Related Experiment Video
Updated: Jun 29, 2026

Developing a Rat Model for Bipolar Disorder
Published on: May 2, 2025
Genetic study of eight AKT1 gene polymorphisms and their interaction with DRD2 gene polymorphisms in tardive
Clement C Zai1, Marco A Romano-Silva, Rudi Hwang
1Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Abstract:
Tardive dyskinesia (TD) is a motor adverse effect of chronic antipsychotic medication. It has been suggested to involve dopamine neurotransmission system changes. AKT1 acts downstream of the D(2) receptor that is blocked by all antipsychotics to some degree. The AKT1 gene has not been investigated in TD. We examined eight polymorphisms spanning the AKT1 gene and their association with TD in our schizophrenia sample of 193 Caucasians, 76 of which with TD. AKT1 polymorphisms and haplotypes were not significantly associated with TD. However, we detected a significant interaction between rs6275 of DRD2 and rs3730358 of AKT1 (p<1 x 10(-5)).
Insights
This study investigated the AKT1 gene
Area of Science:
- Neuroscience and Genetics
- Pharmacology and Toxicology
Background:
- Tardive dyskinesia (TD) is a motor disorder resulting from long-term antipsychotic use.
- Dopamine D2 receptor blockade by antipsychotics is implicated, affecting downstream signaling pathways.
- The role of the AKT1 gene in TD pathophysiology remains unexplored.
Purpose of the Study:
- To investigate the association between AKT1 gene polymorphisms and TD in schizophrenia patients.
- To explore potential interactions between AKT1 and dopamine D2 receptor (DRD2) gene variants in TD development.
Main Methods:
- Genotyping of eight AKT1 polymorphisms in a cohort of 193 Caucasian schizophrenia patients (76 with TD).
- Analysis of individual polymorphisms and haplotypes for association with TD.
- Statistical analysis to detect gene-gene interactions, specifically between AKT1 and DRD2 variants.
Main Results:
- No significant association was found between individual AKT1 polymorphisms or haplotypes and TD.
- A significant interaction (p<1 x 10(-5)) was identified between DRD2 rs6275 and AKT1 rs3730358.
- This suggests a complex genetic interplay in TD etiology.
Conclusions:
- The AKT1 gene alone does not appear to be a major risk factor for TD in this schizophrenia cohort.
- A significant gene-gene interaction between DRD2 and AKT1 may contribute to the development of TD.
- Further research is warranted to elucidate the functional consequences of this interaction in antipsychotic-induced movement disorders.
Related Concept Videos
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Drug Toxicity: Risk factors
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase
Pharmacogenomics: Identification of New Drug Targets

