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One of the most highly genetically inherited psychiatric disorders is bipolar disorder which may affect as much as 1-4% of the population. Bipolar disorder is characterized by periods of depression followed by periods of abnormally elevated mood (mania/hypomania).
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Read More »There are hundreds of different types of mental (or psychiatric) disorders as characterized and defined by the DSM and ICD. Many disorders are under specific categories including (but not limited to):
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Read More »Schizophrenia is thought to have up to 70-80% genetic heritability. Like bipolar disorder, having a first-degree relative with the disorder drastically increases the risk of developing schizophrenia later in life – though environmental factors are also incredibly important. However, separating whether this is due to genetic causes or shared environmental conditions is difficult. The cumulative effect of multiple inherited or de novo mutations/polymorphisms in combination with environmental triggers can increase the risk of developing schizophrenia. For example, copy number variants (CNVs) involved in DiGeorge syndrome (22q11.2) which includes deletions of around 50 genes including COMT and 17q12 microdeletion syndrome are highly associated with an increased risk of developing schizophrenia – but are also prevalently associated comorbidly with ASD and other intellectual disabilities. Other specific genetic mutations implicated in schizophrenia include genetic disruptions to LAMA2, SETD1A, DPYD, TRRAP, TAF13, ARC & VPS39. Perhaps the most widely known genetic cause of schizophrenia is DISC1 (disrupted in schizophrenia 1), identified in a Scottish family who had schizophrenia and subsequently other families including in America. However, subsequent GWAS studies have not shown any strong associations between DISC1 and schizophrenia, often with mixed results. Whist DISC1 may not be a commonly implicated gene in GWAS studies, it does still show specific mutation level effects in specific families with schizophrenia e.g., 1q43:11q14 translocation.
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Read More »Another key pleiotropic gene is RBFOX1 (SNP rs7193263). RBFOX1 is a regulator gene involved in the development of neuronal NMDA-receptors and voltage-gated calcium channels. Genetic knockout models of RBFOX1 in mice lead to impaired neuronal migration and synapse formation in the developing brain, and this SNP also impairs these functions. Another highly pleiotropic gene involved in ASD, schizophrenia and bipolar disorder is NOX4 (SNP rs117956829). NOX4 is a major source of superoxide production in the developing and adult brain as well as promoting neural stem cell growth.
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Just be sure to take one PrEP pill every 24 hours. If you accidentally take two PrEP pills in one day, it's OK. Taking two PrEP pills is not harmful.
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