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Association between the MnSOD Ala-9Val polymorphism and development of schizophrenia and abnormal involuntary movements in the Xhosa population
Authors:Hitzeroth Angelika  Niehaus Dana J H  Koen Liezl  Botes Willem C  Deleuze J F  Warnich Louise
Affiliation:Department of Genetics, Stellenbosch University, Private Bag X1, Matieland, 7602, South Africa. ahitz@sun.ac.za
Abstract:Reactive oxygen species (ROS)-mediated damage has been hypothesized to play a role in the development and poor outcome of schizophrenia, as well as the development of neuroleptic-induced abnormal involuntary movements. Recently, the functional polymorphism (Ala-9Val) in the manganese superoxide dismutase (MnSOD) gene (part of the antioxidant defense mechanism) was found to be associated with schizophrenia in a Turkish population. This study was aimed at replicating this finding in a Xhosa population. In addition, the role of Ala-9Val in abnormal involuntary movement and tardive dyskinesia development in the Xhosa population was also investigated. The schizophrenic patient group (n=286) and a healthy control group (n=243) were genotyped for the Ala-9Val polymorphism using heteroduplex-single stranded conformational polymorphism (HEX-SSCP) analysis. No significant difference in genotype or allele frequency could be observed between the schizophrenia and control group (P=0.294 and P=0.528 respectively). In addition no association could be found between the polymorphism and symptom severity (SANS and SAPS). The Xhosa schizophrenia patient group with abnormal involuntary movements (n=54) and a subgroup with tardive dyskinesia (n=30) was found to significantly differ in Ala-9Val genotype frequency (P=0.008 and P=0.011 respectively) compared to the Xhosa schizophrenia patient group without abnormal involuntary movements (n=204). However, no significant difference was found for the allele frequencies (P=0.955 and P=0.161). Further, using ANCOVA no association was found between AIMS score and genotype in the group with abnormal involuntary movements (P=0.1234). However, in the patient group with tardive dyskinesia an association was observed between genotype and AIMS score (P=0.0365). These results do not support a major role of the MnSOD Ala-9Val polymorphism in the development of schizophrenia or symptom severity in the Xhosa population. Yet it seems to be involved in the development of abnormal involuntary movements and tardive dyskinesia and may even modulate the severity of tardive dyskinesia.
Keywords:·OH, hydroxyl radical   A, adenine   AIM, abnormal involuntary movements   AIM−, without abnormal involuntary movements   AIM+, with abnormal involuntary movements   AIMS, abnormal involuntary movement scale   Ala, alanine   ANCOVA, analysis of covariance   BHPR, Bunney–Hamburg Psychosis Rating   bp, basepairs   BPRS, Brief Psychiatric Rating Scale   C, cytosine   CAT, catalase   CNS, central nervous system   DIGS, Diagnostic Interview for Genetic Studies   DNA, deoxyribonucleic acid   dNTP, deoxynucleoside triphosphate   DRD3, dopamine D3 receptor   DSM-IV, Diagnostic and Statistical Manual of Mental Disorders, fourth edition   G, guanine   Gly, glycine   GSHPx, glutathione peroxidase   H2O2, hydrogen peroxide   HEX-SSCP, heteroduplex-single strand conformational polymorphism   HWE, Hardy–Weinberg equilibrium   MgCl2, magnesium chloride   MnSOD, manganese superoxide dismutase   MTS, mitochondrial targetting sequence   n, number   NH4, ammonium   O2, superoxide radical   PANSS, Positive and Negative Syndrome Scale   PCR, polymerase chain reaction   PUFAs, polyunsaturated fatty acids   ROS, reactive oxygen species   SANS, Scale for the Assessment of Negative Symptoms   SAPS, Scale for the Assessment of Positive Symptoms   Ser, serine   SOD, superoxide dismutase   SPSS, Statistical Package for the Social Sciences   T, thymine   TBARS, thiobarbituric acid reactive substances   TD, tardive dyskinesia   TD+, tardive dyskinesia positive   TFPGA, Tools for Population Genetic Analysis   UV, ultraviolet   Val, valine.
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