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Pharmacologic analysis of non-synonymous coding h5-HT2A SNPs reveals alterations in atypical antipsychotic and agonist efficacies.

M A Davies, Vincent Setola, R T Strachan, D J Sheffler, E Salay, Sandra J Hufeisen, B L Roth

The pharmacogenomics journal 2006 DOI: 10.1038/sj.tpj.6500342 (opens in new tab)

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AI-extracted from the abstract
Characteristics In vitro pharmacology study Peer reviewed
Population Recombinant variant 5-HT2A serotonin receptors expressed in vitro
Key points Four non-synonymous SNPs in the 5-HT2A receptor gene produced statistically significant but modest, drug-specific changes in the affinity and functional effects of six atypical antipsychotics and five agonists in vitro. The authors propose these variations could contribute to inter-individual differences in drug response.

Abstract

The 5-HT(2A)-serotonin receptor is a major molecular target for most atypical antipsychotic drugs as well as most hallucinogens, which can exacerbate psychotic symptoms. In this study, we examined whether random sequence variations in the gene (single nucleotide polymorphisms, SNPs) encoding the 5-HT(2A)-serotonin receptor could explain inter-individual variability in atypical antipsychotic and agonist drug response. We examined the in vitro pharmacology of four non-synonymous SNPs, which give rise to T25N, I197V, A447V, and H452Y variant 5-HT(2A)-serotonin receptors. Our data indicate that these non-synonymous SNPs exert statistically significant, although modest, effects on the affinity and functional effects of several currently approved atypical antipsychotics (aripiprazole, clozapine, olanzapine, quetiapine, risperidone, and ziprasidone). Also, the 5-HT(2A) receptor SNPs slightly altered the potency and relative efficacy of a small number of selected agonists (2,5-dimethoxy-4-iodoamphetamine, tryptamine, 5-hydroxytryptamine, m-chlorophenylpiperazine, and 5-methoxy-N, N-dimethyltryptamine). In all, our results show that the in vitro pharmacological effects of the SNPs are drug specific.

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