The First Geriatric Department, Tongde Hospital of Zhejiang Province, Hangzhou, China.
Asia Pac Psychiatry. 2013 Mar;5(1):24-30. doi: 10.1111/appy.12027. Epub 2013 Jan 22.
Several lines of evidence have indicated that serotonin 2A receptor (HTR2A) may be involved in the pathophysiology of schizophrenia. One functional polymorphism in HTR2A (T102C) has been widely investigated; however, the results have been inconsistent. The purpose of this study was to evaluate the association between HTR2A T02C polymorphism and schizophrenia in a Chinese Han population.
We performed a case-control study, using an early onset sample, which may be an attractive subgroup for genetic studies. In addition, we performed a meta-analysis of the combined sample groups in Han Chinese.
Our study, based on 385 schizophrenic patients and 399 controls, found a significant genotype-wise association of T102C and schizophrenia (P = 0.02). After applying stratified analyses, the dominant model for T allele produced significant association (OR = 1.60, 95%CI = 1.11-2.30, P = 0.01). In the meta-analysis including all of the published population-based association studies in Han Chinese and the present association study, the pooled genotype-wise result in a dominant model was statistically significant with a summary OR of 1.25 (95%CI = 1.04-1.50, P = 0.02).
Our results suggest that the HTR2A T102C polymorphism may confer susceptibility to schizophrenia in Han Chinese.
有几项证据表明,5-羟色胺 2A 受体(HTR2A)可能与精神分裂症的病理生理学有关。HTR2A 中的一个功能多态性(T102C)已经被广泛研究;然而,结果并不一致。本研究旨在评估 HTR2A T02C 多态性与汉族人群精神分裂症之间的关联。
我们进行了一项病例对照研究,使用了一个早期发病的样本,这可能是遗传研究的一个有吸引力的亚组。此外,我们对汉族的合并样本组进行了荟萃分析。
我们的研究基于 385 例精神分裂症患者和 399 例对照,发现 T102C 与精神分裂症的基因型存在显著关联(P=0.02)。经过分层分析,T 等位基因的显性模型产生了显著的关联(OR=1.60,95%CI=1.11-2.30,P=0.01)。在包括所有汉族人群基于人群的关联研究和本研究的荟萃分析中,显性模型的汇总基因型结果具有统计学意义,汇总 OR 为 1.25(95%CI=1.04-1.50,P=0.02)。
我们的结果表明,HTR2A T102C 多态性可能使汉族人群易患精神分裂症。