Evidence map›Paper›PMID 20195266›Full record

Trial reportMolecular psychiatry2011

Genomewide pharmacogenomic study of metabolic side effects to antipsychotic drugs.

D E Adkins, K Aberg, J L McClay, J Bukszár, Z Zhao, P Jia, T S Stroup, D Perkins, J P McEvoy, J A Lieberman and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 6 pooled it
11.3field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 6 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
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  3. Genome-Wide Meta-Analysis of Longitudinal Alcohol Consumption Across Youth and Early Adulthood.Twin research and human genetics : the official journal of the International Society for Twin Studies · 2015
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13 more citing papers are in PubMed but not listed here.

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

12 authors at 6 institutions in 2 countries.

D E AdkinsCenter for Biomarker Research and Personalized Medicine, School of Pharmacy, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23223, USA. deadkins@vcu.edu
K Aberg
J L McClay
J Bukszár
Z Zhao
P Jia
T S Stroup
D Perkins
J P McEvoy
J A Lieberman
P F Sullivan
E J C G van den Oord
University of North Carolina at Chapel Hill · USVirginia Commonwealth University · USVanderbilt University Medical Center · USVirginia Commonwealth University Medical Center · USColumbia University · USDuke University · US

Funding

PUBLIC EDUCATION CAMPAIGN ON DEPRESSION DARTN01MH090001 · NIMH · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · 1989 to 2003
$10.4M
A Large-Scale Schizophrenia Association Study in SwedenR01MH077139 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2007 to 2018
$9.9M
Learning Adaptive Treatment Strategies in Mental HealthR01MH080015 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURPHY, SUSAN A · 2007 to 2011
$2.2M
Design and analysis of adaptive multistage genetic association studiesR01HG004240 · NHGRI · VIRGINIA COMMONWEALTH UNIVERSITY · PI VAN DEN OORD, EDWIN · 2008 to 2010
$1.0M
A genome-wide association study to detect genetic variation for schizophreniaR01MH078069 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI VAN DEN OORD, EDWIN · 2008 to 2010
$905k
Replication of Schizophrenia Associations in CATIER01MH074027 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2006 to 2007
$715k
NHGRI NIH HHS R01 HG004240NIMH NIH HHS N01 MH090001NIMH NIH HHS R01 MH074027NIMH NIH HHS R01 MH07713NIMH NIH HHS R01 MH077139NIMH NIH HHS R01 MH078069NIMH NIH HHS R01 MH080015
6 · The paper itself

Abstract

Understanding individual differences in the susceptibility to metabolic side effects as a response to antipsychotic therapy is essential to optimize the treatment of schizophrenia. Here, we perform genomewide association studies (GWAS) to search for genetic variation affecting the susceptibility to metabolic side effects. The analysis sample consisted of 738 schizophrenia patients, successfully genotyped for 492K single nucleotide polymorphisms (SNPs), from the genomic subsample of the Clinical Antipsychotic Trial of Intervention Effectiveness study. Outcomes included 12 indicators of metabolic side effects, quantifying antipsychotic-induced change in weight, blood lipids, glucose and hemoglobin A1c, blood pressure and heart rate. Our criterion for genomewide significance was a pre-specified threshold that ensures, on average, only 10% of the significant findings are false discoveries. A total of 21 SNPs satisfied this criterion. The top finding indicated that a SNP in Meis homeobox 2 (MEIS2) mediated the effects of risperidone on hip circumference (q=0.004). The same SNP was also found to mediate risperidone's effect on waist circumference (q=0.055). Genomewide significant finding were also found for SNPs in PRKAR2B, GPR98, FHOD3, RNF144A, ASTN2, SOX5 and ATF7IP2, as well as in several intergenic markers. PRKAR2B and MEIS2 both have previous research indicating metabolic involvement, and PRKAR2B has previously been shown to mediate antipsychotic response. Although our findings require replication and functional validation, this study shows the potential of GWAS to discover genes and pathways that potentially mediate adverse effects of antipsychotic medication.

Indexed as

AdultAntipsychotic AgentsBlood PressureBody Mass IndexCholesterolFemaleFollow-Up StudiesGenome-Wide Association StudyGenotypeHeart RateHipHomeodomain ProteinsHumansMaleMetabolic DiseasesMiddle AgedAntipsychotic AgentsCholesterolHomeodomain ProteinsMEIS2 protein, humanTranscription Factors

Identifiers

PMID20195266
PMCPMC2891163
OpenAlexW2068196917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.