Medical Science
Sex-Specific Genetic Influence on Subclinical Schizophrenia Traits
2025-02-26

A collaborative study between the Universitat Autònoma de Barcelona (UAB) and the University of Barcelona (UB) has delved into how genetic predisposition to schizophrenia correlates with mild subclinical traits in the general population. The research, which emphasizes the importance of gender differences, reveals that the impact of genetic risk varies significantly between men and women. This groundbreaking work, published in Progress in Neuropsychopharmacology & Biological Psychiatry, provides valuable insights into the complex relationship between genetics and mental health, particularly in the context of sex-specific variations.

Understanding the Role of Genetics in Subclinical Traits

The study examined nearly 1200 university students to explore the connection between genetic risk for schizophrenia and subclinical expressions of the disorder. Researchers found no direct correlation between the overall genetic risk and subclinical traits. However, when they analyzed data by gender, a distinct pattern emerged. In males, genetic risk was linked specifically to positive schizotypal traits, such as unusual beliefs and perceptual experiences. This association was not observed in females, suggesting that the expression of genetic risk may differ based on sex.

To further elucidate these findings, researchers employed polygenic risk scores, which measure an individual's likelihood of developing schizophrenia based on multiple genetic variants. The results indicated that while there is no strong shared genetic basis between schizophrenia and its subclinical phenotypes, the specific association in males points to potential environmental or non-genetic factors that could modulate genetic risk expression. These findings align with clinical observations where men often exhibit different symptoms, poorer pre-morbid functioning, and earlier onset of the disease compared to women.

Implications for Future Research and Treatment

The significance of this study lies in its emphasis on considering gender differences in future genetic and clinical investigations. The research underscores the need to explore sex-specific interactions between genetic variants and environmental factors. As noted by the authors, these differences might be influenced by non-genetic elements, highlighting the importance of personalized approaches in understanding and treating psychiatric disorders.

This interdisciplinary effort represents a significant step forward in unraveling the psychosis continuum. By focusing on sex-specific associations, the study opens new avenues for exploring how genetic and environmental factors interact differently in men and women. Ultimately, this research advocates for prioritizing sex-specific studies in the field of psychiatric genetics, paving the way for more tailored and effective treatment strategies. The involvement of experts from various institutions, including UAB, UB, CIBERSAM, and international collaborators, exemplifies the power of collaborative research in advancing our knowledge of complex mental health conditions.

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