The findings that free radicals play a causative role in the occurrence of
tardive dyskinesia (TD) and that apolipoprotein E (ApoE) 4 has decreased an
ti-oxidant activity suggest a potential link between TD and ApoE alleles. W
e, therefore, examined ApoE allelic frequencies in schizophrenic subjects w
ith TD and non-TD. Serum samples were obtained from 333 DSM IV-diagnosed sc
hizophrenic patients and 191 controls in Japan. The presence of TD was eval
uated by research diagnostic criteria for TD. ApoE phenotypes of the serum
samples were determined by polyacrylamide gel isoelectricfocusing. A total
of 62 TD subjects (31 males, 31 females) were identified among all patients
examined. No significant differences in ApoE allelic frequency were found
between TD and non-TD groups. ApoE epsilon4 allele frequency, however, was
significantly lower in the female TD group than in the male TD group. These
findings do not clearly demonstrate a certain association between TD and t
he epsilon4 allele, but may preliminarily reveal a difference in influence
of this allele on the development of TD between males and females. (C) 2000
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