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ATAD3B and SKIL polymorphisms associated with antipsychotic-induced QTc interval change in patients with schizophrenia: a genome-wide association study.

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机构: [1]Institute of Mental Health, Peking University Sixth Hospital, Beijing 100191, China. [2]National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China. [3]NHC Key Laboratory of Mental Health, & Research Unit of Diagnosis and Treatment of Mood Cognitive Disorder (2018RU006), Chinese Academy of Medical Sciences, Beijing 100191, China. [4]Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing 100096, China. [5]Department of Psychiatry, Jining Medical University, Jining, Shandong 272067, China. [6]Henan Key Lab of Biological Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan 435001, China. [7]Key Laboratory of Animal Models and Human Disease Mechanisms of the Chinese Academy of Sciences and Yunnan Province, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, Yunnan 650223, China. [8]PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100871, China. [9]Chinese Institute for Brain Research, Beijing 102206, China.
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QTc interval prolongation is one of the most common antipsychotic-induced side effects which could lead to ventricular tachycardia or Torsade de Pointes, even cardiac arrest. There is very limited understanding on the genetic factors that associated with antipsychotic-induced QTc interval change. We conducted a genome-wide association study (GWAS) of antipsychotic-induced QTc interval change among patients with schizophrenia. A total of 2040 patients with schizophrenia were randomly assigned to six groups (olanzapine, risperidone, quetiapine, aripiprazole, ziprasidone, and first-generation antipsychotics; first-generation antipsychotics including haloperidol or perphenazine were also assigned randomly) and received 6-week antipsychotic treatment. We identified two novel loci (rs200050752 in ATAD3B and rs186507741 in SKIL) that were associated with antipsychotic-induced QTc interval change at a genome-wide significance level. The combination of polygenic risk score (PRS), based the GWAS of myocardial infarction from BioBank Japan project, and clinical data (sex, heart rate and QTc interval at baseline) could be applied to predict whether patients with schizophrenia have QTc interval prolongation (10 ms was applied as threshold, P < 0.001, area under the curve [AUC] was 0.797), especially for the first episode patients (P < 0.001, AUC was 0.872). We identified two loci located within genes related to mitochondrial function and cell growth and differentiation, which were both associated with schizophrenia and heart function. The combination of PRS and clinical data could predict whether patients with schizophrenia have the side effect of QTc interval prolongation, which could fundamentally guide the choice of antipsychotic in patients with schizophrenia, especially for the first-episode patients.© 2022. The Author(s).

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出版当年[2022]版:
大类 | 1 区 医学
小类 | 2 区 精神病学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 精神病学
第一作者:
第一作者机构: [1]Institute of Mental Health, Peking University Sixth Hospital, Beijing 100191, China. [2]National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China. [3]NHC Key Laboratory of Mental Health, & Research Unit of Diagnosis and Treatment of Mood Cognitive Disorder (2018RU006), Chinese Academy of Medical Sciences, Beijing 100191, China.
通讯作者:
通讯机构: [1]Institute of Mental Health, Peking University Sixth Hospital, Beijing 100191, China. [2]National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China. [3]NHC Key Laboratory of Mental Health, & Research Unit of Diagnosis and Treatment of Mood Cognitive Disorder (2018RU006), Chinese Academy of Medical Sciences, Beijing 100191, China. [8]PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100871, China. [9]Chinese Institute for Brain Research, Beijing 102206, China.
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