REPORTERS AND EDITORS NOTE: Gottesman accompanied Rex Cowdry, director of the National Institute of Mental Health, on a schizophrenia-teaching mission to India Feb. 14-25. He can be reached in the U.Va. psychology department at (804) 924-0661 or by e-mail at iig@virginia.edu INTERNATIONAL RESEARCH TEAM ADVANCES UNDERSTANDING OF SCHIZOPHRENIA GENETICS CHARLOTTESVILLE, Va., Feb. 27 -- As the "Atomic Age" draws to a close, people seeking a moniker for the coming century might do well to dub it the "Genetic Age." Over the past 20 years, rapidly improving methods for manipulating DNA have made the landscape of the 23 pairs of human chromosomes -- each of which contains thousands of genes -- more familiar and scientists are now on the verge of a new age of discovery. Some 15,000 "signposts" to locations on the human gene map have been constructed in recent years and this number will double within a few more years. Using a variety of techniques to determine the sequence of DNA subunits, gene hunters have able to track down the defective genes responsible for such conditions as cystic fibrosis and Huntington's Disease. Other diseases present a more complicated picture. They involve anomalies in more than one gene and probably also require environmental triggers to initiate the disease process. Such polygenic conditions include diabetes, some kinds of cancer and, probably, schizophrenia. Irving I. Gottesman, the Sherrell J. Aston Professor of Psychology at the University of Virginia, first theorized about the possibility that schizophrenia is a polygenic disorder nearly 30 years ago. Recently, an international collaboration has provided strong evidence that Gottesman's theory is correct. Along with 27 co-investigators, Gottesman studied the DNA of 456 schizophrenics from 276 families in a dozen countries including China, Ireland, Sweden and the United States. "Our recent studies differ from those of other teams in several important respects," says Gottesman. "First, we used a very conservative definition of schizophrenia. This ensured that those people who actually have schizophrenia (and their families) would be included in further tests. Second, we searched all of the chromosomes for evidence of schizophrenia-causing genes, instead of focusing on just a few chromosomes as other groups have done. Finally, we used a two-step procedure to distinguish the genuine links between our 'markers' and possible schizophrenia genes from any false links." As reported in the November issue of the journal Nature-Genetics, the team found two locations -- on chromosomes 9 and 20 -- that had not been previously linked to schizophrenia. They also gave support to sites on chromosomes 6, 8 and 22, which had been detected previously by other researchers. "These developments parallel the progress seen in studies of insulin-dependent diabetes, where eight different gene locations have been identified as being linked to appearance of the disease," said Gottesman, the recipient of numerous awards for his long-term research on schizophrenia. According to the model proposed in 1967 by Gottesman and his late colleague Dr. James Shields, multiple genes act in a system to bring about the symptoms of schizophrenia. "The more of these 'schizophrenia-vulnerability' genes a person has, the greater the chance that environmental stressors will trigger a clinical episode of the disease," said Gottesman, who notes that schizophrenia affects one of every 100 adults worldwide. According to Gottesman, "all of the investigators in this team used the same conservative diagnostic measure to identify persons with schizophrenia or schizo-affective disease. "Through these interviews, five large Icelandic families with 37 schizophrenics among the 93 members were found. By thickly plastering the DNA of these families with laboratory-made DNA markers, the researchers found 26 sites to be associated with the appearance of the disease itself. Of these, the 10 most promising sites were looked for in DNA taken from other schizophrenia families around the world. This second round of searching yielded sites on chromosomes 6, 8, 9, 20 and 22, all of which appear to be statistically linked to schizophrenia. The scientists are now attempting to clone the genes in these regions in order to determine their exact composition and action. "A clearer understanding of the several genes believed to be involved in schizophrenia will enable doctors to make definitive diagnoses of this disease. In the more distant future, we anticipate being able to attack the root cause of schizophrenia by treating its genetic underpinnings," said Gottesman. ### February 26, 1996