Genetics of antipsychotic-induced weight gain: update and current perspectives.

Abstract:

:Antipsychotic medications are used to effectively treat various symptoms for different psychiatric conditions. Unfortunately, antipsychotic-induced weight gain (AIWG) is a common side effect that frequently results in obesity and secondary medical conditions. Twin and sibling studies have indicated that genetic factors are likely to be highly involved in AIWG. Over recent years, there has been considerable progress in this area, with several consistently replicated findings, as well as the identification of new genes and implicated pathways. Here, we will review the most recent genetic studies related to AIWG using the Medline database (PubMed) and Google Scholar. Among the steadiest findings associated with AIWG are serotonin 2C receptors (HTR2C) and leptin promoter gene variants, with more recent studies implicating MTHFR and, in particular, MC4R genes. Additional support was reported for the HRH1, BDNF, NPY, CNR1, GHRL, FTO and AMPK genes. Notably, some of the reported variants appear to have relatively large effect sizes. These findings have provided insights into the mechanisms involved in AIWG and will help to develop predictive genetic tests in the near future.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Kao AC,Müller DJ

doi

10.2217/pgs.13.207

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

2067-83

issue

16

eissn

1462-2416

issn

1744-8042

journal_volume

14

pub_type

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