Association of antipsychotic induced weight gain and body mass index with GNB3 gene: a meta-analysis

Prog Neuropsychopharmacol Biol Psychiatry. 2008 Dec 12;32(8):1848-53. doi: 10.1016/j.pnpbp.2008.08.014. Epub 2008 Aug 28.

Abstract

It has been reported that C825T variant in the gene encoding the G-protein subunit beta3 (GNB3) is associated with antipsychotic-induced weight gain and obesity. We investigated the association of the GNB3 and antipsychotic-induced weight gain as well as body mass index (BMI) using meta-analytical techniques. Our analysis of 402 schizophrenia subjects showed a trend (p=0.072) only under a fixed-model. As it was observed heterogeneity among the studies (p=0.007), we re-analyzed using a random-effects framework and no significance was found (p=0.339). No evidence for bias publication was reported (p=0.868). Our analysis of 18,903 subjects showed a trend (p=0.053) associating CC and lower BMI under a fixed model. Although no significant association was found, the same pattern (CC and lower antipsychotic-induced weight gain) was observed. Our meta-analysis indicates that firmly establishing the role of pharmacogenetics in clinical psychiatry requires much larger sample sizes that have been reported.

Publication types

  • Meta-Analysis

MeSH terms

  • Antipsychotic Agents / pharmacology*
  • Antipsychotic Agents / therapeutic use
  • Body Mass Index*
  • Heterotrimeric GTP-Binding Proteins / genetics*
  • Humans
  • Mental Disorders / drug therapy
  • Mental Disorders / physiopathology
  • Pharmacogenetics
  • Polymorphism, Single Nucleotide / genetics
  • Weight Gain / drug effects*
  • Weight Gain / genetics*

Substances

  • Antipsychotic Agents
  • G-protein beta3 subunit
  • Heterotrimeric GTP-Binding Proteins