The C9ORF72 hexanucleotide repeat expansion is a rare cause of schizophrenia

被引:49
作者
Galimberti, Daniela [1 ]
Reif, Andreas [2 ]
Dell'Osso, Bernardo [3 ]
Kittel-Schneider, Sarah [2 ]
Leonhard, Christine [2 ]
Herr, Alexandra [2 ]
Palazzo, Carlotta [3 ]
Villa, Chiara [1 ]
Fenoglio, Chiara [1 ]
Serpente, Maria [1 ]
Cioffi, Sara M. G. [1 ]
Prunas, Cecilia [3 ]
Paoli, Riccardo A. [3 ]
Altamura, A. Carlo [3 ]
Scarpini, Elio [1 ]
机构
[1] Univ Milan, Dept Pathophysiol & Transplantat, Neurol Unit, Fdn Ca Granda,IRCCS Osped Policlin, Milan, Italy
[2] Univ Wurzburg, Dept Psychiat Psychosomat & Psychotherapy, Wurzburg, Germany
[3] Univ Milan, Dept Pathophysiol & Transplantat, Psichiatry Unit, Fdn Ca Granda,IRCCS Osped Policlin, Milan, Italy
关键词
Dementia; Schizophrenia; Psychosis; C9ORF72 hexanucleotide repeat expansion; Phenotype; Clinical presentation; FRONTOTEMPORAL LOBAR DEGENERATION; DEMENTIA;
D O I
10.1016/j.neurobiolaging.2013.12.004
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
A hexanucleotide repeat expansions in the first intron of C9ORF72 has been shown to be responsible for a high number of familial cases of amyotrophic lateral sclerosis and/or frontotemporal lobar degeneration. The same mutation has been described in a patient with bipolar disorder, but up to now, not in patients suffering from schizophrenia. We determined the frequency of the C9ORF72 hexanucleotide repeat expansions in a population of 298 patients with schizophrenia or schizoaffective disorder. The pathogenic repeat expansion was detected in 2 patients (0.67%). Both of them presented with auditory hallucinations and had comorbid alcohol abuse. In addition, a positive family history for psychiatric and/or neurodegenerative diseases was present. The repeat expansion in the C9ORF72 gene is a rare, but possible, cause of schizophrenic spectrum disorders. We cannot rule out however whether the number of repeats influence the phenotype. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1214.e7 / 1214.e10
页数:4
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