Department of Psychiatry, Bucheon St. Mary's Hospital, Catholic University of Korea College of Medicine, Bucheon, Republic of Korea.
Neuropsychobiology. 2010;62(4):245-9. doi: 10.1159/000320863. Epub 2010 Sep 9.
The aim of the present study was to investigate possible influences of a panel of markers in the dysbindin gene DTNBP1 (rs3213207, rs1011313, rs2005976, rs760761 and rs2619522) on the clinical outcome and side effects associated to the treatment with aripiprazole in schizophrenic patients.
Efficacy was assessed at baseline and weeks 1, 2, 4, 6 and 8 using the Clinical Global Impression Severity and Improvement Scales, the Brief Psychiatric Rating Scale and the Schedule for the Assessment of Negative Symptoms. Side effects were evaluated by the Simpson-Angus, Barnes Akathisia and Abnormal Involuntary Movement Scales. Multivariate analysis of covariance was used to test possible influences of single nucleotide polymorphisms on clinical and safety scores. Analysis of haplotypes was also performed.
No relevant association between DTNBP1 variants and clinical or safety scores was observed. Additionally, haplotype analysis did not reveal any significant association with clinical and safety scores at any time as well.
Our data suggest no association between the investigated alleles and genotypes in DTNBP1 and the response to aripiprazole. However, because several limitations characterize the present study, further investigations are required.
本研究旨在探讨多态性标志物在神经结合蛋白基因 DTNBP1(rs3213207、rs1011313、rs2005976、rs760761 和 rs2619522)上的可能影响,以及其对精神分裂症患者使用阿立哌唑治疗的临床疗效和不良反应的影响。
使用临床总体印象严重程度和改善量表、简明精神病评定量表和阴性症状评定量表,在基线和第 1、2、4、6 和 8 周评估疗效。采用辛普森-安格斯、巴恩斯静坐不能和异常不自主运动量表评估不良反应。采用协方差多变量分析检验单核苷酸多态性对临床和安全性评分的可能影响。同时还进行了单倍型分析。
未观察到 DTNBP1 变异与临床或安全性评分之间存在相关性。此外,在任何时间点,单倍型分析也未显示与临床和安全性评分有任何显著关联。
我们的数据表明,所研究的 DTNBP1 等位基因和基因型与阿立哌唑的反应之间没有关联。然而,由于本研究存在一些局限性,需要进一步的研究。