We have examined a variant of the dopamine D2 receptor gene (Ser311-->
Cys) in 156 Japanese schizophrenic patients and 300 controls. The alle
le frequency of Cys311 was significantly higher in the whole patient g
roup (0.054), among patients with onset before age 25 (0.090), and amo
ng those with a family history (0.135) than in the controls (0.018). 3
patients were homozygous for Cys311. The patients with Cys311 showed
significantly less severe thought disorder and negative symptoms of sc
hizophrenia than those without Cys311. The Cys311 variant of the D2 re
ceptor may be a genetic risk factor for some types of schizophrenia.