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Gene key in weight gain from psychiatric drugs

NEW YORK (Reuters Health) - Weight gain is a common side effect of
antipsychotic drugs for schizophrenia, but variations in a particular gene
may determine a patient's susceptibility, new research suggests.

Investigators found that schizophrenia patients with a less-common
variation in a gene known as 5-HT2C were much less vulnerable to weight
gain after starting on antipsychotic drugs. After 10 weeks of treatment,
15% of these patients had gained 7% of their initial body weight - in
contrast to 51% of patients without the gene variation.

Dr. Gavin P. Reynolds, of the University of Sheffield, UK, and his
colleagues report the findings in the June 15th issue of The Lancet.

The 5-HT2C gene governs a receptor for the brain chemical serotonin, and a
number of antipsychotic drugs, such as clozapine, act on this
receptor--which, according to the researchers, could contribute to the
substantial weight gain associated with them. They note that this side
effect can affect patients' adherence to treatment.

But using genetic analysis to figure out which patients might be
particularly susceptible to various side effects could eventually help
doctors tailor treatment to the individual, according to Reynolds.

Reynolds and his colleagues studied 123 patients hospitalized for
schizophrenia in China, focusing on a particular variant in the 5-HT2C gene
known as -759C/T. They found that 18% of men and 26% of women carried the
variant. And these patients appeared to be protected against substantial
drug-related weight gain, at least in the short-term.

The researchers point out, however, that they studied only one of several
variations in the 5-HT2C that could affect body weight.

Last Updated: 2002-06-14 11:00:28 -0400 (Reuters Health)
SOURCE: The Lancet 2002;359:2086-2087.
Copyright 2002 Reuters Limited.
http://www.reutershealth.com/archive/2002/06/14/eline/links/20020614elin007.
html

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