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Am J Psychiatry 160:636-645, April 2003
© 2003 American Psychiatric Association


Reviews and Overviews

The Endophenotype Concept in Psychiatry: Etymology and Strategic Intentions

Irving I. Gottesman, Ph.D., Hon. F.R.C.Psych., and Todd D. Gould, M.D.

Endophenotypes, measurable components unseen by the unaided eye along the pathway between disease and distal genotype, have emerged as an important concept in the study of complex neuropsychiatric diseases. An endophenotype may be neurophysiological, biochemical, endocrinological, neuroanatomical, cognitive, or neuropsychological (including configured self-report data) in nature. Endophenotypes represent simpler clues to genetic underpinnings than the disease syndrome itself, promoting the view that psychiatric diagnoses can be decomposed or deconstructed, which can result in more straightforward—and successful—genetic analysis. However, to be most useful, endophenotypes for psychiatric disorders must meet certain criteria, including association with a candidate gene or gene region, heritability that is inferred from relative risk for the disorder in relatives, and disease association parameters. In addition to furthering genetic analysis, endophenotypes can clarify classification and diagnosis and foster the development of animal models. The authors discuss the etymology and strategy behind the use of endophenotypes in neuropsychiatric research and, more generally, in research on other diseases with complex genetics.




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Schizophr Bull, July 1, 2007; 33(4): 937 - 946.
[Abstract] [Full Text] [PDF]


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Schizophr BullHome page
F. M. Benes
Searching for Unique Endophenotypes for Schizophrenia and Bipolar Disorder Within Neural Circuits and Their Molecular Regulatory Mechanisms
Schizophr Bull, July 1, 2007; 33(4): 932 - 936.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
F. M. Benes, B. Lim, D. Matzilevich, J. P. Walsh, S. Subburaju, and M. Minns
Regulation of the GABA cell phenotype in hippocampus of schizophrenics and bipolars
PNAS, June 12, 2007; 104(24): 10164 - 10169.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
G. E. Swan, C. N. Lessov-Schlaggar, R. E. Krasnow, K. C. Wilhelmsen, P. Jacob III, and N. L. Benowitz
Genetic and Environmental Sources of Variation in Heart Rate Response to Infused Nicotine in Twins
Cancer Epidemiol. Biomarkers Prev., June 1, 2007; 16(6): 1057 - 1064.
[Abstract] [Full Text] [PDF]


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Am. J. PsychiatryHome page
D. Braff, N. J. Schork, and I. I. Gottesman
Endophenotyping Schizophrenia
Am J Psychiatry, May 1, 2007; 164(5): 705 - 707.
[Full Text] [PDF]


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Am. J. PsychiatryHome page
M.-H. Hall, F. Rijsdijk, M. Picchioni, K. Schulze, U. Ettinger, T. Toulopoulou, E. Bramon, R. M. Murray, and P. Sham
Substantial Shared Genetic Influences on Schizophrenia and Event-Related Potentials
Am J Psychiatry, May 1, 2007; 164(5): 804 - 812.
[Abstract] [Full Text] [PDF]


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Am. J. PsychiatryHome page
R. E. Gur, V. L. Nimgaonkar, L. Almasy, M. E. Calkins, J. D. Ragland, M. F. Pogue-Geile, S. Kanes, J. Blangero, and R. C. Gur
Neurocognitive Endophenotypes in a Multiplex Multigenerational Family Study of Schizophrenia
Am J Psychiatry, May 1, 2007; 164(5): 813 - 819.
[Abstract] [Full Text] [PDF]




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