Genetic variants of dopamine
receptor D4 and psychopathology
by
Serretti A, Macciardi F, Catalano M, Bellodi L, Smeraldi E
Department of Psychiatry,
Istituto Scientifico H. San Raffaele,
University of
Milano School of Medicine, Italy.
Schizophr Bull 1999; 25(3):609-18
ABSTRACT
There is much evidence to indicate that the dopamine receptor D4 (DRD4) gene
is involved in psychiatric disorders. We investigated the correlation between
DRD4 gene polymorphism and the psychopathology of major psychoses, independently
of diagnoses. Some 461 inpatients affected by major psychoses were assessed by
the Operational Criteria checklist for psychotic illness and typed for DRD4
variants. The four symptomatologic factors-mania, depression, delusion, and
disorganization-were used as phenotype definitions. DRD4 Exon 3 long allele
variants were associated with high delusional scores, with the most significant
difference between alleles 2 and 7 (p = 0.004). DRD4 variants may, therefore,
constitute a liability factor for development of delusional symptomatology in
patients with major psychoses.
D4
D3
D2
D1+D2
Reward
Deliriants
Neuroleptics
Dopamine and sex
D4-knockout mice
D3 and antidepressants
Dopamine neurodynamics
Reward deficiency syndrome
Dopamine and reward signalling
The genetics of affective disorders
Depression, dopamine and dextroamphetamine
The dopamine D3 receptor and neuropsychiatric disorders
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