Preliminary evidence for association of genome-wide significant DRD2 schizophrenia risk variant with clozapine response

Author:

Huang Eric12,Maciukiewicz Malgorzata2,Zai Clement C2,Tiwari Arun K2,Li Jiang3,Potkin Steven G4,Lieberman Jeffrey A5,Meltzer Herbert Y3,Müller Daniel J26,Kennedy James L26

Affiliation:

1. 1 King's College Circle, Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, ON, M5S 1A8, Canada

2. 250 College Street, Pharmacogenetic Research Clinic, Centre for Addiction & Mental Health, Toronto, ON, M5T 1R8, Canada

3. 303 East Chicago Avenue, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA

4. 5251 California Avenue, Department of Psychiatry & Human Behavior, University of California, Irvine, CA 92617, USA

5. 1051 Riverside Drive, Department of Psychiatry, Columbia University Medical Center, New York, NY 10032, USA

6. 250 College Street, Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada

Abstract

Aim: The recent Psychiatric Genomics Consortium genome-wide association study identified an SNP, rs2514218, located 47kb upstream of the DRD2 gene to be associated with risk for schizophrenia (p = 2.75e-11). Since all antipsychotics bind to dopamine D2 receptors, we examined rs2514218 in relation to response to antipsychotic treatment. Patients & methods: We investigated the SNP in relation to treatment response in a prospective study consisting of 208 patients (151 Caucasians, 42 African–Americans and 15 others) treated with clozapine for 6 months. Results: rs2514218 was associated with total score change in the brief psychiatric rating scale under an additive model (pcorr= 0.033). Conclusion: Our finding provides evidence for rs2514218 association with antipsychotic response, but further replication is required before firm conclusions can be drawn.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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