F. Limosin et F. Rouillon, MATERNAL INFLUENZA DURING PREGNANCY AS A RISK FACTOR IN SCHIZOPHRENIA, Annales medico-psychologiques, 156(3), 1998, pp. 179-187
The observation of a seasonal effect in the distribution of births in
patients presenting schizophrenia, produced several etiopathogenic the
ories, among which the infectious hypothesis, and move particularly th
e role of maternal infection with influenza during pregnancy, seems to
be the most plausible explanation according to the epidemiological, c
linical and biological accumulated arguments. The majority of the epid
emiological studies conducted in different countries reported an assoc
iation between in utero exposure to influenza and increased risk of la
ter schizophrenia in the exposed offspring. The modalities of the path
ogenic action of influenza are not again clarified, the neurodevelopme
ntal hypothesis currently discussed being that, among mothers genetica
lly predisposed, a maternal antibody could be responsible of an auto-i
mmune reaction detrimental for the fetal brain.