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Effect of Serotonin-Related Gene Polymorphisms on Pathogenesis and Treatment Response in Korean Schizophrenic Patients

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Abstract

Serotonin has been implicated in the pathophysiology of several psychiatric disorders including schizophrenia. Serotonergic system-related genes may be good candidates in investigating the genetic basis of schizophrenia. We aimed to investigate the associations of HTR1A C–1019G, HTR2A–1438A/G, TPH1 218A/C, and TPH2–703G/T variants with schizophrenia. A total of 202 patients with schizophrenia and 165 normal controls were genotyped for HTR1A C–1019G, HTR2A–1438A/G, TPH1 218A/C, and TPH2–703G/T single nucleotide polymorphisms (SNPs). In order to assess the severity of a patient’s psychiatric symptoms, the brief psychiatric rating scale (BPRS), the positive and negative symptom scale (PANSS), and the Calgary depression scale for Schizophrenia (CDSS) were administered. Genotype and allele frequencies were compared between groups via χ2 statistics. Associations between the genotypes of candidate SNPs with the severity of symptoms were examined with ANOVA by comparing the mean scores of BPRS, PANSS, and CDSS according to genotype. No significant differences in the genotype distributions and allele frequencies of four SNPs were found between patients with schizophrenia and normal controls. There was a trend towards association of HTR1A C–1019G polymorphism with negative symptom. Negative symptom score of PANSS was lower in the patients with CC genotype than in the G allele carriers. These results suggested that C allele might be associated with lesser negative symptom. More studies are needed to confirm these findings. In the future, we plan to study the associations between schizophrenia and other genetic polymorphisms.

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References

  • Abdolmaleky HM, Faraone SV, Glatt SJ, Tsuang MT (2004) Meta-analysis of association between the T102C polymorphism of the 5HT2a receptor gene and schizophrenia. Schizophr Res 67(1):53–62

    Article  PubMed  Google Scholar 

  • Addington D, Addington J, Schissel B (1990) A depression rating scale for schizophrenics. Schizophr Res 3(4):247–251

    Article  PubMed  Google Scholar 

  • Anttila S, Kampman O, Illi A, Rontu R, Lehtimäki T, Leinonen E (2007) Association between 5-HT2A, TPH1 and GNB3 genotypes and response to typical neuroleptics: a serotonergic approach. BMC Psychiatry 7:22

    Article  PubMed  Google Scholar 

  • APA (1994) Diagnostic and statistical manual of mental disorders. In. American Psychiatric Press, Washington DC, p 886

    Google Scholar 

  • Carlsson A (1978) Antipsychotic drugs, neurotransmitters, and schizophrenia. Am J Psychiatry 135(2):165–173

    PubMed  Google Scholar 

  • Chee IS, Lee SW, Kim JL, Wang SK, Shin YO, Shin SC, Lee YH, Hwang HM, Lim MR (2001) 5-HT2A receptor gene promoter polymorphism-1438A/G and bipolar disorder. Psychiatr Genet 11(3):111–114

    Article  PubMed  Google Scholar 

  • Chen RY, Sham P, Chen EY, Li T, Cheung EF, Hui TC, Kwok CL, Lieh-Mak F, Zhao JH, Collier D, Murray R (2001) No association between T102C polymorphism of serotonin-2A receptor gene and clinical phenotypes of Chinese schizophrenic patients. Psychiatry Res 105(3):175–185

    Article  PubMed  Google Scholar 

  • Chotai J, Serretti A, Lorenzi C (2005) Interaction between the tryptophan hydroxylase gene and the serotonin transporter gene in schizophrenia but not in bipolar or unipolar affective disorders. Neuropsychobiology 51(1):3–9

    Article  PubMed  Google Scholar 

  • De Luca V, Likhodi O, Van Tol HHM, Kennedy J, Wong AHC (2005) Tryptophan hydroxylase 2 gene expression and promoter polymorphisms in bipolar disorder and schizophrenia. Psychopharmacology (Berl) 183(3):378–382

    Article  Google Scholar 

  • Fan JB, Sklar P (2005) Meta-analysis reveals association between serotonin transporter gene STin2 VNTR polymorphism and schizophrenia. Mol Psychiatry 10(10):928–938

    Article  PubMed  Google Scholar 

  • First M, Spitzer RL, Gibbon M, William JB (1998a) Structured clinical interview for DSM-IVAxis I disorders, patient edition (SCID-I/P, version 2.0). Biometrics Research Department, New York State Psychiatric Institute. American Psychiatric Publishing, Inc

  • First M, Spitzer RL, Gibbon M, William JB (1998b) Structured clinical interview for DSM-IVAxis I disorders, non-patient edition (SCID-I/NP, version 2.0). Biometrics Research Department, New York State Psychiatric Institute. American Psychiatric Publishing, Inc

  • Gu B, Wang L, Zhang A-P, Ma G, Zhao X-Z, Li H-F, Feng G-Y, He L, Xing Q-H (2008) Association between a polymorphism of the HTR3A gene and therapeutic response to risperidone treatment in drug-naive Chinese schizophrenia patients. Pharmacogenet Genomics 18(8):721–727

    Article  PubMed  Google Scholar 

  • Higashi S, Ohnuma T, Shibata N, Higashi M, Matsubara Y, Arai H (2007) No genetic association between tryptophan hydroxylase 2 gene polymorphisms and Japanese schizophrenia. Psychiatr Genet 17(2):123

    Article  PubMed  Google Scholar 

  • Hong CJ, Tsai SJ, Wang YC (2001) Association between tryptophan hydroxylase gene polymorphism (A218C) and schizophrenic disorders. Schizophr Res 49(1–2):59–63

    Article  PubMed  Google Scholar 

  • Hong CJ, Chen TJ, Yu YW, Tsai SJ (2006) Response to fluoxetine and serotonin 1A receptor (C-1019G) polymorphism in Taiwan Chinese major depressive disorder. Pharmacogenomics J 6(1):27–33

    Article  PubMed  Google Scholar 

  • Hoyer D, Pazos A, Probst A, Palacios JM (1986) Serotonin receptors in the human brain. II. Characterization and autoradiographic localization of 5-HT1C and 5-HT2 recognition sites. Brain Res 376(1):97–107

    Article  PubMed  Google Scholar 

  • Ichikawa J, Meltzer HY (1999) R(+)-8-OH-DPAT, a serotonin(1A) receptor agonist, potentiated S(-)-sulpiride-induced dopamine release in rat medial prefrontal cortex and nucleus accumbens but not striatum. J Pharmacol Exp Ther 291(3):1227–1232

    PubMed  Google Scholar 

  • Jakab RL, Goldman-Rakic PS (1998) 5-Hydroxytryptamine2A serotonin receptors in the primate cerebral cortex: possible site of action of hallucinogenic and antipsychotic drugs in pyramidal cell apical dendrites. Proc Natl Acad Sci USA 95(2):735–740

    Article  PubMed  Google Scholar 

  • Kay SR, Opler LA, Lindenmayer JP (1989) The positive and negative syndrome scale (PANSS): rationale and standardisation. Br J Psychiatry 155(Suppl 7):59–67

    Google Scholar 

  • Kendler KS, Diehl SR (1993) The genetics of schizophrenia: a current, genetic-epidemiologic perspective. Schizophr Bull 19(2):261–285

    PubMed  Google Scholar 

  • Kirov G, Zaharieva I, Georgieva L, Moskvina V, Nikolov I, Cichon S, Hillmer A, Toncheva D, Owen MJ, O’Donovan MC (2009) A genome-wide association study in 574 schizophrenia trios using DNA pooling. Mol Psychiatry 14(8):796–803

    Article  PubMed  Google Scholar 

  • Lane H-Y, Chang Y-C, Chiu C-C, Chen M-L, Hsieh M-H, Chang W-H (2002) Association of risperidone treatment response with a polymorphism in the 5-HT(2A) receptor gene. Am J Psychiatry 159(9):1593–1595

    Article  PubMed  Google Scholar 

  • Lewis DA, Lieberman JA (2000) Catching up on schizophrenia: natural history and neurobiology. Neuron 28(2):325–334

    Article  PubMed  Google Scholar 

  • Li D, He L (2006) Meta-analysis shows association between the tryptophan hydroxylase (TPH) gene and schizophrenia. Hum Genet 120(1):22–30

    Article  PubMed  Google Scholar 

  • Lidov HG, Molliver ME (1982) An immunohistochemical study of serotonin neuron development in the rat: ascending pathways and terminal fields. Brain Res Bull 8(4):389–430

    Article  PubMed  Google Scholar 

  • Lieberman JA (1993) Understanding the mechanism of action of atypical antipsychotic drugs. A review of compounds in use and development. Br J Psychiatry 163(Suppl 22):7–18

    Google Scholar 

  • Liégeois J-F, Ichikawa J, Meltzer HY (2002) 5-HT(2A) receptor antagonism potentiates haloperidol-induced dopamine release in rat medial prefrontal cortex and inhibits that in the nucleus accumbens in a dose-dependent manner. Brain Res 947(2):157–165

    Article  PubMed  Google Scholar 

  • Lin CH, Tsai SJ, Yu YW, Song HL, Tu PC, Sim CB, Hsu CP, Yang KH, Hong CJ (1999) No evidence for association of serotonin-2A receptor variant (102T/C) with schizophrenia or clozapine response in a Chinese population. Neuroreport 10(1):57–60

    Article  PubMed  Google Scholar 

  • Lin YM, Chao SC, Chen TM, Lai TJ, Chen JS, Sun HS (2007) Association of functional polymorphisms of the human tryptophan hydroxylase 2 gene with risk for bipolar disorder in Han Chinese. Arch Gen Psychiatry 64(9):1015–1024

    Article  PubMed  Google Scholar 

  • Lopez VA, Detera-Wadleigh S, Cardona I, Kassem L, McMahon FJ (2007) Nested association between genetic variation in tryptophan hydroxylase II, bipolar affective disorder, and suicide attempts. Biol Psychiatry 61(2):181–186

    Article  PubMed  Google Scholar 

  • McGuffin P, Owen MJ, Farmer AE (1995) Genetic basis of schizophrenia. Lancet 346(8976):678–682

    Article  PubMed  Google Scholar 

  • Meltzer HY, Matsubara S, Lee JC (1989) Classification of typical and atypical antipsychotic drugs on the basis of dopamine D-1, D-2 and serotonin2 pKi values. J Pharmacol Exp Ther 251(1):238–246

    PubMed  Google Scholar 

  • Moskvina V, Craddock N, Holmans P, Nikolov I, Pahwa JS, Green E, Owen MJ, O’Donovan MC (2009) Gene-wide analyses of genome-wide association data sets: evidence for multiple common risk alleles for schizophrenia and bipolar disorder and for overlap in genetic risk. Mol Psychiatry 14(3):252–260

    Article  PubMed  Google Scholar 

  • Mössner R, Freitag CM, Gutknecht L, Reif A, Tauber R, Franke P, Fritze J, Wagner G, Peikert G, Wenda B, Sand P, Rietschel M, Garritsen H, Jacob C, Lesch KP, Deckert J (2006) The novel brain-specific tryptophan hydroxylase-2 gene in panic disorder. J Psychopharmacol (Oxf) 20(4):547–552

    Article  Google Scholar 

  • Mössner R, Schuhmacher A, Kühn K-U, Cvetanovska G, Rujescu D, Zill P, Quednow BB, Rietschel M, Wölwer W, Gaebel W, Wagner M, Maier W (2009) Functional serotonin 1A receptor variant influences treatment response to atypical antipsychotics in schizophrenia. Pharmacogenet Genomics 19(1):91–94

    Article  PubMed  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(1):145–148

    Article  PubMed  Google Scholar 

  • Nocjar C, Roth BL, Pehek EA (2002) Localization of 5-HT(2A) receptors on dopamine cells in subnuclei of the midbrain A10 cell group. Neuroscience 111(1):163–176

    Article  PubMed  Google Scholar 

  • Ohara K, Nagai M, Tani K, Tsukamoto T (1999) Schizophrenia and the serotonin-2A receptor promoter polymorphism. Psychiatry Res 85(2):221–224

    Article  PubMed  Google Scholar 

  • Pae C-U, Artioli P, Serretti A, Kim T-S, Kim J-J, Lee C-U, Lee S-J, Lee C, Paik I-H (2005) No evidence for interaction between 5-HT2A receptor and serotonin transporter genes in schizophrenia. Neurosci Res 52(2):195–199

    Article  PubMed  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(6):365–369

    Article  PubMed  Google Scholar 

  • Patel PD, Pontrello C, Burke S (2004) Robust and tissue-specific expression of TPH2 versus TPH1 in rat raphe and pineal gland. Biol Psychiatry 55(4):428–433

    Article  PubMed  Google Scholar 

  • Peñas-Lledó EM, Dorado P, Cáceres MC, de la Rubia A, Llerena A (2007) Association between T102C and A-1438G polymorphisms in the serotonin receptor 2A (5-HT2A) gene and schizophrenia: relevance for treatment with antipsychotic drugs. Clin Chem Lab Med 45(7):835–838

    Article  PubMed  Google Scholar 

  • Reynolds GP, Arranz B, Templeman LA, Fertuzinhos S, San L (2006) Effect of 5-HT1A receptor gene polymorphism on negative and depressive symptom response to antipsychotic treatment of drug-naive psychotic patients. Am J Psychiatry 163(10):1826–1829

    Article  PubMed  Google Scholar 

  • Sáiz PA, García-Portilla MP, Arango C, Morales B, Alvarez V, Coto E, Fernández JM, Bascarán MT, Bousoño M, Bobes J (2007) Association study of serotonin 2A receptor (5-HT2A) and serotonin transporter (5-HTT) gene polymorphisms with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 31(3):741–745

    Article  PubMed  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 128B(1):24–26

    Article  PubMed  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(2):171–172

    Article  PubMed  Google Scholar 

  • Shifman S, Johannesson M, Bronstein M, Chen S, Collier D, Craddock N, Kendler K, Li T, O’Donovan M, O’Neill FA, Owen M, Walsh D, Weinberger D, Sun C, Flint J, Darvasi A (2008) Genome-wide association identifies a common variant in the reelin gene that increases the risk of schizophrenia only in women. PLoS Genet 4(2):e28–e28

    Article  PubMed  Google Scholar 

  • Sodhi MSK, Sanders-Bush E (2004) Serotonin and brain development. Int Rev Neurobiol 59:111–174

    Article  PubMed  Google Scholar 

  • Wang L, Yu L, He G, Zhang J, Zhang A-P, Du J, Tang R-Q, Zhao X-Z, Ma J, Xuan J-K, Xiao Y, Gu N-F, Feng G-Y, Xu M-Q, Xing Q-H, He L (2007) Response of risperidone treatment may be associated with polymorphisms of HTT gene in Chinese schizophrenia patients. Neurosci Lett 414(1):1–4

    Article  PubMed  Google Scholar 

  • Werkman TR, Glennon JC, Wadman WJ, McCreary AC (2006) Dopamine receptor pharmacology: interactions with serotonin receptors and significance for the aetiology and treatment of schizophrenia. CNS Neurol Disord Drug Targets 5(1):3–23

    Article  PubMed  Google Scholar 

  • Williams J, McGuffin P, Nöthen M, Owen MJ (1997) Meta-analysis of association between the 5-HT2a receptor T102C polymorphism and schizophrenia. EMASS Collaborative Group. European multicentre association study of Schizophrenia. Lancet 349(9060):1221

    Article  PubMed  Google Scholar 

  • Willins DL, Deutch AY, Roth BL (1997) Serotonin 5-HT2A receptors are expressed on pyramidal cells and interneurons in the rat cortex. Synapse 27(1):79–82

    Article  PubMed  Google Scholar 

  • Woolley DW, Shaw E (1954) A biochemical and pharmacological suggestion about certain mental disorders. Proc Natl Acad Sci USA 40(4):228–231

    Article  PubMed  Google Scholar 

  • Zaboli G, Jönsson EG, Gizatullin R, Asberg M, Leopardi R (2006) Tryptophan hydroxylase-1 gene variants associated with schizophrenia. Biol Psychiatry 60(6):563–569

    Article  PubMed  Google Scholar 

  • Zill P, Büttner A, Eisenmenger W, Bondy B, Ackenheil M (2004) Regional mRNA expression of a second tryptophan hydroxylase isoform in postmortem tissue samples of two human brains. Eur Neuropsychopharmacol 14(4):282–284

    Article  PubMed  Google Scholar 

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Acknowledgment

This study was supported by a Korea University Grant.

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Correspondence to Ho-Kyoung Yoon.

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Edited by Pak Sham.

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Kim, YK., Yoon, HK. Effect of Serotonin-Related Gene Polymorphisms on Pathogenesis and Treatment Response in Korean Schizophrenic Patients. Behav Genet 41, 709–715 (2011). https://doi.org/10.1007/s10519-011-9460-7

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