Genetic association study between antipsychotic-induced weight gain and the melanocortin-4 receptor gene

Antipsychotic-induced weight gain (AIWG) may result in the metabolic syndrome in schizophrenia (SCZ) patients. Downstream variants of the melanocortin-4 receptor (MC4R) gene have been associated with obesity in various populations. Thus, we examined single-nucleotide polymorphisms (SNPs) in the MC4R...

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Veröffentlicht in:The pharmacogenomics journal 2013-06, Vol.13 (3), p.272-279
Hauptverfasser: Chowdhury, N I, Tiwari, A K, Souza, R P, Zai, C C, Shaikh, S A, Chen, S, Liu, F, Lieberman, J A, Meltzer, H Y, Malhotra, A K, Kennedy, J L, Müller, D J
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container_start_page 272
container_title The pharmacogenomics journal
container_volume 13
creator Chowdhury, N I
Tiwari, A K
Souza, R P
Zai, C C
Shaikh, S A
Chen, S
Liu, F
Lieberman, J A
Meltzer, H Y
Malhotra, A K
Kennedy, J L
Müller, D J
description Antipsychotic-induced weight gain (AIWG) may result in the metabolic syndrome in schizophrenia (SCZ) patients. Downstream variants of the melanocortin-4 receptor (MC4R) gene have been associated with obesity in various populations. Thus, we examined single-nucleotide polymorphisms (SNPs) in the MC4R region for association with AIWG in SCZ patients. Four SNPs (rs2229616, rs17782313, rs11872992 and rs8087522) were genotyped in 224 patients who underwent treatment for SCZ and were evaluated for AIWG for up to 14 weeks. We compared weight change (%) across genotypic groups using analysis of covariance for three SNPs ( r 2 ⩽0.8). European-ancestry patients who were rs8087522 A-allele carriers (AG+AA) on clozapine gained significantly more weight than non-carriers ( P =0.027, n =69). These observations were marginal after correction for multiple testing. We performed in vitro electrophoretic mobility-shift assay that suggested that the presence of the A-allele may create a transcription factor-binding site. Further investigation is warranted for both these exploratory findings.
doi_str_mv 10.1038/tpj.2011.66
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subjects 692/699/2743/393
692/699/476/1799
692/700/565/1436/434
Adult
Alleles
Antipsychotic Agents - administration & dosage
Antipsychotic Agents - adverse effects
Antipsychotic drugs
Antipsychotics
Binding sites
Biomedical and Life Sciences
Biomedicine
Clozapine
Clozapine - administration & dosage
Clozapine - adverse effects
Electrophoretic mobility
Electrophoretic Mobility Shift Assay
Female
Gene Expression
Genetic aspects
Genetic Association Studies
Human Genetics
Humans
Male
Melanocortin
Melanocortin MC4 receptors
Mental disorders
Metabolic syndrome
Middle Aged
Oncology
original-article
Patients
Pharmacotherapy
Polymorphism, Single Nucleotide - genetics
Psychopharmacology
Psychotropic drugs
Receptor, Melanocortin, Type 4 - genetics
Schizophrenia
Schizophrenia - complications
Schizophrenia - drug therapy
Schizophrenia - genetics
Single-nucleotide polymorphism
Weight gain
Weight Gain - drug effects
Weight Gain - genetics
title Genetic association study between antipsychotic-induced weight gain and the melanocortin-4 receptor gene
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