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Related Experiment Videos

Clozapine response and the 5HT2C Cys23Ser polymorphism

A K Malhotra1, D Goldman, N Ozaki

  • 1Experimental Therapeutics Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, USA.

Neuroreport
|September 2, 1996
PubMed
Summary

The 5HT2C receptor Ser23 allele does not predict a better response to clozapine treatment. This study found no association between this serotonin receptor variant and clozapine efficacy in patients with psychiatric conditions.

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Area of Science:

  • Pharmacogenetics
  • Neuroscience
  • Psychiatry

Background:

  • The 5HT2C receptor Ser23 allele has been suggested to predict a positive response to clozapine, an antipsychotic medication.
  • This allele, differing from the common Cys23, alters receptor pharmacology, potentially offering insights into antipsychotic drug mechanisms.

Purpose of the Study:

  • To investigate the association between the 5HT2C receptor Cys23Ser polymorphism and clozapine response in a clinical trial setting.

Main Methods:

  • Genotyping for the 5HT2C receptor Cys23Ser locus was performed in 66 subjects undergoing double-blind clozapine treatment.
  • Statistical analyses, including Fisher's exact test and t-tests, were used to assess the relationship between the Ser23 allele and treatment outcomes.

Main Results:

Related Experiment Videos

  • No statistically significant relationship was found between the presence of the Ser23 allele and clozapine response (p = 0.30).
  • The Ser23 allele did not influence the absolute levels of psychiatric symptoms after 10 weeks of clozapine treatment (p = 0.57).

Conclusions:

  • The 5HT2C receptor Cys23Ser polymorphism is not associated with clozapine response.
  • These findings do not support the use of this specific 5HT2C receptor variant as a predictive biomarker for clozapine efficacy.