TY - JOUR
T1 - Association of serotonin2C receptor polymorphisms with antipsychotic drug response in schizophrenia
AU - Li, Jiang
AU - Hashimoto, Hitoshi
AU - Meltzer, Herbert Y.
N1 - Publisher Copyright:
Copyright © 2019 Li, Hashimoto and Meltzer. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
PY - 2019
Y1 - 2019
N2 - There is conflicting evidence for the association between genetic polymorphisms in the serotonin (5-HT)2C receptor (HTR2C) and response to antipsychotic drugs (APD) in schizophrenic patients. We tested the association between the HTR2C polymorphisms, Cys23Ser, −759C/T, and −697G/C, and response to APDs (mainly clozapine) in a 6 month prospective study in 171 patients with schizophrenia. Ser23 was significantly associated with treatment response (positive symptoms, X2 = 7.540, p = 0.01; negative symptoms, X2 = 4.796, p = 0.03) in male patients only. A −759C-Ser23 haplotype was similar associated with positive (X2 = 6.648, p = 0.01) and negative (X2 = 6.702, p = 0.01) symptom improvement. Logistic regression, after controlling for covariates, also showed significant haplotypic associations. A meta-analysis of six studies for Ser23 and treatment response showed an overall odds ratio of 2.00 (95%CI, 1.38–2.91, p = 0.0003) or 1.94 (95%CI, 1.27–2.99, p = 0.0024) under fixed or random effect models. These results provide additional evidence that HTR2C polymorphisms are associated with treatment response to APD with HTR2C antagonism or inverse agonism, in male schizophrenic patients.
AB - There is conflicting evidence for the association between genetic polymorphisms in the serotonin (5-HT)2C receptor (HTR2C) and response to antipsychotic drugs (APD) in schizophrenic patients. We tested the association between the HTR2C polymorphisms, Cys23Ser, −759C/T, and −697G/C, and response to APDs (mainly clozapine) in a 6 month prospective study in 171 patients with schizophrenia. Ser23 was significantly associated with treatment response (positive symptoms, X2 = 7.540, p = 0.01; negative symptoms, X2 = 4.796, p = 0.03) in male patients only. A −759C-Ser23 haplotype was similar associated with positive (X2 = 6.648, p = 0.01) and negative (X2 = 6.702, p = 0.01) symptom improvement. Logistic regression, after controlling for covariates, also showed significant haplotypic associations. A meta-analysis of six studies for Ser23 and treatment response showed an overall odds ratio of 2.00 (95%CI, 1.38–2.91, p = 0.0003) or 1.94 (95%CI, 1.27–2.99, p = 0.0024) under fixed or random effect models. These results provide additional evidence that HTR2C polymorphisms are associated with treatment response to APD with HTR2C antagonism or inverse agonism, in male schizophrenic patients.
KW - Antipsychotic agents
KW - Clozapine
KW - Genetic
KW - Meta-analysis
KW - Polymorphism
KW - Schizophrenia
KW - Serotonin2C
KW - Treatment response
UR - http://www.scopus.com/inward/record.url?scp=85065903102&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065903102&partnerID=8YFLogxK
U2 - 10.3389/fpsyt.2019.00058
DO - 10.3389/fpsyt.2019.00058
M3 - Article
C2 - 30828307
AN - SCOPUS:85065903102
SN - 1664-0640
VL - 10
JO - Frontiers in Psychiatry
JF - Frontiers in Psychiatry
IS - FEB
M1 - 58
ER -
