Epigenetic changes of DRD2 gene in pathogenesis of schizophrenia

Introduction: The dopamine hypothesis has earlier dominated the theories for the development of schizophrenia based on the early pharmacologic evidence. The antipsychotic drugs, among others, is thought to interfere with the function of the dopamine D2 receptor (DRD2) resulting in clinical improveme...

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Bibliographic Details
Main Authors: Abd. Rahim, Nour El Huda, Rahim, Mohd Nabil Fikri, Ku Zaifah, Norsidah, Mohd Noor, Hanisah, Abdullah, Kartini, A. Talib, Norlelawati
Format: Conference or Workshop Item
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2017
Subjects:
Online Access:http://irep.iium.edu.my/59600/
http://irep.iium.edu.my/59600/
http://irep.iium.edu.my/59600/1/59600_EPIGENETIC%20CHANGES.pdf
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Summary:Introduction: The dopamine hypothesis has earlier dominated the theories for the development of schizophrenia based on the early pharmacologic evidence. The antipsychotic drugs, among others, is thought to interfere with the function of the dopamine D2 receptor (DRD2) resulting in clinical improvement. Accumulating evidence suggest the role of epigenetic mechanisms in the pathophysiology of schizophrenia. Despite this, specific evidence linking the DRD2 DNA methylation with schizophrenia is insufficient mainly due to the poor accessibility and limited brain samples. Of late, new data has suggested the global impact of DNA methylation in the development of schizophrenia, thus methylation in the peripheral blood could infer changes in the brain. Therefore, the aim of the study is to assess the DRD2 DNA methylation in the peripheral blood of schizophrenia. Materials and method: The case control study consisted of 138 schizophrenia patients from the Psychiatry Clinic, Hospital Kuantan Ampuan Afzan, Kuantan Pahang and 132 healthy controls from Kuantan district. The genomic DNA from the peripheral blood was bisulfite converted. The DRD2 DNA methylation level was quantitatively measured by using the MethyLight Taqman® assay and normalized with the ALU reference control to give the percentage methylation ratio. The demographic data were calculated using descriptive statistics while parametric variables were compared using independent samples t-test or analysis of covariance. Results: There was a significant hypomethylation of DRD2 in schizophrenia as compared to the control group (p=0.001). The hypomethylation was also significant in males (p=0.007) and females (p=0.036) patients. Conclusion: This study strongly support the possible role of DNA methylation of DRD2 gene could contribute to the pathogenesis of schizophrenia.