GWAS analysis of treatment resistant schizophrenia: interaction effect of childhood trauma

Pharmacogenomics. 2017 May;18(7):663-671. doi: 10.2217/pgs-2016-0137. Epub 2017 Apr 28.

Abstract

Aims: In the current study, we aimed to compare the prevalence of adverse lifetime events in treatment resistant and non-treatment resistant schizophrenia in a genome-wide association study.

Materials & methods: Our sample consisted of 84 Caucasian participants with schizophrenia spectrum disorders, assessed cross-sectionally to collect information regarding drug effectiveness and childhood trauma. Using a genome-wide association analysis, we tested single-nucleotide polymorphisms for their association with resistance to antipsychotics defined according to American Psychiatric Association criteria. Two models were tested: a main model and an interaction model with the childhood trauma.

Results: Our analysis failed to demonstrate a significant relationship among 1,178,234 single-nucleotide polymorphisms and treatment-resistance in both the main model and in the childhood trauma interaction model.

Conclusion: Even though we could not find any significant association, treatment resistance has clinical relevance and it may be determined by the interaction between biological and non biological factors.

Keywords: genome-wide association study; schizophrenia; single nucleotide polymorphism; treatment resistance.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antipsychotic Agents / therapeutic use*
  • Child Abuse* / psychology
  • Cohort Studies
  • Cross-Sectional Studies
  • Female
  • Genome-Wide Association Study / methods*
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Single Nucleotide / genetics*
  • Schizophrenia / diagnosis
  • Schizophrenia / drug therapy*
  • Schizophrenia / genetics*
  • Schizophrenic Psychology
  • Self Report
  • Treatment Outcome
  • Young Adult

Substances

  • Antipsychotic Agents