Tardive dyskinesia and DRD3, HTR2A and HTR2C gene polymorphisms in Russian psychiatric inpatients from Siberia

Prog Neuropsychopharmacol Biol Psychiatry. 2009 Apr 30;33(3):475-81. doi: 10.1016/j.pnpbp.2009.01.010. Epub 2009 Jan 24.

Abstract

Background: Pharmacogenetics of tardive dyskinesia and dopamine D3 (DRD3), serotonin 2A (HTR2A), and 2C (HTR2C) receptors has been examined in various populations, but not in Russians.

Purpose: To investigate the association between orofaciolingual (TDof) and limb-truncal dyskinesias (TDlt) and Ser9Gly (DRD3), -1438G>A (HTR2A), and Cys23Ser (HTR2C) polymorphisms in Russian psychiatric inpatients from Tomsk, Siberia.

Methods: In total, 146 subjects were included. Standard protocols were applied for genotyping. TDof and TDlt were assessed with AIMS items 1-4 and 5-7, respectively. Two-part model, logistic and log-normal regression analyses were applied to assess different variables (e.g., allele-carriership status, age, gender, and medication use).

Results: TDlt, but not TDof, exhibited an association with Ser9Gly and Cys23Ser (with 9Gly and 23Ser alleles exhibiting opposite effects). However, -1438G>A was not associated with TDof and Dlt.

Conclusions: This is the first pharmacogenetic report on tardive dyskinesia in Russians. Subject to further replication, our findings extend and support the available data.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Akathisia, Drug-Induced / classification
  • Akathisia, Drug-Induced / etiology
  • Akathisia, Drug-Induced / genetics*
  • Akathisia, Drug-Induced / pathology
  • Chlorpromazine / adverse effects
  • Cross-Sectional Studies
  • Cystine / genetics
  • Disability Evaluation
  • Extremities / physiopathology
  • Face / physiopathology
  • Female
  • Gene Frequency
  • Genotype
  • Glycine / genetics
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Mouth / physiopathology
  • Pharmacogenetics
  • Polymorphism, Genetic / genetics*
  • Psychiatric Status Rating Scales
  • Receptor, Serotonin, 5-HT2A / genetics*
  • Receptor, Serotonin, 5-HT2C / genetics*
  • Receptors, Dopamine D3 / genetics*
  • Schizophrenia / drug therapy
  • Schizophrenia / genetics
  • Serine / genetics
  • Severity of Illness Index
  • Siberia / epidemiology
  • Siberia / ethnology

Substances

  • DRD3 protein, human
  • Receptor, Serotonin, 5-HT2A
  • Receptor, Serotonin, 5-HT2C
  • Receptors, Dopamine D3
  • Serine
  • Cystine
  • Glycine
  • Chlorpromazine