G30 with schizophrenia in the Chinese population. Biochem Biophys Res Commun 319:1281–1286

    CAS  PubMed  Google Scholar 

  68. Woo TU, Walsh JP, Benes FM (2004) Density of glutamic acid decarboxylase 67 messenger RNA-containing neurons that express the N-methyl-D-aspartate receptor subunit NR2A in the anterior cingulate cortex in schizophrenia and bipolar disorder. Arch Gen Psychiatry 61:649–657

    CAS  PubMed  Google Scholar 

  69. Zammit S, Allebeck P, David AS, Dalman C, Hemmingsson T, Lundberg I, Lewis G (2004) A longitudinal study of premorbid IQ Score and risk of developing schizophrenia, bipolar disorder, severe depression, and other nonaffective psychoses. Arch Gen Psychiatry 61:354–360

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wolfgang Maier.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Maier, W., Höfgen, B., Zobel, A. et al. Genetic models of schizophrenia and bipolar disorder. Eur Arch Psychiatry Clin Neurosci 255, 159–166 (2005). https://doi.org/10.1007/s00406-005-0583-9

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00406-005-0583-9

Key words

Navigation