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The Association between the T102C Polymorphism of the HTR2A Serotonin Receptor Gene and HDL Cholesterol Level in Koreans

  • Choi, Jin-Ho (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Zhang, Shu-Ying (Clinical Research Institute, Seoul National University Hospital) ;
  • Park, Kyung-Woo (Clinical Research Institute, Seoul National University Hospital) ;
  • Cho, Young-Seok (Clinical Research Institute, Seoul National University Hospital) ;
  • Oh, Byung-Hee (Clinical Research Institute, Seoul National University Hospital) ;
  • Lee, Myoung-Mook (Clinical Research Institute, Seoul National University Hospital) ;
  • Park, Young-Bae (Clinical Research Institute, Seoul National University Hospital) ;
  • Kim, Hyo-Soo (Clinical Research Institute, Seoul National University Hospital)
  • Published : 2005.03.31

Abstract

5-HT2A is one of major serotonin receptor that is involved in the action of serotonin-targeting drugs. Previous clinical studies have shown an unexpected association between lower cholesterol level and psychiatric diseases, in which T102C polymorphism of HTR2A, gene of 5-HT2A serotonin receptor, might be involved. Therefore, we hypothesized a potential association between lower cholesterol level and T102C polymorphism. The effect of the T102C polymorphism on the serum lipid profiles of 646 subjects without specific psychiatric disease was investigated. Genotype was determined by polymerase chain reaction and restriction fragment length polymorphism analysis. There were significantly lower levels of total cholesterol ($193.6{\pm}35.0$ versus $202.1{\pm}45.5\;mg/dl$, p = 0.016) and HDL-cholesterol ($42.7{\pm}11.6$ versus $46.3{\pm}12.7\;mg/dl$, p = 0.004) in CC genotype than non-CC genotypes. Moreover, multivariate analysis showed that the CC genotype is a strong predictor of a lower HDL-cholesterol level (p < 0.001). In conclusion, this study shows that the CC genotype of the HTR2A gene is related to lower HDL-cholesterol level in Koreans. This is the first demonstration showing the potential genetic relationship between the serotonin receptor gene polymorphism and the HDL-cholesterol level.

Keywords

References

  1. Arias, B., Gutierrez, B., Pintor, L., Gasto, C. and Fananas L. (2001) Variability in the 5-HT(2A) receptor gene is associated with seasonal pattern in major depression. Mol. Psychiatry 6, 239-242 https://doi.org/10.1038/sj.mp.4000818
  2. Arranz, M., Collier, D., Sodhi, M., Ball, D., Roberts, G., Price, J., Sham, P. and Kerwin, R. (1995) Association between clozapine response and allelic variation in 5-HT2A receptor gene. Lancet. 346, 281-282 https://doi.org/10.1016/S0140-6736(95)92168-0
  3. Arranz, M. J., Lin, M. W., Powell, J., Kerwin, R. and Collier, D. (1996) 5HT 2a receptor T102C polymorphism and schizophrenia. Lancet. 347, 1831-1832
  4. Arranz, M. J., Munro, J., Sham, P., Kirov, G., Murray, R. M., Collier, D. A. and Kerwin, R. W. (1998) Meta-analysis of studies on genetic variation in 5-HT2A receptors and clozapine response. Schizophr. Res. 32, 93-99 https://doi.org/10.1016/S0920-9964(98)00032-2
  5. Bjork, J. M., Moeller, F. G., Dougherty, D. M., Swann, A. C., Machado, M. A. and Hanis, C. L. (2002) Serotonin 2a receptor T102C polymorphism and impaired impulse control. Am. J. Med. Genet. 114, 336-339 https://doi.org/10.1002/ajmg.10206
  6. Bondy, B., Kuznik, J., Baghai, T., Schule, C., Zwanzger, P., Minov, C., de Jonge, S., Rupprecht, R., Meyer, H., Engel, R. R., Eisenmenger, W. and Ackenheil, M. (2000) Lack of association of serotonin-2A receptor gene polymorphism (T102C) with suicidal ideation and suicide. Am. J. Med. Genet. 96, 831-835 https://doi.org/10.1002/1096-8628(20001204)96:6<831::AID-AJMG27>3.0.CO;2-K
  7. Buhot, M. C. (1997) Serotonin receptors in cognitive behaviors. Curr. Opin. Neurobiol. 7, 243-254 https://doi.org/10.1016/S0959-4388(97)80013-X
  8. Buydens-Branchey, L., Branchey, M., Hudson, J. and Fergeson, P. (2000) Low HDL cholesterol, aggression and altered central serotonergic activity. Psychiatry Res. 93, 93-102 https://doi.org/10.1016/S0165-1781(99)00126-2
  9. Du, L., Bakish, D., Lapierre, Y. D., Ravindran, A. V. and Hrdina, P. D. (2000) Association of polymorphism of serotonin 2A receptor gene with suicidal ideation in major depressive disorder. Am. J. Med. Genet. 96, 56-60 https://doi.org/10.1002/(SICI)1096-8628(20000207)96:1<56::AID-AJMG12>3.0.CO;2-L
  10. Engelberg, H. (1992) Low serum cholesterol and suicide. Lancet 339, 727-729 https://doi.org/10.1016/0140-6736(92)90609-7
  11. Golier, J. A., Marzuk, P. M., Leon, A. C., Weiner, C. and Tardiff, K. (1995) Low serum cholesterol level and attempted suicide. Am. J. Psychiatry 152, 419-423 https://doi.org/10.1176/ajp.152.3.419
  12. Golomb, B. A. (1998) Cholesterol and violence: is there a connection? Ann. Intern. Med. 128, 478-487 https://doi.org/10.7326/0003-4819-128-6-199803150-00009
  13. Golomb, B. A., Stattin, H. and Mednick, S. (2000) Low cholesterol and violent crime. J. Psychiatr. Res. 34, 301-309 https://doi.org/10.1016/S0022-3956(00)00024-8
  14. Hillbrand, M., Waite, B. M., Miller, D. S., Spitz, R. T. and Lingswiler, V. M. (2000) Serum cholesterol concentrations and mood states in violent psychiatric patients: an experience sampling study. J. Behav. Med. 23, 519-529 https://doi.org/10.1023/A:1005551418922
  15. Kaplan, J. R., Muldoon, M. F., Manuck, S. B. and Mann, J. J. (1997) Assessing the observed relationship between low cholesterol and violence-related mortality. Implications for suicide risk. Ann. N. Y. Acad. Sci. 836, 57-80 https://doi.org/10.1111/j.1749-6632.1997.tb52355.x
  16. Kaplan, J. R., Shively, C. A., Fontenot, M. B., Morgan, T. M., Howell, S. M., Manuck, S. B., Muldoon, M. F. and Mann, J. J. (1994) Demonstration of an association among dietary cholesterol, central serotonergic activity, and social behavior in monkeys. Psychosom. Med. 56, 479-484 https://doi.org/10.1097/00006842-199411000-00001
  17. Kim, Y. K., Lee, H. J., Kim, J. Y., Yoon, D. K., Choi, S. H. and Lee, M. S. (2002) Low serum cholesterol is correlated to suicidality in a Korean sample. Acta. Psychiatr. Scand. 105, 141-148 https://doi.org/10.1034/j.1600-0447.2002.10352.x
  18. Lane, H. Y., Chang, Y. C., Chiu, C. C., Chen, M. L., Hsieh, M. H. and Chang, W. H. (2002) Association of risperidone treatment response with a polymorphism in the 5-HT(2A) receptor gene. Am. J. Psychiatry 159, 1593-1595 https://doi.org/10.1176/appi.ajp.159.9.1593
  19. Levitan, R. D., Masellis, M., Basile, V. S., Lam, R. W., Jain, U., Kaplan, A. S., Kennedy, S. H., Siegel, G., Walker, M. L., Vaccarino, F. J. and Kennedy, J. L. (2002) Polymorphism of the serotonin-2A receptor gene (HTR2A) associated with childhood attention deficit hyperactivity disorder (ADHD) in adult women with seasonal affective disorder. J. Affect. Disord. 71, 229-233 https://doi.org/10.1016/S0165-0327(01)00372-X
  20. Muldoon, M. F., Manuck, S. B., Mendelsohn, A. B., Kaplan, J. R. and Belle, S. H. (2001) Cholesterol reduction and non-illness mortality: meta-analysis of randomised clinical trials. Bmj 322, 11-15 https://doi.org/10.1136/bmj.322.7277.11
  21. Nocjar, C., Roth, B. L. and Pehek, E. A. (2002) Localization of 5- HT(2A) receptors on dopamine cells in subnuclei of the midbrain A10 cell group. Neuroscience 111, 163-176 https://doi.org/10.1016/S0306-4522(01)00593-0
  22. Polesskaya, O. O. and Sokolov, B. P. (2002) Differential expression of the 'C' and 'T' alleles of the 5-HT2A receptor gene in the temporal cortex of normal individuals and schizophrenics. J. Neurosci. Res. 67, 812-821 https://doi.org/10.1002/jnr.10173
  23. Rozzini, R., Bertozzi, B., Barbisoni, P. and Trabucchi, M. (1996) Low serum cholesterol and serotonin metabolism. Risk of depression is higher in elderly patients with lowest serum cholesterol values. Bmj 312, 1298-1299
  24. Sacks, F. M., Pfeffer, M. A., Moye, L. A., Rouleau, J. L., Rutherford, J. D., Cole, T. G., Brown, L., Warnica, J. W., Arnold, J. M., Wun, C. C., Davis, B. R. and Braunwald, E. (1996) The effect of pravastatin on coronary events after myocardial infarction in patients with average cholesterol levels. Cholesterol and Recurrent Events Trial investigators. N. Engl. J. Med. 335, 1001-1009 https://doi.org/10.1056/NEJM199610033351401
  25. Sarchiapone, M., Camardese, G., Roy, A., Della Casa, S., Satta, M. A., Gonzalez, B., Berman, J. and De Risio, S. (2001) Cholesterol and serotonin indices in depressed and suicidal patients. J. Affect. Disord. 62, 217-219 https://doi.org/10.1016/S0165-0327(99)00200-1
  26. Scanlon, P. J., Faxon, D. P., Audet, A. M., Carabello, B., Dehmer, G. J., Eagle, K. A., Legako, R. D., Leon, D. F., Murray, J. A., Nissen, S. E., Pepine, C. J., Watson, R. M., Ritchie, J. L., Gibbons, R. J., Cheitlin, M. D., Gardner, T. J., Garson, A., Jr., Russell, R. O. Jr., Ryan, T. J. and Smith, S. C. (1999) ACC/ AHA guidelines for coronary angiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions. Circulation 99, 2345-2357ᘀ넀대좵⨀띑ࠄ₷⨀墴ẗ⨀ȀȀ耀 ㌀띑ࠄ⢷⨀뢺⨀ȀᘀԀ袺⨀̀᠀Ԁᘀ椀돀?⨀ẗ⨀ẗ⨀墴ẗ⨀ȀȀ耀 ㈀鹑ࠄ?⨀ȈᘀĀ䤀댐袷⨀⥫̄Ѐ餂돀邰⨀/ࠀ墴ẗ⨀섁덀쀁墴ẗ⨀耂І栂歸猠桥慰ソソソソ頀Ⴙ⨀Ⴙ⨀᠁⢹⨀⢹⨀᠂䂹⨀䂹⨀᠄墹⨀墹⨀墴ẗ⨀耂Ѐ歸猠桥慰ソソソソ頀⨀⨀᠁⨀⨀᠂Ⴚ⨀Ⴚ⨀᠄⢺⨀⢺⨀㤀돀碸⨀킴ẗ⨀킴ẗ⨀Ã⨀㄀대㢺⨀꩑ࠄ숋Ȁ㄀댐為⨀꩑ࠄ셐褃돀邰⨀岝䨄⨀⨀Ȁ怀ࢻ⨀ࢻ⨀ᢻ⨀ᢻ⨀ ㈏ https://doi.org/10.1161/01.CIR.99.17.2345
  27. Walitza, S., Wewetzer, C., Warnke, A., Gerlach, M., Geller, F., Gerber, G., Gorg, T., Herpertz-Dahlmann, B., Schulz, E., Remschmidt, H., Hebebrand, J. and Hinney, A. (2002) 5- HT(2A) promoter polymorphism -1438G/A in children and adolescents with obsessive-compulsive disorders. Mol Psychiatry 7, 1054-1057 https://doi.org/10.1038/sj.mp.4001105
  28. Yu, B. N., Wang, A., Zhou, G., Zhang, W., Hu, D. L., Li, Q., He, Y. J. and Zhou, H. H. (2004) T102C genetic polymorphism of the 5-HT2A receptor in Chinese hypertensive patients and healthy controls. Clin. Exp. Pharmacol. Physiol. 31, 847-849 https://doi.org/10.1111/j.1440-1681.2004.04124.x
  29. Zureik, M., Courbon, D. and Ducimetiere, P. (1996) Serum cholesterol concentration and death from suicide in men: Paris prospective study I. Bmj 313, 649-651 https://doi.org/10.1136/bmj.313.7058.649

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