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. 2014 Dec;16(4):555–566. doi: 10.31887/DCNS.2014.16.4/jpouget

Table III. Pharmacogenetic variants associated with antipsychotic-induced side effects. SNP, single-nucleotide polymorphism; DRD, dopamine receptor; HTR, serotonin receptor; MCR, melanocortin receptor; HLA, human leukocyte antigen; HSPG, heparan sulfate proteoglycan. aResults are based on allelic model;bResults are based on additive genotypic model.

Gene SNP Risk allele Outcome measure OR (95% CI; P) Functional effect
Weight gain
HTR2C C-759T (rs3813929) C Gaining ≥7 % baseline weight Chronic samples 1.64a (0.73-3.69; 0.23)53, First episode sample 5.40a (2.08-14.01; 0.001)53 Affects transcription factor binding to HTR2C promoter,85 unclear if C allele increases86 or decreases87,88 HTR2C expression
MC4R rs489693 A Weight gain (kg) from baseline AA homozygotes gained ~ 3 kg mor weight than other genotypes11,56 Unknown
Agranulocytosis
HLA-DQB1 G6672C (rs113332494) G Absolute neutrophil count <500 cells/mm3 and discontinuation of clozapine therapy 16.9 (3.57-109; <0.0001)60 Unknown
Tardive dyskinesia
CYP2D6 Poor and intermediate metabolizers At least one *3, *4, *5, *6, or *10 allele Presence of tardive dyskinesia Prospective studies 1.83 (1.09-3.08; 0.02)63 Decreased CYP2D6 enzyme activity89
DRD2 Taq 1A (rs1800497) C, A2 Presence of tardive dyskinesia 1.30b (1.09-1.55; 0.003)64 Increased DRD2 receptor availability90,91
HTR2A T102C (rs6313) C Presence of tardive dyskinesia 1.64b (1.17-2.32; 0.004)65 Decreased HTR2A expression,92 decreased HTR2A reception binding93
HSPG2 rs2445142 G Presence of tardive dyskinesia 2.09a (1.07-4.06; 0.03)67 Increased HSPG2 expression66