Schizophrenic disorders are complex genetic disorders and may involve multi
ple genes of small effect, The presence of apolipoprotein E (apoE) is assoc
iated with several neuropsychiatric disorders. Previous studies on apoE gen
otype distribution in schizophrenia have reported conflicting findings. We
studied the genotype frequencies in a large group of schizophrenic patients
. The genotype distribution was significantly different between the schizop
hrenic patients and the control subjects. Persons who were epsilon 3 carrie
rs have an increased risk of schizophrenia. This result suggests that apoE
isoforms may play a functional role in the pathogenesis of schizophrenic di
sorders, Some possible mechanisms regarding the effect of apoE on the devel
opment of schizophrenia are discussed.