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S48.03 - The influence of polymorphism for Serotonin 5HT-1A receptor on phenotypic variables in schizophrenia

Published online by Cambridge University Press:  16 April 2020

J. Horacek
Affiliation:
Prague Psychiatric Center, Prague, Czech Republic 3rd Faculty of Medicine, Charles University, Prague, Czech Republic Centre of Neuropsychiatric Studies, Prague, Czech Republic
F. Spaniel
Affiliation:
3rd Faculty of Medicine, Charles University, Prague, Czech Republic
M. Brunovsky
Affiliation:
Centre of Neuropsychiatric Studies, Prague, Czech Republic
T. Novak
Affiliation:
3rd Faculty of Medicine, Charles University, Prague, Czech Republic
B. Tislerova
Affiliation:
3rd Faculty of Medicine, Charles University, Prague, Czech Republic
M. Kopecek
Affiliation:
Centre of Neuropsychiatric Studies, Prague, Czech Republic
P. Mohr
Affiliation:
Prague Psychiatric Center, Prague, Czech Republic
C. Hoschl
Affiliation:
Prague Psychiatric Center, Prague, Czech Republic Centre of Neuropsychiatric Studies, Prague, Czech Republic

Abstract

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Dysfunction of the serotonin system has been implicated in schizophrenia. 5-HT1A and 5-HT2A serotonin receptors are involved in the action of antipsychotic drugs. A common functional polymorphism (rs6295) in the promoter region of the human 5-HT1A receptor gene has been reported. This polymorphism may be useful in identifying psychopathology and phenotypic characteristics associated with altered function of the human 5-HT1A receptor.

The aim of this study was to determine whether genetic variants for these receptor influence the functional morphological characteristics of brain in schizophrenia.

63 patients with schizophrenia were genotyped for the functional variant in the promoter region of 5-HT1A receptor (rs6295) and for polymorphisms for 5-HT2A (rs6313) and serotonin transporter-SERT (rs4795541). The subjects were investigated by 18fluoro-deoxyglucose (18FDG) positron emission tomography (PET) in the resting state, magnetic resonance imaging (MR) and functional magnetic resonance (fMR) with 2-back test activation paradigm. Voxel-based-morphometry (VBM) was used to detect the differences in the density of grey and white matter. The neuroimaging data were treated by the use Statistical Parametric Mapping (SPM5) with genetic variants as the factor.

The polymorphism in 5-HT1A receptor was associated with the functional morphometric characteristics in cortical regions in projection areas of serotonergic system.

Our findings identify an important genetic factor predicting functional and structural characteristics in schizophrenia. Future research would test the role of HT1A polymorphism in the interaction with 5HT2A and SERT on morphological characteristics within the context of antipsychotic effects.

This research was supported by grant NR9324 (IGA MZCR) and by the project 1M0517 (MSMT).

Type
Symposium: The role of 5-HT1AR in pathophysiology and treatment of schizophrenia
Copyright
Copyright © European Psychiatric Association 2008
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