Genetic predictors of antipsychotic-induced weight gain: a case-matched multi-gene study

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Aug;36(8):720-3. doi: 10.3969/j.issn.1672-7347.2011.08.003.

Abstract

Objective: To determine associations between weight gain induced by antipsychotic and the polymorphisms of HTR2C gene -759C/T and -697G/C, histamine-1 receptor gene, leptine gene -2548G/A, and adiponectin gene +276G/T and +45T/G.

Methods: In the case-matched study, 85 patients who gained more than 7% of their pre-drug body weight served as the study group and another 85 patients who gained less than 7% of their pre-drug body weight served as the control group. The ligation diction reaction technique was used to analyze the frequencies of the -759C/T and -697G/C polymorphism of the HTR2C gene, -2548A/G polymorphism of leptin gene, +276G/T and +45T/G polymorphism of adiponectin gene and glu349asp polymorphism of H1 receptor gene.

Results: The presence of the -759C allele, -697G allele, -2548A allele and +276G allele was significantly higher in the study group than that in the control group (P<0.05).

Conclusion: The -759C/T and -697G/C polymorphisms of the promoter region of 5HT(2)C receptor gene, -2548A/G polymorphisms of leptin gene and +276G/T polymorphisms of adiponectin gene may be associated with the antipsychotic induced weight gain. The glu349asp polymorphisms of histamine-1 receptor gene is not associated with antipsychotic induced weight gain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiponectin / genetics
  • Adolescent
  • Adult
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Body Mass Index
  • Case-Control Studies
  • Female
  • Humans
  • Leptin / genetics
  • Male
  • Middle Aged
  • Polymorphism, Genetic*
  • Receptor, Serotonin, 5-HT2C / genetics*
  • Schizophrenia / drug therapy*
  • Schizophrenia / genetics
  • Schizophrenia / physiopathology
  • Weight Gain / drug effects
  • Weight Gain / genetics*
  • Young Adult

Substances

  • Adiponectin
  • Antipsychotic Agents
  • Leptin
  • Receptor, Serotonin, 5-HT2C