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The Genetics of Adult-Onset Neuropsychiatric Disease: Complexities and Conundra?
James L. Kennedy,1Lindsay A. Farrer,2Nancy C. Andreasen,3Richard Mayeux,4Peter St George-Hyslop1*
Genetic factors play a major role in the etiology of adult-onsetneurodegenerative and neuropsychiatric disorders. Several highlypenetrant genes have been cloned for rare, autosomal-dominant,early-onset forms of neurodegenerative diseases. These geneshave provided important insights into the mechanisms of thesediseases (often altering neuronal protein processing). However,the genes associated with inherited susceptibility to late-onsetneurodegenerative diseases, schizophrenia, and bipolar disorderappear to have smaller effects and are likely to interact witheach other (and with nongenetic factors) to modulate susceptibilityand/or disease phenotype. Several strategies have recently beenapplied to address this complexity, leading to the identificationof a number of candidate susceptibility loci/genes.
1 Departments of Psychiatry and Medicine, Centre for Addiction and Mental Health, Centre for Research in Neurodegenerative Diseases, University of Toronto; and Department of Medicine (Division of Neurology), The University Health Network, Toronto, Ontario M5S 3H9, Canada. 2 Departments of Medicine, Neurology, and Genetics & Genomics, Boston University School of Medicine; and Departments of Epidemiology and Biostatistics, Boston University School of Public Health, Boston, MA 02118, USA. 3 Department of Psychiatry, University of Iowa; and Departments of Psychiatry and Neurology, University of New Mexico, The MIND Institute, Albuquerque, NM 87106, USA. 4 Gertrude H. Sergievsky Center, Taub Institute of Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
* To whom correspondence should be addressed. E-mail: p.hyslop{at}utoronto.ca
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Clin. Chem.
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Association of late-onset Alzheimer's disease with genetic variation in multiple members of the GAPD gene family.
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Alzheimer's disease: one disorder, too many genes?.