101. G-protein gene 825CT polymorphism is associated with response to clozapine in Brazilian schizophrenics
- Author
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Maria Inês Rodrigues Lobato, Clarissa Severino Gama, Paulo Belmonte-de-Abreu, Fabiana B. Kohlrausch, Mara H. Hutz, and Angélica Salatino-Oliveira
- Subjects
Oncology ,Adult ,Male ,medicine.medical_specialty ,Genotype ,Pharmacology ,White People ,Gene Frequency ,Polymorphism (computer science) ,Internal medicine ,Genetics ,Medicine ,Humans ,Allele frequency ,Clozapine ,Alleles ,Polymorphism, Genetic ,business.industry ,Homozygote ,medicine.disease ,Heterotrimeric GTP-Binding Proteins ,Protein Subunits ,Logistic Models ,Schizophrenia ,Molecular Medicine ,Female ,Gene polymorphism ,business ,Pharmacogenetics ,Brazil ,GNB3 ,medicine.drug ,Antipsychotic Agents - Abstract
Aims: Clozapine treatment of schizophrenia is effective only in 30–60% of individuals. Since genetic factors are believed to play a significant role in the variation of response to antipsychotics, the aim of the present study was to verify the effect of a G-protein gene polymorphism on clozapine response and clozapine-induced generalized seizures in Brazilian patients with schizophrenia. Patients & methods: In total, 121 schizophrenic patients in treatment with clozapine were genotyped for the 825C>T polymorphism it the GNB3 gene using PCR. Results: Homozygosity for the T825 allele was more frequent among nonresponders (χ2 = 7.708; p = 0.021), and carriers of this allele had a higher risk to present a convulsion episode (χ2 = 7.279; p = 0.007). These results were confirmed after controlling for covariates by logistic regression. Conclusion: Our data suggest an influence of the 825C>T polymorphism on clozapine response in persons with schizophrenia and also on a specific neurological side effect (generalized seizures) under clozapine treatment.
- Published
- 2008