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中国精神分裂症患者血清素受体7基因(HTR7)与利培酮反应的关联分析。

Association analysis of serotonin receptor 7 gene (HTR7) and risperidone response in Chinese schizophrenia patients.

作者信息

Wei Zhiyun, Wang Lei, Xuan Jiekun, Che Ronglin, Du Jing, Qin Shengying, Xing Yi, Gu Bo, Yang Lun, Li Huafang, Li Jun, Feng Guoyin, He Lin, Xing Qinghe

机构信息

Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2009 Apr 30;33(3):547-51. doi: 10.1016/j.pnpbp.2009.02.008. Epub 2009 Feb 20.

Abstract

Several lines of evidence suggest that the human 5-HT(7) receptor may be involved in the pharmacodynamics of risperidone and may influence clinical response of the drug. A pharmocogenetics study of this receptor may therefore be useful in developing individualized therapy. But few studies about it have been done. In this study, we genotyped ten single nucleotide polymorphisms (SNPs) distributed throughout the HTR7 gene and analyzed six of them for association with the reduction of Brief Psychiatric Rating Scale (BPRS) scores in drug-naive Chinese schizophrenia patients, following an eight-week period of risperidone monotherapy. The confounding effects of nongenetic factors were estimated and the baseline symptom score as well as the duration of illness were included as covariates for adjustment. No significant correlation of HTR7 with antipsychotic efficacy was detected in either genotype or haplotype analysis. These results demonstrate that variations in the HTR7 gene may not be good genetic markers for predicting the therapeutic efficacy of risperidone.

摘要

多项证据表明,人类5-羟色胺(7)受体可能参与利培酮的药效学过程,并可能影响该药物的临床反应。因此,对该受体进行药物遗传学研究可能有助于制定个体化治疗方案。但关于这方面的研究很少。在本研究中,我们对分布于整个HTR7基因的10个单核苷酸多态性(SNP)进行了基因分型,并对其中6个SNP与未服用过药物的中国精神分裂症患者在接受为期8周的利培酮单药治疗后简明精神病评定量表(BPRS)评分降低之间的关联性进行了分析。评估了非遗传因素的混杂效应,并将基线症状评分以及病程作为协变量进行调整。在基因型或单倍型分析中均未检测到HTR7与抗精神病疗效之间存在显著相关性。这些结果表明,HTR7基因的变异可能不是预测利培酮治疗疗效的良好遗传标志物。

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