Evidence map›Paper›PMID 17102980›Full record

Trial reportPsychopharmacology2007

Serotonin and dopamine receptor gene polymorphisms and the risk of extrapyramidal side effects in perphenazine-treated schizophrenic patients.

Arzu Gunes, Maria Gabriella Scordo, Peeter Jaanson, Marja-Liisa Dahl

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Biomedicines · 2022
    Article
  4. Review
  5. International journal of molecular sciences · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. The promise and reality of pharmacogenetics in psychiatry.The Psychiatric clinics of North America · 2010
    Review
  15. Psychiatric pharmacogenomic testing in clinical practice.Dialogues in clinical neuroscience · 2010
    Review
  16. Article
  17. Pharmacogenetics of antipsychotic-induced side effects.Dialogues in clinical neuroscience · 2009
    Review
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Arzu GunesDepartment of Medical Sciences, Clinical Pharmacology, Uppsala University Hospital, 75185, Uppsala, Sweden.
Maria Gabriella Scordo
Peeter Jaanson
Marja-Liisa Dahl
Uppsala University Hospital · SEUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationalePerphenazine, a classical antipsychotic drug, has the potential to induce extrapyramidal side effects (EPS). Dopaminergic and serotonergic pathways are involved in the therapeutic and adverse effects of the drug.

objectivesTo evaluate the impact of polymorphisms in the dopamine D(2) and D(3) and serotonin 2A and 2C receptor genes (DRD2, DRD3, HTR2A, and HTR2C) on short-term effects of perphenazine monotherapy in schizophrenic patients. MATERIALS AND

methodsForty-seven Estonian inpatients were evaluated before and after 4-6 weeks of treatment by Simpson-Angus rating scale, Barnes scale, and Positive and Negative Symptom Scale. Genotyping was performed for common DRD2, DRD3, HTR2A, and HTR2C gene polymorphisms, previously reported to influence receptor expression and/or function.

resultsMost of the patients (n = 37) responded to the treatment and no significant association was observed between the polymorphisms and antipsychotic response. The 102C allele of HTR2A and the -697C and 23Ser alleles of HTR2C were more frequent among patients with EPS (n = 25) compared to patients without EPS (n = 22) (p = 0.02, 0.01, and 0.02, respectively). The difference between patients with and without EPS in variant allele frequencies remained significant after multiple model analyses including age, gender, and duration of antipsychotic treatment as covariants. There was no significant association between EPS occurrence and polymorphisms in the DRD2 and DRD3 genes.

conclusionsAn association was observed between polymorphisms in HTR2A and HTR2C genes and occurrence of acute EPS in schizophrenic patients treated with perphenazine monotherapy. Larger study populations are needed to confirm our findings.

Indexed as

AdolescentAdultAgedAntipsychotic AgentsDopamine AntagonistsDyskinesia, Drug-InducedFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedOdds RatioPerphenazinePolymorphism, GeneticAntipsychotic AgentsDopamine AntagonistsPerphenazineReceptors, DopamineReceptors, Dopamine D2Receptors, Dopamine D3Receptor, Serotonin, 5-HT2AReceptor, Serotonin, 5-HT2CReceptors, Serotonin

Identifiers

PMID17102980
OpenAlexW2065571601

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.