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The dopamine b-hydroxylase 19 bp insertion/deletion polymorphism was associated with first-episode but not medicated chronic schizophrenia

Hui, Li
; 
Zhang, Xuan
; 
Huang, Xu Feng
; 
Han, Mei
; 
Fernandez, Francesca
; 
Yu, Yaqin
; 
Sun, ShiLong
; 
Li, Wenjun
; 
Chen, Da Chun
; 
Xiu, Mei Hong
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Abstract
Background: Numerous studies report dysfunctional dopaminergic and noradrenergic neurotransmission in the pathogenesis of schizophrenia. Dopamine beta-hydroxylase (DBH) is an intracellular enzyme catalyzing the conversion of dopamine to noradrenaline. Functional polymorphisms have been reported in the promoter region of DBH gene, including a 19 bp insertion/deletion polymorphism. The purpose of this study was to investigate whether there was an association between the functional polymorphism (DBH5′-Ins/Del) and schizophrenia in a Han Chinese population. Methods: This polymorphism was genotyped in 221 first-episode schizophrenics, 360 chronic schizophrenics and 318 healthy controls using a case-control design. We assessed their psychopathology using the Positive and Negative Syndrome Scale (PANSS). Results: We showed that the DBH5′-Ins/Del deletion (Del) allelic and genotypic frequencies were significantly lower in controls than first-episode of schizophrenics (FES) (both p < 0.001), but controls were not different from chronic schizophrenics. Furthermore, the PANSS positive symptom and total scores were significantly higher in FES with the Del/Del genotype than those with Ins/Del and Ins/Ins genotypes (all p < 0.05). Conclusions: The DBH5′-Ins/Del polymorphism may play a role in susceptibility to the positive symptoms of FES and to these FES not progressing on to chronic schizophrenia.
Keywords
first-episode schizophrenia, chronic schizophrenia, case-control association, dopamine beta-hydroxylase polymorphism
Date
2012
Type
Journal article
Journal
Journal of Psychiatric Research
Book
Volume
46
Issue
6
Page Range
733-737
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
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Controlled
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