title: Pharmacogenetics of leptin in antipsychotic-associated weight gain and obesity-related complications.
abstract: Second-generation antipsychotics can greatly improve symptoms of psychosis-spectrum disorders. Unfortunately, these drugs are associated with weight gain, which increases a patient's risk for developing chronic diseases including Type 2 diabetes, cardiovascular diseases or other obesity-related complications. There are interindividual differences in weight gain resulting from antipsychotic drug use that may be explained by pharmacodynamic characteristics of these agents as well as clinical factors. In addition, genetic variations in pathways associated with satiety are increasingly recognized as potential contributors to antipsychotic-associated weight gain. Polymorphisms in the leptin gene, as well as the leptin receptor gene, are potential pharmacogenetic markers associated with these outcomes. This article summarizes evidence for the associations of the leptin gene and the leptin receptor gene polymorphisms with antipsychotic-induced weight gain, potential mechanisms underlying these relationships, and discusses areas for future pharmacogenetic investigation.
authors.affiliation: University of Illinois at Chicago College of Pharmacy, Department of Pharmacy Practice, 833 S. Wood St, Rm 164 (M/C 886), Chicago, IL 60612, USA.
authors.forename: Amy K
authors.initials: AK
authors.lastname: Lee
authors.forename: Jeffrey R
authors.initials: JR
authors.lastname: Bishop
mesh_terms: D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D020738:Leptin / Q000235:genetics* / Q000378:metabolism; D009765:Obesity / Q000139:chemically induced* / Q000235:genetics; D011110:Polymorphism, Genetic; D044405:Receptor, Serotonin, 5-HT2C / Q000235:genetics; D011954:Receptors, Dopamine / Q000235:genetics; D054411:Receptors, Leptin / Q000235:genetics* / Q000378:metabolism; D012559:Schizophrenia / Q000188:drug therapy; D015430:Weight Gain / Q000187:drug effects* / Q000235:genetics
chemical_list: D014150:Antipsychotic Agents; D020738:Leptin; D044405:Receptor, Serotonin, 5-HT2C; D011954:Receptors, Dopamine; D054411:Receptors, Leptin