Analysis of schizophrenia-associated genetic markers in the HLA region as risk factors for tardive dyskinesia

Ruoyu Wang, Justin Y. Lu, Deanna Herbert, Jeffrey A. Lieberman, Herbert Y. Meltzer, Arun K. Tiwari, Gary Remington, James L. Kennedy*, Clement C. Zai*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Objectives: The pathology of Tardive Dyskinesia (TD) has yet to be fully understood, but there have been proposed hypotheses for the cause of this condition. Our team previously reported a possible association of TD with the Complement Component C4 gene in the HLA region. In this study, we explored the HLA region further by examining two previously identified schizophrenia-associated HLA-region single-nucleotide polymorphisms (SNPs), namely rs13194504 and rs210133. Methods: The SNPs rs13194504 and rs210133 were tested for association with the occurrence and severity of TD in a sample of 172 schizophrenia patients who were recruited for four studies from three different clinical sites in Canada and USA. Results: The rs13194504 AA genotype was associated with decreased severity for TD as measured by Abnormal Involuntary Movement Scale (AIMS) scores (p = 0.047) but not for TD occurrence. SNP rs210133 was not significantly associated with either TD occurrence or AIMS scores. Conclusion: Our findings suggest that the rs13194504 AA genotype may play a role in TD severity, while SNP rs210133 may not have a major role in the risk or severity of TD.

Original languageEnglish (US)
Article numbere2898
JournalHuman Psychopharmacology
Issue number4
StatePublished - Jul 2024


  • genetic markers
  • pharmacogenetics
  • schizophrenia
  • tardive dyskinesia

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Psychiatry and Mental health
  • Pharmacology (medical)


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