title: [Schizophrenic and bipolar endophenotypes: the clinician's point of view].
abstract: Following empirical studies on schizophrenic and bipolar vulnerabilities, research on endophenotypes knows a recent major development. Two main definitions of early and stable vulnerability markers may be distinguished. First, a strict definition of endophenotype relies on a quantifiable and mainly paraclinical measure (e.g., biological data, electrophysiology or functional imaging). Second, a broader acceptance of the notion of stable and early markers may also involve clinical data. In this review, we first provide a short review on recent studies exploring two types of neurodevelopmental markers: neurological soft signs (NSS) and minor physical anomalies (MPAs). These two types of clinical signs feature robust, stable and heritable characteristics; however, a large heterogeneity of possible observed signs, and a limited clinical specificity may explain a relative reduced use in everyday clinical practice. Finally, psychopathology and subjectively experienced disturbances by patients may enable clinicians to better characterize specific, stable and heritable signs, constitutive of the schizophrenia spectrum disorders.
authors.affiliation: Pôle universitaire de psychiatrie, CHU Sainte-Marguerite, 13274 Marseille cedex 9, France. michel.cermolacce@ap-hm.fr
authors.forename: M
authors.initials: M
authors.lastname: Cermolacce
authors.forename: E
authors.initials: E
authors.lastname: Fakra
authors.forename: R
authors.initials: R
authors.lastname: Belzeaux
authors.forename: M
authors.initials: M
authors.lastname: Adida
authors.forename: J-M
authors.initials: JM
authors.lastname: Azorin
mesh_terms: D001714:Bipolar Disorder / Q000175:diagnosis / Q000235:genetics* / Q000523:psychology*; D015897:Comorbidity; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000235:genetics / Q000523:psychology; D003937:Diagnosis, Differential; D005819:Genetic Markers / Q000235:genetics; D020022:Genetic Predisposition to Disease / Q000235:genetics; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis / Q000235:genetics / Q000523:psychology; D011599:Psychopathology; D012307:Risk Factors; D012559:Schizophrenia / Q000175:diagnosis / Q000235:genetics*; D012565:Schizophrenic Psychology
chemical_list: D005819:Genetic Markers