Relationship between the rs1414334 C/G polymorphism in the HTR2C gene and smoking in patients treated with atypical antipsychotics

Authors

  • José María Rico-Gomis Hospital General Universitario de Elche
  • Antonio Palazón-Bru Universidad Miguel Hernández http://orcid.org/0000-0002-5959-9631
  • Irene Triano-García Hospital General Universitario de Elche
  • Luis Fabián Mahecha-García Hospital General Universitario de Elche
  • Ana García-Monsalve Hospital General Universitario de Elche
  • Andrés Navarro-Ruiz Hospital General Universitario de Elche
  • Berta Villagordo-Peñalver Hospital General Universitario de Elche
  • Alicia Martínez-Hortelano Hospital General Universitario de Elche
  • Vicente Francisco Gil-Guillén Universidad Miguel Hernández

DOI:

https://doi.org/10.20882/adicciones.876

Keywords:

Smoking, Pharmacogenetics, Alleles, Psychiatry

Abstract

An association has been found between the C allele of the rs1414334 polymorphism in the HTR2C gene and the metabolic syndrome in psychiatric patients. However, no study has yet evaluated whether this allele is associated with smoking. To assess this issue, therefore, we performed a cross-sectional study with a sample of 166 adult patients treated with atypical antipsychotics in 2012-2013 in a region of Spain. The primary variable was the presence of the C allele of the rs1414334 polymorphism in the HTR2C gene. Secondary variables were the number of pack-years (number of cigarettes per day x number of smoking years ÷ 20), age, gender, schizophrenia, years since diagnosis, metabolic syndrome criteria and SCORE. A stepwise binary logistic regression model was constructed to determine associations between primary and secondary variables and their area under the ROC curve (AUC) was calculated. Of the total sample, 33 patients (19.9%) had the C allele of the polymorphism analyzed. Mean cigarette consumption was 11.6 pack-years. The multivariate analysis showed the following factors as associated with the polymorphism: higher cigarette consumption, being a woman, and not having abdominal obesity. The AUC was 0.706. An association was found between increased cigarette consumption over the years and the presence of the C allele of the rs1414334 polymorphism in the HTR2C gene.

Author Biographies

José María Rico-Gomis, Hospital General Universitario de Elche

Unidad de Psiquiatría, Hospital General Universitario de Elche

Antonio Palazón-Bru, Universidad Miguel Hernández

Departamento de Medicina Clínica, Universidad Miguel Hernández

Irene Triano-García, Hospital General Universitario de Elche

Servicio de Farmacia, Hospital General Universitario de Elche

Luis Fabián Mahecha-García, Hospital General Universitario de Elche

Unidad de Psiquiatría, Hospital General Universitario de Elche

Ana García-Monsalve, Hospital General Universitario de Elche

Servicio de Farmacia, Hospital General Universitario de Elche

Andrés Navarro-Ruiz, Hospital General Universitario de Elche

Servicio de Farmacia, Hospital General Universitario de Elche

Berta Villagordo-Peñalver, Hospital General Universitario de Elche

Unidad de Psiquiatría, Hospital General Universitario de Elche

Alicia Martínez-Hortelano, Hospital General Universitario de Elche

Unidad de Psiquiatría, Hospital General Universitario de Elche

Vicente Francisco Gil-Guillén, Universidad Miguel Hernández

Departamento de Medicina Clínica, Universidad Miguel Hernández

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Published

2018-04-15

Issue

Section

Originals