Effect of Rhesus D incompatibility on schizophrenia depends on offspring sex
2008

Rhesus D Incompatibility and Schizophrenia Risk

Sample size: 277 publication 10 minutes Evidence: moderate

Author Information

Author(s): Christina G.S. Palmer, Erin Mallery, Joni A. Turunen, Hsin-Ju Hsieh, Leena Peltonen, Jouko Lonnqvist, J. Arthur Woodward, Janet S. Sinsheimer

Primary Institution: University of California, Los Angeles

Hypothesis

Does the risk for schizophrenia due to Rhesus D incompatibility differ by offspring sex?

Conclusion

Rhesus D incompatibility increases the risk of schizophrenia, particularly in male offspring.

Supporting Evidence

  • Rhesus D incompatibility was found to significantly increase schizophrenia risk in males.
  • Meta-analysis supported the finding that the risk is limited to male offspring.
  • Previous studies indicated a higher incidence of schizophrenia in males compared to females.

Takeaway

This study found that boys are more likely to develop schizophrenia if their mothers had a blood type incompatibility during pregnancy.

Methodology

The study used a nuclear family-based candidate gene approach and meta-analysis to analyze Rhesus D genotype data.

Potential Biases

Potential bias due to reliance on historical medical records for some data.

Limitations

The sample size for affected females was smaller, which may limit the ability to detect a female effect.

Participant Demographics

The study included 277 nuclear families with children diagnosed with schizophrenia, with a mix of male and female offspring.

Statistical Information

P-Value

0.03

Confidence Interval

90% CI: 1.05–1.98 for males; 90% CI: 0.74–1.70 for females

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.schres.2008.06.022

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