PMID- 19207030 OWN - NLM STAT- MEDLINE DCOM- 20090518 LR - 20090211 IS - 1744-8042 (Electronic) IS - 1462-2416 (Linking) VI - 10 IP - 2 DP - 2009 Feb TI - Genetic susceptibility to schizophrenia: role of dopaminergic pathway gene polymorphisms. PG - 277-91 LID - 10.2217/14622416.10.2.277 [doi] AB - AIM: We investigated 16 polymorphisms from three genes, dopamine receptor D2 (DRD2), catechol-O-methyl transferase (COMT) and brain derived neurotrophic factor (BDNF), which are involved in the dopaminergic pathways, and have been reported to be associated with susceptibility to schizophrenia and response to antipsychotic therapy. MATERIALS & METHODS: Single-locus association analyses of these polymorphisms were carried out in 254 patients with schizophrenia and 225 controls, all of southern Indian origin. Additionally, multifactor-dimensionality reduction analysis was performed in 422 samples (243 cases and 179 controls) to examine the gene-gene interactions and to identify combinations of multilocus genotypes associated with either high or low risk for the disease. RESULTS: Our results demonstrated initial significant associations of two SNPs for DRD2 (rs11608185, genotype: chi(2) = 6.29, p-value = 0.043; rs6275, genotype: chi(2) = 8.91, p-value = 0.011), and one SNP in the COMT gene (rs4680, genotype: chi(2) = 6.67, p-value = 0.035 and allele: chi(2) = 4.75, p-value = 0.029; odds ratio: 1.33, 95% confidence interval: 1.02-1.73), but not after correction for multiple comparisons indicating a weak association of individual markers of DRD2 and COMT with schizophrenia. Multifactor-dimensionality reduction analysis suggested a two locus model (rs6275/DRD2 and rs4680/COMT) as the best model for gene-gene interaction with 90% cross-validation consistency and 42.42% prediction error in predicting disease risk among schizophrenia patients. CONCLUSION: The present study thus emphasizes the need for multigene interaction studies in complex disorders such as schizophrenia and to understand response to drug treatment, which could lead to a targeted and more effective treatment. FAU - Gupta, Meenal AU - Gupta M AD - Functional Genomics Unit, Institute of Genomics and Integrative Biology (Council of Scientific and Industrial Research), Mall Road, Delhi 110 007, India. FAU - Chauhan, Chitra AU - Chauhan C FAU - Bhatnagar, Pallav AU - Bhatnagar P FAU - Gupta, Simone AU - Gupta S FAU - Grover, Sandeep AU - Grover S FAU - Singh, Prashant K AU - Singh PK FAU - Purushottam, Meera AU - Purushottam M FAU - Mukherjee, Odity AU - Mukherjee O FAU - Jain, Sanjeev AU - Jain S FAU - Brahmachari, Samir K AU - Brahmachari SK FAU - Kukreti, Ritushree AU - Kukreti R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Pharmacogenomics JT - Pharmacogenomics JID - 100897350 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (DRD3 protein, human) RN - 0 (Receptors, Dopamine D3) RN - EC 2.1.1.6 (Catechol O-Methyltransferase) SB - IM MH - Adult MH - Amino Acid Substitution MH - Brain-Derived Neurotrophic Factor/*genetics MH - Case-Control Studies MH - Catechol O-Methyltransferase/*genetics MH - Exons MH - Female MH - *Genetic Predisposition to Disease MH - *Genetic Variation MH - Humans MH - India MH - Male MH - *Polymorphism, Genetic MH - *Polymorphism, Single Nucleotide MH - Receptors, Dopamine D3/*genetics MH - Reference Values MH - Schizophrenia/*genetics MH - Young Adult EDAT- 2009/02/12 09:00 MHDA- 2009/05/19 09:00 CRDT- 2009/02/12 09:00 PHST- 2009/02/12 09:00 [entrez] PHST- 2009/02/12 09:00 [pubmed] PHST- 2009/05/19 09:00 [medline] AID - 10.2217/14622416.10.2.277 [pii] AID - 10.2217/14622416.10.2.277 [doi] PST - ppublish SO - Pharmacogenomics. 2009 Feb;10(2):277-91. doi: 10.2217/14622416.10.2.277.