Dergi Ara >>
Yıl:1988; Cilt: 2; Sayı: 1>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 1988;2(1):22-25
Afektif Hastalıklarda Genetik Penetrans
Aİ Şener, ME Ceylan, N Turan, F Aslaner, A Moroy
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Mizaç bozukluklannda genetik penetrans ın
varlığını gösteren çalışmalar özellikle son yirmi
yıldır devam eden ikizler üzerine yo ğunlaştınlnuş
çalışmalardan kaynaldamr. Afektif hastahklarda
genetik penetransa ili şkin farklı oranlar doğrudan
doğruya çalışmalardaki metodolojik farkl ılıklardan
teşhis kriterlerindeki farkl ılıklardan ve farklı
ülkelerdeki farklı kültür ortamlarmdan kaynaklanmaktadır.
Özellikle kültürel farkl ılıkların mizaç
bozukluklarını farklı yönlerde etkiledi ği yakınen
bilinmektedir. İkiz ve evlatlık çalışmalarından
alman sonuçların telkin etti ğine göre mizaç
bozuklukları genetik penetrans gösteren hastal ıklardır.
Ancak bu genetik penetrans basit Mendel
kanunlarına göre işleyen bir penetrans de ğildir.
Eldeki verilere göre genetik penetrans a) X-linked
dominant, b) Azalmış penetranslı otozomal
dominant geçiş , c) Eşit varyasyonlu genetik penetrans
şeklindedir.
Much of most convincing evidence for a hereditary
component in mood disorders has come
from twin studies, altough in the past couple of
[year]s a few adoption studies have also been reported.
Twin studies report widely of differences
in sampling teachniques and diagnostic criteria,
but possibly also because of cultural differences
influencing the way mood disorders are expressed
in different countries. Knowing from twin
studies and adoption studies that mood disorders
is an inheri table illness, psychiatric genetics have
to account for the fact that it is not inherited in
simple Mendelian patterns. Drawing on the available
data, it is postulated the following as possible
models for the mode of transmission of
mood disorder: X-linked domimince, autosomal
dominance with reduced penetrance, or polygenes
with quasi-continuous variation.

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