To investigate whether mitochondtial mutations underly susceptibility
to schizophrenia, we sequenced the mtDNAs of two unrelated Swedish pat
ients with schizophrenia and low cytochrome oxidase activity and two m
aternally related Scottish patients from a family with suspected mater
nal inheritance of the disease. We found five substitutions in coding
regions that have not previously been described as polymorphisms. Thes
e new substitutions were studied in 81 schizophrenic patients and five
control groups from Sweden and Scotland and found to differ in freque
ncy between populations, emphasizing the importance of using large and
well-defined control materials for evaluating the association of mtDN
A mutations with disease. The results do not lend strong support to th
e association of a particular mtDNA substitution with increased risk f
or schizophrenia. However, the trend towards a higher frequency of sub
stitutions in the patients deserves further attention.