PMID- 27546373 OWN - NLM STAT- MEDLINE DCOM- 20180129 LR - 20210816 IS - 1873-7862 (Electronic) IS - 0924-977X (Linking) VI - 26 IP - 10 DP - 2016 Oct TI - Pharmacogenetic study of the effects of raloxifene on negative symptoms of postmenopausal women with schizophrenia: A double-blind, randomized, placebo-controlled trial. PG - 1683-9 LID - S0924-977X(16)30163-8 [pii] LID - 10.1016/j.euroneuro.2016.08.006 [doi] AB - Several double-blind clinical trials have reported improvement in positive, negative and cognitive symptoms of schizophrenia with raloxifene, a selective receptor estrogen modulator. However, there are some inconsistencies in replicating findings between studies of different countries. The failure to replicate these findings may result from genetic factors that could explain some of the variability in the treatment response. However, pharmacogenetic studies exploring this topic in women with schizophrenia are lacking. We aimed to conduct an exploratory pharmacogenetic analysis of a double-blind, randomized, parallel, placebo-controlled study of 24 weeks' duration of raloxifene aiming to improve negative symptoms in postmenopausal women with schizophrenia. Four single nucleotide polymorphisms (SNPs) were studied: rs9340799, rs2234693 and rs1801132 in the Estrogen Receptor 1 (ESR1) gene, and rs1042597 in the UDP-glucuronosyltransferase 1A8 (UGT1A8) gene. Sixty-five postmenopausal women with schizophrenia (DSM-IV) were randomized to either 60mg/day adjunctive raloxifene (36 women) or adjunctive placebo (29 women). Psychopathological symptoms were assessed at baseline and at weeks 4, 12, and 24 with the Positive and Negative Syndrome Scale (PANSS). Of the four studied SNPs, the rs1042597 variant in the UGT1A8 gene was associated with a different treatment response in negative symptoms with raloxifene treatment, whereas the rs2234693 variant in the ESR1 gene was associated with a distinct response in general psychopathology. In conclusion, our study suggests that genetic variants in UGT1A8 and ESR1 genes modulate the treatment response to adding raloxifene to antipsychotic treatment in postmenopausal women with schizophrenia. CI - Copyright (c) 2016 Elsevier B.V. and ECNP. All rights reserved. FAU - Labad, Javier AU - Labad J AD - Corporacio Sanitaria i Universitaria Parc Tauli, Mental Health Department, Universitat Autonoma de Barcelona, Sabadell, Spain; Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain. Electronic address: jlabad@tauli.cat. FAU - Martorell, Lourdes AU - Martorell L AD - Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, Reus, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain. FAU - Huerta-Ramos, Elena AU - Huerta-Ramos E AD - Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain; Parc Sanitari Sant Joan de Deu, Research and Development Unit, Sant Boi de Llobregat, Spain. FAU - Cobo, Jesus AU - Cobo J AD - Corporacio Sanitaria i Universitaria Parc Tauli, Mental Health Department, Universitat Autonoma de Barcelona, Sabadell, Spain; Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain. FAU - Vilella, Elisabet AU - Vilella E AD - Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, Reus, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain. FAU - Rubio-Abadal, Elena AU - Rubio-Abadal E AD - Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain; Parc Sanitari Sant Joan de Deu, Research and Development Unit, Sant Boi de Llobregat, Spain. FAU - Garcia-Pares, Gemma AU - Garcia-Pares G AD - Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Cap EAE Salut Mental, Andorra. FAU - Creus, Marta AU - Creus M AD - Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, Reus, Spain. FAU - Nunez, Cristian AU - Nunez C AD - Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain; Parc Sanitari Sant Joan de Deu, Research and Development Unit, Sant Boi de Llobregat, Spain. FAU - Ortega, Laura AU - Ortega L AD - Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, Reus, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain. FAU - Miquel, Eva AU - Miquel E AD - Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain; Parc Sanitari Sant Joan de Deu, Research and Development Unit, Sant Boi de Llobregat, Spain. CN - RALOPSYCAT Group FAU - Usall, Judith AU - Usall J AD - Catalan Group in Women's Mental Health Research (GTRDSM), Barcelona, Spain; Instituto de Salud Carlos III, Centro de Investigacion en Red de Salud Mental (CIBERSAM), Madrid, Spain; Parc Sanitari Sant Joan de Deu, Research and Development Unit, Sant Boi de Llobregat, Spain. LA - eng PT - Journal Article DEP - 20160818 PL - Netherlands TA - Eur Neuropsychopharmacol JT - European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology JID - 9111390 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) RN - 0 (Selective Estrogen Receptor Modulators) RN - 4F86W47BR6 (Raloxifene Hydrochloride) RN - EC 2.4.1.17 (Glucuronosyltransferase) RN - EC 2.4.1.17 (UDP-glucuronosyltransferase, UGT1A8) SB - IM MH - Age of Onset MH - Aged MH - Diagnostic and Statistical Manual of Mental Disorders MH - Double-Blind Method MH - Estrogen Receptor alpha/genetics MH - Female MH - Genotype MH - Glucuronosyltransferase/genetics MH - Humans MH - Middle Aged MH - *Pharmacogenetics MH - Pharmacogenomic Testing MH - Polymorphism, Single Nucleotide/genetics MH - Postmenopause/psychology MH - Raloxifene Hydrochloride/*adverse effects MH - *Schizophrenia MH - *Schizophrenic Psychology MH - Selective Estrogen Receptor Modulators/*adverse effects OTO - NOTNLM OT - Genetics OT - Negative symptoms OT - Pharmacogenetics OT - Postmenopause OT - Raloxifene OT - Schizophrenia EDAT- 2016/08/23 06:00 MHDA- 2018/01/30 06:00 CRDT- 2016/08/23 06:00 PHST- 2016/03/16 00:00 [received] PHST- 2016/07/20 00:00 [revised] PHST- 2016/08/05 00:00 [accepted] PHST- 2016/08/23 06:00 [entrez] PHST- 2016/08/23 06:00 [pubmed] PHST- 2018/01/30 06:00 [medline] AID - S0924-977X(16)30163-8 [pii] AID - 10.1016/j.euroneuro.2016.08.006 [doi] PST - ppublish SO - Eur Neuropsychopharmacol. 2016 Oct;26(10):1683-9. doi: 10.1016/j.euroneuro.2016.08.006. Epub 2016 Aug 18.