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Meta-analysis shows association between the tryptophan hydroxylase (TPH) gene and schizophrenia

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Abstract

A number of studies have suggested an association between schizophrenia and the tryptophan hydroxylase (TPH) and tyrosine hydroxylase (TH) genes. On the other hand, several studies attempting to replicate these findings have produced mixed results, possibly reflecting inadequate statistical power of the individual studies as well as the heterogeneity inherent in schizophrenia. In an attempt to clarify this inconsistency our meta-analysis has combined all the studies using multiple research methods published up to February 2006 to give a comprehensive picture of the role of three hydroxylase-related genes. The TPH A218C/A779C (OR = 1.18, 95% C.I. 1.06–1.33, P = 0.004) revealed a significant association with schizophrenia. However, the evidence for the TH and phenylalanine hydroxylase (PAH) genes was weak. No publication bias was detected in current studies. The findings, which may implicate the involvement of TPH in the pathogenesis of schizophrenia, have potentially important clinical, scientific and public health implications as well as providing a putative basis for the study of hydroxylase-related drugs. To our knowledge, this is the first meta-analysis of association between the three genes and schizophrenia.

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References

  • Abbar M, Courtet P, Bellivier F, Leboyer M, Boulenger JP, Castelhau D, Ferreira M, Lambercy C, Mouthon D, Paoloni-Giacobino A, Vessaz M, Malafosse A, Buresi C (2001) Suicide attempts and the tryptophan hydroxylase gene. Mol Psychiatry 6:268–273

    Article  PubMed  CAS  Google Scholar 

  • Anney RJ, Olsson CA, Lotfi-Miri M, Patton GC, Williamson R (2004) Nicotine dependence in a prospective population-based study of adolescents: the protective role of a functional tyrosine hydroxylase polymorphism. Pharmacogenetics 14:73–81

    Article  PubMed  CAS  Google Scholar 

  • Arango V, Huang YY, Underwood MD, Mann JJ (2003) Genetics of the serotonergic system in suicidal behavior. J Psychiatr Res 37:375–386

    Article  PubMed  Google Scholar 

  • Bjur RA, Weiner N (1975) The activity of tyrosine hydroxylase in intact adrenergic neurons of the mouse vas deferens. J Pharmacol Exp Ther 194:9–26

    PubMed  CAS  Google Scholar 

  • Boularand S, Darmon MC, Mallet J (1995) The human tryptophan hydroxylase gene. An unusual splicing complexity in the 5′-untranslated region. J Biol Chem 270:3748–3756

    Article  PubMed  CAS  Google Scholar 

  • Burgert E, Crocq MA, Bausch E, Macher JP, Morris-Rosendahl DJ (1998) No association between the tyrosine hydroxylase microsatellite marker HUMTH01 and schizophrenia or bipolar I disorder. Psychiatr Genet 8:45–48

    Article  PubMed  CAS  Google Scholar 

  • Chao HM, Richardson MA (2002) Aromatic amino acid hydroxylase genes and schizophrenia. Am J Med Genet 114:626–30

    Article  PubMed  Google Scholar 

  • Chotai J, Serretti A, Lattuada E, Lorenzi C, Lilli R (2003) Gene-environment interaction in psychiatric disorders as indicated by season of birth variations in tryptophan hydroxylase (TPH), serotonin transporter (5-HTTLPR) and dopamine receptor (DRD4) gene polymorphisms. Psychiatry Res 119:99–111

    Article  PubMed  CAS  Google Scholar 

  • DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188

    Article  PubMed  CAS  Google Scholar 

  • Egger M, Davey Smith G, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634

    PubMed  CAS  Google Scholar 

  • Ekwall O, Hedstrand H, Haavik J, Perheentupa J, Betterle C, Gustafsson J, Husebye E, Rorsman F, Kampe O (2000) Pteridin-dependent hydroxylases as autoantigens in autoimmune polyendocrine syndrome type I. J Clin Endocrinol Metab 85:2944–2950

    Article  PubMed  CAS  Google Scholar 

  • Hong CJ, Tsai SJ, Wang YC (2001) Association between tryptophan hydroxylase gene polymorphism (A218C) and schizophrenic disorders. Schizophr Res 49:59–63

    Article  PubMed  CAS  Google Scholar 

  • Hoogendoorn ML, Bakker SC, Schnack HG, Selten JP, Otten HG, Verduijn W, van der Heijden FM, Pearson PL, Kahn RS, Sinke RJ (2005) No association between 12 dopaminergic genes and schizophrenia in a large Dutch sample. Am J Med Genet B Neuropsychiatr Genet 134:6–9

    Google Scholar 

  • Hufton SE, Jennings IG, Cotton RG (1995) Structure and function of the aromatic amino acid hydroxylases. Biochem J 311(Pt 2):353–366

    PubMed  CAS  Google Scholar 

  • Ishiguro H, Arinami T, Saito T, Akazawa S, Enomoto M, Mitushio H, Fujishiro H, Tada K, Akimoto Y, Mifune H, Shiozuka S, Hamaguchi H, Toru M, Shibuya H (1998) Systematic search for variations in the tyrosine hydroxylase gene and their associations with schizophrenia, affective disorders, and alcoholism. Am J Med Genet 81:388–396

    Article  PubMed  CAS  Google Scholar 

  • Iwata Y, Matsumoto H, Minabe Y, Osada N, Nakamura K, Sekizawa T, Suzuki K, Sekine Y, Takei N, Mori N (2003) Early-onset schizophrenia and dopamine-related gene polymorphism. Am J Med Genet B Neuropsychiatr Genet 116:23–26

    Article  Google Scholar 

  • Jonsson E, Brene S, Geijer T, Terenius L, Tylec A, Persson ML, Sedvall G (1996) A search for association between schizophrenia and dopamine-related alleles. Eur Arch Psychiatry Clin Neurosci 246:297–304

    Article  PubMed  CAS  Google Scholar 

  • Jonsson EG, Geijer T, Gyllander A, Terenius L, Sedvall GC (1998) Failure to replicate an association between a rare allele of a tyrosine hydroxylase gene microsatellite and schizophrenia. Eur Arch Psychiatry Clin Neurosci 248:61–63

    Article  PubMed  CAS  Google Scholar 

  • Kleppe R, Haavik J (2004) Different stabilities and denaturation pathways for structurally related aromatic amino acid hydroxylases. FEBS Lett 565:155–159

    Article  PubMed  CAS  Google Scholar 

  • Kunugi H, Kawada Y, Hattori M, Ueki A, Otsuka M, Nanko S (1998) Association study of structural mutations of the tyrosine hydroxylase gene with schizophrenia and Parkinson’s disease. Am J Med Genet 81:131–133

    Article  PubMed  CAS  Google Scholar 

  • Kunugi H, Ishida S, Kato T, Sakai T, Tatsumi M, Hirose T, Nanko S (1999) No evidence for an association of polymorphisms of the tryptophan hydroxylase gene with affective disorders or attempted suicide among Japanese patients. Am J Psychiatry 156:774–776

    PubMed  CAS  Google Scholar 

  • Kurumaji A, Kuroda T, Yamada K, Yoshikawa T, Toru M (2001) An association of the polymorphic repeat of tetranucleotide (TCAT) in the first intron of the human tyrosine hydroxylase gene with schizophrenia in a Japanese sample. J Neural Transm 108:489–495

    Article  PubMed  CAS  Google Scholar 

  • Li D, He L (2006) Further clarification of the contribution of the tryptophan hydroxylase (TPH) gene to suicidal behavior using systematic allelic and genotypic meta-analyses. Hum Genet 19(3):233–240

    Article  Google Scholar 

  • Martinez A, Knappskog PM, Haavik J (2001) A structural approach into human tryptophan hydroxylase and its implications for the regulation of serotonin biosynthesis. Curr Med Chem 8:1077–1091

    PubMed  CAS  Google Scholar 

  • Meloni R, Laurent C, Campion D, Ben Hadjali B, Thibaut F, Dollfus S, Petit M, Samolyk D, Martinez M, Poirier MF et al (1995) A rare allele of a microsatellite located in the tyrosine hydroxylase gene found in schizophrenic patients. C R Acad Sci III 318:803–809

    PubMed  CAS  Google Scholar 

  • Meloni R, Biguet NF, Mallet J (2002) Post-genomic era and gene discovery for psychiatric diseases: there is a new art of the trade? The example of the HUMTH01 microsatellite in the Tyrosine Hydroxylase gene. Mol Neurobiol 26:389–403

    Article  PubMed  CAS  Google Scholar 

  • Nagatsu T (1995) Tyrosine hydroxylase: human isoforms, structure and regulation in physiology and pathology. Essays Biochem 30:15–35

    PubMed  CAS  Google Scholar 

  • Nielsen DA, Jenkins GL, Stefanisko KM, Jefferson KK, Goldman D (1997) Sequence, splice site and population frequency distribution analyses of the polymorphic human tryptophan hydroxylase intron 7. Brain Res Mol Brain Res 45:145–148

    Article  PubMed  CAS  Google Scholar 

  • Nolan KA, Volavka J, Lachman HM, Saito T (2000) An association between a polymorphism of the tryptophan hydroxylase gene and aggression in schizophrenia and schizoaffective disorder. Psychiatr Genet 10:109–15

    PubMed  CAS  Google Scholar 

  • O’Malley KL, Anhalt MJ, Martin BM, Kelsoe JR, Winfield SL, Ginns EI (1987) Isolation and characterization of the human tyrosine hydroxylase gene: identification of 5′ alternative splice sites responsible for multiple mRNAs. Biochemistry 26:6910–6914

    Article  PubMed  CAS  Google Scholar 

  • Ota M, Nakashima A, Ikemoto K, Nojima S, Tanaka M, Okuda M, Koga H, Mori K, Kaneko YS, Fujiwara K, Yamamoto H, Nagatsu T, Ota A (2001) Exon 3 of tyrosine hydroxylase gene: lack of association with Japanese schizophrenic patients. Mol Psychiatry 6:315–319

    Article  PubMed  CAS  Google Scholar 

  • Pae CU, Kim JJ, Serretti A, Lee CU, Lee SJ, Lee C, Paik IH (2003) VNTR polymorphism of tyrosine hydroxylase gene and schizophrenia in the Korean population. Neuropsychobiology 47:131–136

    Article  PubMed  CAS  Google Scholar 

  • Paik I, Toh K, Kim J, Lee C (2000) TPH gene may be associated with suicidal behavior, but not with schizophrenia in the Korean population. Hum Hered 50:365–369

    Article  PubMed  CAS  Google Scholar 

  • Paoloni-Giacobino A, Mouthon D, Lambercy C, Vessaz M, Coutant-Zimmerli S, Rudolph W, Malafosse A, Buresi C (2000) Identification and analysis of new sequence variants in the human tryptophan hydroxylase (TpH) gene. Mol Psychiatry 5:49–55

    Article  PubMed  CAS  Google Scholar 

  • Polymeropoulos MH, Xiao H, Rath DS, Merril CR (1991) Tetranucleotide repeat polymorphism at the human tyrosine hydroxylase gene (TH). Nucleic Acids Res 19:3753

    Google Scholar 

  • Prasad S, Semwal P, Deshpande S, Bhatia T, Nimgaonkar VL, Thelma BK (2002) Molecular genetics of schizophrenia: past, present and future. J Biosci 27:35–52

    Article  PubMed  CAS  Google Scholar 

  • Richardson MA, Read LL, Clelland JD, Chao HM, Reilly MA, Romstad A, Suckow RF (2003) Phenylalanine hydroxylase gene in psychiatric patients: screening and functional assay of mutations. Biol Psychiatry 53:543–553

    Article  PubMed  CAS  Google Scholar 

  • Rotondo A, Schuebel K, Bergen A, Aragon R, Virkkunen M, Linnoila M, Goldman D, Nielsen D (1999) Identification of four variants in the tryptophan hydroxylase promoter and association to behavior. Mol Psychiatry 4:360–368

    Article  PubMed  CAS  Google Scholar 

  • Segman RH, Goltser T, Heresco-Levy U, Finkel B, Shalem R, Schlafman M, Yakir A, Greenberg D, Strous R, Lerner A, Shelevoy A, Lerer B (2003) Association of dopaminergic and serotonergic genes with tardive dyskinesia in patients with chronic schizophrenia. Pharmacogenomics J 3:277–283

    Article  PubMed  CAS  Google Scholar 

  • Sekizawa T, Iwata Y, Nakamura K, Matsumoto H, Suzuki A, Suzuki K, Sekine Y, Takei N, Minabe Y, Mori N (2004) Childhood-onset schizophrenia and tryptophan hydroxylase gene polymorphism. Am J Med Genet B Neuropsychiatr Genet 128:24–26

    Article  Google Scholar 

  • Semwal P, Prasad S, Bhatia T, Deshpande SN, Wood J, Nimgaonkar VL, Thelma BK (2001) Family-based association studies of monoaminergic gene polymorphisms among North Indians with schizophrenia. Mol Psychiatry 6:220–224

    Article  PubMed  CAS  Google Scholar 

  • Semwal P, Prasad S, Varma PG, Bhagwat AM, Deshpande SN, Thelma BK (2002) Candidate gene polymorphisms among North Indians and their association with schizophrenia in a case-control study. J Genet 81:65–71

    Article  PubMed  CAS  Google Scholar 

  • Serretti A, Lilli R, Lorenzi C, Lattuada E, Cusin C, Smeraldi E (1999) Lack of association between tryptophan hydroxylase gene and psychotic symptomatology in schizophrenia. Schizophr Res 40:171–172

    Article  PubMed  CAS  Google Scholar 

  • Serretti A, Lilli R, Lorenzi C, Lattuada E, Cusin C, Smeraldi E (2001) Tryptophan hydroxylase gene and major psychoses. Psychiatry Res 103:79–86

    Article  PubMed  CAS  Google Scholar 

  • Shinkai T, Ohmori O, Suzuki T, Kojima H, Hori H, Terao T, Nakamura J (2000) Polymorphisms of tryptophan hydroxylase gene and the symptomatology of schizophrenia: an association study. Psychiatr Genet 10:165–171

    Article  PubMed  CAS  Google Scholar 

  • Teigen K, Dao KK, McKinney JA, Gorren AC, Mayer B, Froystein NA, Haavik J, Martinez A (2004) Tetrahydrobiopterin binding to aromatic amino acid hydroxylases. Ligand recognition and specificity. J Med Chem 47:5962–5971

    Article  PubMed  CAS  Google Scholar 

  • Thibaut F, Ribeyre JM, Dourmap N, Meloni R, Laurent C, Campion D, Menard JF, Dollfus S, Mallet J, Petit M (1997) Association of DNA polymorphism in the first intron of the tyrosine hydroxylase gene with disturbances of the catecholaminergic system in schizophrenia. Schizophr Res 23:259–264

    Article  PubMed  CAS  Google Scholar 

  • Waters PJ, Parniak MA, Nowacki P, Scriver CR (1998) In vitro expression analysis of mutations in phenylalanine hydroxylase: linking genotype to phenotype and structure to function. Hum Mutat 11:4–17

    Article  PubMed  CAS  Google Scholar 

  • Wei J, Ramchand CN, Hemmings GP (1995) Association of polymorphic VNTR region in the first intron of the human TH gene with disturbances of the catecholamine pathway in schizophrenia. Psychiatr Genet 5:83–88

    Article  PubMed  CAS  Google Scholar 

  • Woolf B (1955) On estimating the relation between blood group and disease. Ann Hum Genet 19:251–253

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was supported by grants from the National 973 and 863 programs, the Ministry of Education, PRC, National Natural Science Foundation of China, and the Shanghai Municipal Commission for Science and Technology.

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Correspondence to Lin He.

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Li, D., He, L. Meta-analysis shows association between the tryptophan hydroxylase (TPH) gene and schizophrenia. Hum Genet 120, 22–30 (2006). https://doi.org/10.1007/s00439-006-0190-5

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