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Dopamine receptor D2 genetic polymorphism associated with transition to mental disorders in a cohort of individuals with at-risk mental state for psychosis.

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OBJECTIVE We aimed to test the association of 45 single nucleotide polymorphisms (SNPs) and transition to psychiatric disorders in a cohort of individuals with at-risk mental state for psychosis (UHR).… Click to show full abstract

OBJECTIVE We aimed to test the association of 45 single nucleotide polymorphisms (SNPs) and transition to psychiatric disorders in a cohort of individuals with at-risk mental state for psychosis (UHR). METHODS Through general population screening, 88 non-help-seeking UHR subjects and 130 healthy control individuals were genotyped for 45 SNPs related to psychosis. They were followed up for a mean of 2.5 years, and conversion to psychotic and to general psychiatric disorders was assessed. Genotype frequencies between controls, converters and non-converters were analyzed. RESULTS There were no differences in sociodemographics between controls and UHR. Also, UHR converters and non-converters had no differences in their baseline symptoms scores. The rs6277, a dopamine receptor D2 gene (DRD2) SNP, was significantly related to UHR who transitioned to psychosis (p<0.001) and to UHR who transitioned to any psychiatric disorders (p=0.001), when compared to UHR who did not transition. The rs6277 T allele was related to psychiatric morbidity in a dose-response fashion, being significantly more frequent in UHR-converters than UHR-non-converters and control subjects (p=0.003). CONCLUSIONS Our findings suggest that rs6277 could potentially constitute a genetic marker of transition to psychiatric disorders in subjects with at risk mental states, warranting further investigation with larger samples.

Keywords: psychiatric disorders; cohort individuals; disorders cohort; transition; psychosis; risk mental

Journal Title: Revista brasileira de psiquiatria
Year Published: 2023

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