Genetic Variation in One-Carbon Metabolism and Changes in Metabolic Parameters in First-Episode Schizophrenia Patients

Autor: Ryszard Ślęzak, Elżbieta Szmida, Patryk Piotrowski, Natalia Sloka, Andrzej Kiejna, Dorota Frydecka, Błażej Misiak, Łukasz Łaczmański
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Adult
Male
medicine.medical_specialty
Waist
Genotype
MTHFD1
metabolic syndrome
polymorphism
Body Mass Index
Minor Histocompatibility Antigens
03 medical and health sciences
Young Adult
0302 clinical medicine
Polymorphism (computer science)
Internal medicine
medicine
Humans
Pharmacology (medical)
Regular Research Article
Methylenetetrahydrofolate Reductase (NADPH2)
Pharmacology
Genetics
Methylenetetrahydrofolate Dehydrogenase (NADP)
antipsychotic-induced weight gain
Polymorphism
Genetic

biology
medicine.disease
MTRR
methylenetetrahydrofolate reductase
digestive system diseases
Ferredoxin-NADP Reductase
Psychiatry and Mental health
030104 developmental biology
Endocrinology
Betaine-Homocysteine S-Methyltransferase
Methylenetetrahydrofolate reductase
MTHFR
biology.protein
Schizophrenia
Female
Metabolic syndrome
Waist Circumference
Body mass index
030217 neurology & neurosurgery
Antipsychotic Agents
Zdroj: International Journal of Neuropsychopharmacology
ISSN: 1469-5111
1461-1457
Popis: Background: In this study, we aimed to investigate the effects of polymorphisms in genes encoding 1-carbon metabolism enzymes on differential development of metabolic parameters during 12 weeks of treatment with second-generation antipsychotics in first-episode schizophrenia patients. Methods: The following polymorphisms in 1-carbon metabolism genes were genotyped: MTHFR (C677T and A1298C), MTHFD1 (G1958A), MTRR (A66G), and BHMT (G742A). A broad panel of metabolic parameters including body mass index, waist circumference, total cholesterol low and high density lipoproteins, triglycerides, homocysteine, folate, and vitamin B12 was determined. Results: There was a significant effect of the interaction between the MTHFR C677T polymorphism and time on body mass index and waist circumference in the allelic and genotype analyses. Indeed, patients with the MTHFR 677CC genotype had higher increase in body mass index and waist circumference compared with other corresponding genotypes or the MTHFR 677T allele carriers (CT and TT genotypes). In addition, patients with the MTHFR 677TT genotype had higher waist circumference in all time points. Similarly, patients with the MTHFR 677TT genotype had higher body mass index in all time points, but this effect was not significant after correction for multiple testing. Conclusions: Our results indicate that the MTHFR C677T polymorphism may predict antipsychotic-induced weight gain. Effects of the MTHFR C677T polymorphism might be different in initial exposure to antipsychotics compared with long-term perspective.
Databáze: OpenAIRE