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      T102C polymorphism of serotonin-2A receptor gene in Turkish schizophrenia patients: Association with cognitive impairment and soft neurological signs

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          Abstract

          Aim:

          Previous studies have shown an association between the T102C polymorphism of the serotonin-2A receptor gene and schizophrenia. In addition, an association of this polymorphism with clinical phenotypes in schizophrenia such as treatment response and cognitive impairment has been observed.

          Materials and Methods:

          In this case-control study conducted in Turkish Caucasians, we compared T102C polymorphism genotype and allele frequencies in 76 schizophrenic patients and 165 healthy controls. We also investigated interaction of this polymorphism with clinical and cognitive variables in patients.

          Results:

          No significant difference was observed in the distribution of the three genotypes (T/T, T/C and C/C) and in the allele frequencies in controls and patients with schizophrenia. No evidence of association was detected at various clinical phenotypes including symptom severity, suicidality, treatment response, age of disease onset, number of hospitalizations and history of violence (in co-dominant, dominant, or recessive models). However, as compared to the C/C genotype, patients with 1 or 2 copies of the T allele were characterized by better stroop test performances and less “motor coordination” soft neurological signs.

          Conclusion:

          Further research is needed to elucidate the impact of T102C polymorphism on neurocognitive functions in both healthy and patient populations.

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          Most cited references30

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          Diagnostic and statistical manual of mental disorders.

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            The positive and negative syndrome scale (PANSS) for schizophrenia.

            The variable results of positive-negative research with schizophrenics underscore the importance of well-characterized, standardized measurement techniques. We report on the development and initial standardization of the Positive and Negative Syndrome Scale (PANSS) for typological and dimensional assessment. Based on two established psychiatric rating systems, the 30-item PANSS was conceived as an operationalized, drug-sensitive instrument that provides balanced representation of positive and negative symptoms and gauges their relationship to one another and to global psychopathology. It thus constitutes four scales measuring positive and negative syndromes, their differential, and general severity of illness. Study of 101 schizophrenics found the four scales to be normally distributed and supported their reliability and stability. Positive and negative scores were inversely correlated once their common association with general psychopathology was extracted, suggesting that they represent mutually exclusive constructs. Review of five studies involving the PANSS provided evidence of its criterion-related validity with antecedent, genealogical, and concurrent measures, its predictive validity, its drug sensitivity, and its utility for both typological and dimensional assessment.
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              The left frontal lobe of man and the suppression of habitual responses in verbal categorical behaviour.

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                Author and article information

                Journal
                Indian J Psychiatry
                Indian J Psychiatry
                IJPsy
                Indian Journal of Psychiatry
                Medknow Publications & Media Pvt Ltd (India )
                0019-5545
                1998-3794
                Oct-Dec 2014
                : 56
                : 4
                : 359-364
                Affiliations
                [1]Department of Psychiatry, Bolu İzzet Baysal Medical School, Bolu, Turkey
                [1 ]Department of Psychiatry, University of Istanbul, Cerrahpaşa Medical School, Istanbul, Turkey
                [2 ]Department of Psychiatry, Kahramanmaraş State Hospital, Kahramanmaraş, Turkey
                [3 ]Department of Child and Adolescent Psychiatry, Diyarbakır Pediatric Hospital, Diyarbakır, Turkey
                [4 ]Department of Medical Biology, University of Istanbul, Cerrahpaşa Medical School, Istanbul, Turkey
                Author notes
                Address for correspondence: Dr. Cana Aksoy Poyraz, Halaskargazi C. No: 81 Çiçek Apt, Daire 8, Istanbul, Turkey. E-mail: canaaksoy@ 123456yahoo.com
                Article
                IJPsy-56-359
                10.4103/0019-5545.146528
                4279293
                dfe11777-61f7-48c9-b658-b579f019f0dd
                Copyright: © Indian Journal of Psychiatry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Original Article

                Clinical Psychology & Psychiatry
                cognitive impairment,gene polymorphism,neurological soft signs,schizophrenia,serotonin-2a receptor gene

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