Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1997-7-30
pubmed:abstractText
Schizophrenia is a serious psychiatric illness with a life-time risk of approximately one percent. Many of the patients, but not all, benefit from treatment with anti-psychotic drugs known to block dopamine D2-like receptors. The use of conventional neuroleptics is, however, hampered by the risk of extrapyramidal side-effects. Tardive dyskinesia (TD) is usually regarded as the most serious of these drug-induced movement disorders due to its high prevalence and potentially irreversible nature. In this study, we have investigated the genetic variation of the dopamine D3 receptor gene (DRD3) as a putative risk factor for TD in schizophrenic patients receiving long-term anti-psychotic drug therapy. We found a high frequency (22-24%) of homozygosity for the Ser9Gly variant (allele 2) of the DRD3 gene among subjects with TD in both a cross-sectional and a longitudinal evaluation, as compared with the relative under-representation (4-6%) of this genotype in patients with no or fluctuating TD. This result indicates that autosomal inheritance of two polymorphic Ser9Gly alleles (2-2 genotype), but not homozygosity for the wild-type allele (1-1 genotype), is a susceptibility factor for the development of TD, an observation which may improve the understanding of the pathophysiological mechanisms of TD and influence the design and choice of future anti-psychotic drugs. The correlation between a serious motor side-effect and a genetic marker could lead to selection bias in the sampling of schizophrenic patients for genetic studies, and may therefore explain the apparent association reported between susceptibility for schizophrenia per se and homozygosity for the DRD3 gene.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1359-4184
pubmed:author
pubmed:issnType
Print
pubmed:volume
2
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
139-45
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9106238-Adult, pubmed-meshheading:9106238-Aged, pubmed-meshheading:9106238-Alleles, pubmed-meshheading:9106238-Antipsychotic Agents, pubmed-meshheading:9106238-Codon, pubmed-meshheading:9106238-Cross-Sectional Studies, pubmed-meshheading:9106238-Disease Susceptibility, pubmed-meshheading:9106238-Dopamine Antagonists, pubmed-meshheading:9106238-Dyskinesia, Drug-Induced, pubmed-meshheading:9106238-Female, pubmed-meshheading:9106238-Gene Frequency, pubmed-meshheading:9106238-Genotype, pubmed-meshheading:9106238-Humans, pubmed-meshheading:9106238-Longitudinal Studies, pubmed-meshheading:9106238-Male, pubmed-meshheading:9106238-Middle Aged, pubmed-meshheading:9106238-Point Mutation, pubmed-meshheading:9106238-Polymorphism, Genetic, pubmed-meshheading:9106238-Prevalence, pubmed-meshheading:9106238-Receptors, Dopamine D2, pubmed-meshheading:9106238-Receptors, Dopamine D3, pubmed-meshheading:9106238-Risk Factors, pubmed-meshheading:9106238-Schizophrenia, pubmed-meshheading:9106238-Scotland
pubmed:year
1997
pubmed:articleTitle
Dopamine D3-receptor gene variant and susceptibility to tardive dyskinesia in schizophrenic patients.
pubmed:affiliation
Center of Molecular Medicine, Haukeland University Hospital, Bergen, Norway.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't