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Meta-analysis identifies an association between the dopamine D2 receptor gene and schizophrenia

Abstract

The D2 subtype of dopamine receptor has been widely implicated in the pathogenesis of schizophrenia. Early evidence supporting an association between the Cys311Ser polymorphism of the D2 receptor gene (DRD2) and schizophrenia was subsequently refuted and, eventually, dismissed. From all 24 published case–control studies, we calculated a pooled estimate of this association. The pooled odds ratio was 1.3 for the Cys allele, which was highly significant (P=0.007). The odds ratio derived from each study was unrelated to the ethnicity or gender composition of the sample, or the age of the control group. There was no evidence of publication bias or excessive influence attributable to any given study. Although more family-based studies are needed to confirm this relation, our results provide strong evidence that DRD2 influences susceptibility to schizophrenia.

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References

  1. Seeman P . Atypical antipsychotics: mechanism of action. Can J Psychiatry 2002; 47: 27–38.

    PubMed  Google Scholar 

  2. Seeman P . Dopamine receptors and the dopamine hypothesis of schizophrenia. Synapse 1987; 1: 133–152.

    Article  CAS  Google Scholar 

  3. Itokawa M, Arinami T, Futamura N, Hamaguchi H, Toru M . A structural polymorphism of human dopamine D2 receptor, D2(Ser311–>Cys). Biochem Biophys Res Commun 1993; 196: 1369–1375.

    Article  CAS  Google Scholar 

  4. Arinami T, Itokawa M, Enguchi H, Tagaya H, Yano S, Shimizu H et al. Association of dopamine D2 receptor molecular variant with schizophrenia. Lancet 1994; 343: 703–704.

    Article  CAS  Google Scholar 

  5. Cravchik A, Sibley DR, Gejman PV . Functional analysis of the human D2 dopamine receptor missense variants. J Biol Chem 1996; 271: 26013–26017.

    Article  CAS  Google Scholar 

  6. Verga M, Macciardi F, Pedrini S, Cohen S, Smeraldi E . No association of the Ser/Cys311 DRD2 molecular variant with schizophrenia using a classical case control study and the haplotype relative risk. Schizophr Res 1997; 25: 117–121.

    Article  CAS  Google Scholar 

  7. Arinami T, Itokawa M, Aoki J, Shibuya H, Ookubo Y, Iwawaki A et al. Further association study on dopamine D2 receptor variant S311C in schizophrenia and affective disorders. Am J Med Genet 1996; 67: 133–138.

    Article  CAS  Google Scholar 

  8. Asherson P, Williams N, Roberts E, McGuffin M, Owen M . DRD2 Ser311/Cys311 polymorphism in schizophrenia. Lancet 1994; 343: 1045.

    CAS  PubMed  Google Scholar 

  9. Crawford F, Hoyne J, Cai X, Osborne A, Poston D, Zaglul J et al. Dopamine DRD2/Cys311 is not associated with chronic schizophrenia. Am J Med Genet 1996; 67: 483–484.

    Article  CAS  Google Scholar 

  10. Gejman PV, Ram A, Gelernter J, Friedman E, Cao Q, Pickar D et al. No structural mutation in the dopamine D2 receptor gene in alcoholism or schizophrenia. Analysis using denaturing gradient gel electrophoresis. J Am Med Assoc 1994; 271: 204–208.

    Article  CAS  Google Scholar 

  11. Harano M . Ser-311-Cys polymorphism of the dopamine D2 receptor gene and schizophrenia-an analysis of schizophrenic patients in Fukuoka. Kurume Med J 1997; 44: 201–208.

    Article  CAS  Google Scholar 

  12. Hattori M, Nanko S, Dai XY, Fukuda R, Kazamatsuri H . Mismatch PCR RFLP detection of DRD2 Ser311Cys polymorphism and schizophrenia. Biochem Biophys Res Commun 1994; 202: 757–763.

    Article  CAS  Google Scholar 

  13. Himei A, Koh J, Sakai J, Inada Y, Akabame K, Yoneda H . The influence on the schizophrenic symptoms by the DRD2Ser/Cys311 and −141C Ins/Del polymorphisms. Psychiatry Clin Neurosci 2002; 56: 97–102.

    Article  CAS  Google Scholar 

  14. Hori H, Ohmori O, Shinkai T, Kojima H, Nakamura J . Association analysis between two functional dopamine D2 receptor gene polymorphisms and schizophrenia. Am J Med Genet 2001; 105: 176–178.

    Article  CAS  Google Scholar 

  15. Kaneshima M, Higa T, Nakamoto H, Nagamine M . An association study between the Cys311 variant of dopamine D2 receptor gene and schizophrenia in the Okinawan population. Psychiatry Clin Neurosci 1997; 51: 379–381.

    Article  CAS  Google Scholar 

  16. Laurent C, Bodeau-Pean S, Campion D, d'Amato T, Jay M, Dollfus S et al. No major role for the dopamine D2 receptor Ser–>Cys311 mutation in schizophrenia. Psychiatr Genet 1994; 4: 229–230.

    Article  CAS  Google Scholar 

  17. Nanko S, Hattori M, Dai XY, Fukuda R, Kazamatsuri H . DRD2 Ser311/Cys311 polymorphism in schizophrenia. Lancet 1994; 343: 1044.

    Article  CAS  Google Scholar 

  18. Ohara K, Nakamura Y, Xie DW, Ishigaki T, Deng ZL, Tani K et al. Polymorphisms of dopamine D2-like (D2, D3, and D4) receptors in schizophrenia. Biol Psychiatry 1996; 40: 1209–1217.

    Article  CAS  Google Scholar 

  19. Serretti A, Lattuada E, Lorenzi C, Lilli R, Smeraldi E . Dopamine receptor D2 Ser/Cys 311 variant is associated with delusion and disorganization symptomatology in major psychoses. Mol Psychiatry 2000; 5: 270–274.

    Article  CAS  Google Scholar 

  20. Shaikh S, Collier D, Arranz M, Ball D, Gill M, Kerwin R . DRD2 Ser311/Cys311 polymorphism in schizophrenia. Lancet 1994; 343: 1045–1046.

    CAS  PubMed  Google Scholar 

  21. Sobell J, Sigurdson DC, Heston L, Sommer S . S311C D2DR variant: no association with schizophrenia. Lancet 1994; 344: 621–622.

    Article  CAS  Google Scholar 

  22. Tanaka T, Igarashi S, Onodera O, Tanaka H, Fukushima N, Takahashi M et al. Lack of association between dopamine D2 receptor gene Cys311 variant and schizophrenia. Am J Med Genet 1996; 67: 208–211.

    Article  CAS  Google Scholar 

  23. Chen CH, Chien SH, Hwu HG . No association of dopamine D2 receptor molecular variant Cys 311 and schizophrenia in Chinese patient. Am J Med Genet (Neuropsych Genet) 1996; 67: 418–420.

    Article  CAS  Google Scholar 

  24. Fujiwara Y, Yamaguchi K, Tanaka Y, Tomita H, Shiro Y, Kashihara K et al. Polymorphism of dopamine receptors and transporter genes in neuropsychiatric diseases. Eur Neurol 1997; 38 (Suppl 1): 6–10.

    Article  CAS  Google Scholar 

  25. Spurlock G, Williams J, McGuffin P, Aschauer HN, Lenzinger E, Fuchs K et al. European Multicentre Association Study of Schizophrenia: a study of the DRD2 Ser311Cys and DRD3 Ser9Gly polymorphisms. Am J Med Genet (Neuropsych Genet) 1998; 81: 24–28.

    Article  CAS  Google Scholar 

  26. Nothen MM, Wildenauer D, Cichon S, Albus M, Maier W, Minges J et al. Dopamine D2 receptor molecular variant and schizophrenia. Lancet 1994; 343: 1301–1302.

    Article  CAS  Google Scholar 

  27. DerSimonian R, Laird N . Meta-analysis in clinical trials. Controlled Clin Trials 1986; 7: 177–188.

    Article  CAS  Google Scholar 

  28. Woolf B . On estimating the relation between blood group and disease. Annu Eugen 1955; 19: 251–253.

    Article  CAS  Google Scholar 

  29. Egger M, Davey Smith G, Schneider M, Minder C . Bias in meta-analysis detected by a simple, graphical test. BMJ 1997; 315: 629–634.

    Article  CAS  Google Scholar 

  30. Williams J, McGuffin P, Nothen M, Owen MJ . Meta-anal-ysis of association between the 5-HT2a receptor T102C polymorphism and schizophrenia. EMASS Collaborative Group. European Multicentre Association Study of Schizophrenia. Lancet 1997; 349: 1221.

    Article  CAS  Google Scholar 

  31. Dubertret C, Gorwood P, Ades J, Feingold J, Schwartz JC, Sokoloff P . Meta-analysis of DRD3 gene and schizophrenia: ethnic heterogeneity and significant association in Caucasians. Am J Med Genet 1998; 81: 318–322.

    Article  CAS  Google Scholar 

  32. Sasaki T, Macciardi FM, Badri F, Verga M, Meltzer HY, Lieberman J et al. No evidence for association of dopamine D2 receptor variant (Ser311/Cys311) with major psychosis. Am J Med Genet (Neuropsych Genet) 1996; 67: 415–417.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Preparation of this work was supported in part by Grants RO1MH43518, R01MH59624, and R01MH60485 from the National Institute of Mental Health to Dr Ming T Tsuang. This work was completed when Dr Glatt was a trainee in the National Institute of Mental Health funded Psychiatric Genetics Training Program at the Harvard Institute of Psychiatric Epidemiology and Genetics (R25MH60485, M Tsuang, PI).

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Glatt, S., Faraone, S. & Tsuang, M. Meta-analysis identifies an association between the dopamine D2 receptor gene and schizophrenia. Mol Psychiatry 8, 911–915 (2003). https://doi.org/10.1038/sj.mp.4001321

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