Objective: To outline new insights into the genetic etiology of schizophren
ia.
Methods: We discuss several commonly held beliefs about the genetic issues
in schizophrenia.
Results: The complex genetic nature of the illness poses a challenge for in
vestigators seeking causative genetic mutations. Multiple independent resea
rch findings are, however converging to identify a relatively small number
of chromosomal locations that appear to contain schizophrenia susceptibilit
y genes. Also, a clinically relevant genetic subtype of schizophrenia (22qD
S) has been identified. We are developing a better understanding of how sch
izophrenia relates to other psychiatric disorders. While investigations int
o the possible roles of dopaminergic and serotonergic systems continue, oth
er approaches that do not require theories of the mechanism of illness are
also being used to identify candidate susceptibility genes.
Conclusions: Research to date suggests that our understanding of the pathop
hysiology of schizophrenia will soon be fundamentally altered by genetic ap
proaches to this complex disease.