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Genetic study of neuregulin 1 and receptor tyrosine-protein kinase erbB-4 in tardive dyskinesia
Authors:Clement C Zai  Arun K Tiwari  Nabilah I Chowdhury  Zeynep Yilmaz  Vincenzo de Luca  Daniel J Müller
Institution:1. Neurogenetics Section, Tanenbaum Centre for Pharmacogenetics, Molecular Brain Science, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada;2. Department of Psychiatry, University of Toronto, Toronto, ON, Canada;3. Laboratory Medicine and Pathophysiology, University of Toronto, ON, Canada;4. Center of Excellence for Eating Disorders at the University of North Carolina at Chapel Hill, NC, USA;5. Institute of Medical Science, University of Toronto, Toronto, ON, Canada
Abstract:Objectives: Tardive dyskinesia (TD) is a movement disorder that may develop as a side effect of antipsychotic medication. The aetiology underlying TD is unclear, but a number of mechanisms have been proposed.

Methods: We investigated single-nucleotide polymorphisms (SNPs) in the genes coding for neuregulin-1 and erbB-4 receptor in our sample of 153 European schizophrenia patients for possible association with TD.

Results: We found the ERBB4 rs839523?CC genotype to be associated with risk for TD occurrence and increased severity as measured by the Abnormal Involuntary Movement Scale (AIMS) (P?=?.003).

Conclusions: This study supports a role for the neuregulin signalling pathway in TD, although independent replications are warranted.
Keywords:Tardive dyskinesia  schizophrenia  pharmacogenetics  neuregulin 1 (NRG1)  receptor tyrosine-protein kinase erbB-4 (ERBB4)
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