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5-羟色胺2A受体基因启动子区域-1438G/A多态性与抗精神病药物所致体重增加无关联

[No association of -1438G/A polymorphism in promoter region of 5-HT2A receptor gene with antipsychotic agent-induced weight gain].

作者信息

Mou Xiao-dong, Zhang Zhi-jun, Yao Zhi-jian, Liu Wen, Zhang Xiang-rong, Shi Jia-bo, Sun Jing

机构信息

Department of Neurology and Psychology, Affiliated Zhongda Hospital of Southeast University, Nanjing, Jiangsu, PR China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2005 Oct;22(5):575-6.

Abstract

OBJECTIVE

To investigate whether the -1438G/A polymorphism in the promoter region of 5-HTR2A gene associates with the weight gain following antipsychotic agents (APS) acute treatment in schizophrenic patients.

METHODS

Eighty-four Chinese Han patients with schizophrenia at the first onset were recruited from among 70 nuclear families. The polymorphism of 5-HTR2A gene was determined with PCR-RFLP technique. Body weight was measured in the patients on admission after 10 weeks of treatment with risperidone or chlorpromazine.

RESULTS

There were no statistically significant differences in the distribution frequencies of genotype (chi2: 0.172, v1, P > 0.05) and allele (chi2: 0.121, v1, P > 0.05) of -1438G/A polymorphism of 5-HTR2A gene between subgroups (weight gain >or= 7% or < 7%). Likewise, there was no significant difference in weight gain between genotype groups. By means of transmission disequilibrium test and quantitative transmission disequilibrium test, no significant association between the -1438G/A polymorphism of 5-HTR2A gene and weight gain was observed.

CONCLUSION

5-HTR2A gene -1438G/A polymorphism was probably not associated with APS-induced weight gain in Chinese Han patients with schizophrenia in this study.

摘要

目的

探讨5-羟色胺受体2A(5-HTR2A)基因启动子区域-1438G/A多态性与精神分裂症患者抗精神病药物(APS)急性治疗后体重增加是否相关。

方法

从70个核心家庭中招募84例首次发病的中国汉族精神分裂症患者。采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术检测5-HTR2A基因的多态性。在患者入院时及使用利培酮或氯丙嗪治疗10周后测量体重。

结果

5-HTR2A基因-1438G/A多态性的基因型(χ2:0.172,v1,P>0.05)和等位基因(χ2:0.121,v1,P>0.05)分布频率在亚组(体重增加≥7%或<7%)之间无统计学显著差异。同样,基因型组之间体重增加也无显著差异。通过传递不平衡检验和定量传递不平衡检验,未观察到5-HTR2A基因-1438G/A多态性与体重增加之间存在显著关联。

结论

在本研究中,5-HTR2A基因-1438G/A多态性可能与中国汉族精神分裂症患者APS诱导的体重增加无关。

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