rs1800497

badMag 4.0

This is a variant in the ANKK1 gene that changes a glutamate to an lysine.

Key Literature Trait Associations

Antipsychotic Side Effects

The A1 allele of ANKK1/DRD2 Taq1A is associated with increased susceptibility to second-generation antipsychotic-induced akathisia. Carriers show higher global clinical akathisia scores during treatment with atypical antipsychotics such as olanzapine and risperidone, likely due to baseline reduction in striatal D2 receptor availability altering the pharmacodynamic response to D2-blocking medications.

Allele A
OR
p
Candidate gene study
multi-ancestry
Allele A
OR
p 3.0e-2
Candidate gene study

Addiction Vulnerability

The A1 allele reduces striatal D2 dopamine receptor density by 30-40%, creating a hypodopaminergic state that increases vulnerability to substance use disorders including alcohol, nicotine, and stimulant dependence. Reduced reward sensitivity may drive compensatory substance-seeking behavior. This is one of the most replicated genetic associations in addiction research.

Allele A
OR 1.29
p 1.0e-10
N 18,248
Large GWAS
multi-ancestry
Allele A
OR 1.30
p 1.0e-10
Meta-analysis
Allele A
OR
p
Candidate gene study
multi-ancestry

Dopamine Receptor Density

Known as the Taq1A polymorphism (Glu713Lys), the A1 allele causes a missense change in ANKK1's 11th ankyrin repeat. Although originally attributed to DRD2, this variant is in strong LD with the D2 receptor locus and A1 homozygotes show 30-40% reduced striatal D2 receptor density. This creates a hypodopaminergic state associated with altered reward processing and impulsive behavior.

Allele A
OR
β -0.570 ±0.150
p 2.0e-4
N 194
Meta-analysis
multi-ancestry
Taketo MM et al. Shutting down Wnt signal-activated cancer. Nature Genetics 36(4):320-322 (2004)
Allele A
OR
p 1.0e-15
Large GWAS

Levodopa-induced dyskinesia

A 2023 genetic meta-analysis of 2,784 Parkinson's disease patients identified rs1800497 in ANKK1 as significantly associated with time to development of levodopa-induced dyskinesia (LiD), a major complication of long-term levodopa therapy (HR=1.27, SE=0.09, p=8.89×10⁻³). The T allele's effect on dopamine receptor density in the nigrostriatal pathway provides a plausible mechanistic basis, as reduced D2 receptor expression may sensitize the system to dopaminergic fluctuations induced by pulsatile levodopa dosing. This finding raises the prospect of genotype-guided dosing or timing strategies in Parkinson's management.

Martinez-Carrasco A et al. Genetic meta-analysis of levodopa induced dyskinesia in Parkinson's disease. Npj Parkinson's Disease (2023)
Allele T
OR 1.27
p 8.9e-3
N 2,784
Meta-analysis
European

Post-traumatic stress disorder

A 2023 multivariate meta-analysis of 12 observational studies (5,515 subjects) found that homozygous TT carriers of rs1800497 had significantly higher odds of PTSD compared to CC carriers (OR=1.73, 95% CI 1.14–2.62, p=0.01), with moderate heterogeneity (I²=58.9%). The co-dominant genetic model was identified as the best fit. The dopamine reward pathway, which is dysregulated in PTSD, likely mediates this association, consistent with the T allele's broader pattern of reduced D2 receptor density. Ancestry-specific effects were not characterized in detail.

Allele T
OR 1.73
p 1.0e-2
N 5,515
Meta-analysis
multi-ancestry

Mood disorder

A 2014 meta-analysis of 8 case-control studies (2,097 cases, 1,681 controls) found that the T allele of rs1800497 was associated with increased mood disorder risk, with particularly pronounced effects in Asian populations and for bipolar disorder specifically. While the overall pooled analysis was nominally significant, the effect was modest and heterogeneity across studies was a limitation. Results should be interpreted cautiously given the relatively small combined sample size and publication bias concerns. This association likely reflects the role of dopaminergic signaling in mood regulation.

Allele T
OR
p
N 3,778
Meta-analysis
multi-ancestry

Attention deficit hyperactivity disorder

A 2015 meta-analysis of 11 studies (1,645 cases, 1,641 controls) found a nominally significant association between the T allele and ADHD under the dominant genetic model (OR=1.785, 95% CI 1.068–2.984, p=0.027). However, subgroup analyses revealed the association was driven almost entirely by African-ancestry populations (OR=3.286, p=0.005), with no significant effects in East Asians or Caucasians. Substantial heterogeneity across studies was unexplained by meta-regression. Given ancestry-specificity and marginal overall significance, this association is considered preliminary.

Allele T
OR 1.78
p 2.7e-2
N 3,286
Meta-analysis
multi-ancestry

ClinVar annotation

Benign★★★
5 submitters11 publications

Taq1A POLYMORPHISM; not specified; Schizophrenia; ANKK1-related disorder; not provided

View on ClinVar →

Research that mentions this SNP (32)

Genetic variation of FTO: rs1421085 T>C, rs8057044 G>A, rs9939609 T>A, and copy number (CNV) in Mexican Mayan school‐aged children with obesity/overweight and with normal weight
ReviewLizbeth González‐Herrera et al.(2019)· American Journal of Human Biology

A literature review of 70 studies examining single nucleotide polymorphisms (SNPs) associated with obesity in Mexican populations published 2011-2021. The authors identified SNPs with differential behavior in Mexican compared to Caucasian populations, including rs17782313 (MC4R), rs6548238 (TMEM18), rs6265 (BDNF), rs7498665 (SH2B1), and notably rs6232 (PCSK1) associated with early-onset obesity in Mexican youth. The review emphasizes ethnicity-dependent genetic effects on BMI heritability (40-70%) and highlights genes involved in cholesterol metabolism and adipokine signaling pathways.

Traits studied:AdiposityBlood pressureBody mass index (BMI)Cardiovascular risk factorsDyslipidemiaInsulin resistanceMetabolic syndromeObesityOverweightType 2 diabetes
Interaction between the obesity-risk gene FTO and the dopamine D2 receptor gene ANKK1/TaqIA on insulin sensitivity
AssociationN=5,166Martin Heni et al.(2016)· Diabetologia

This study demonstrates a significant gene-gene interaction between the obesity-risk FTO rs8050136 polymorphism and the dopamine D2 receptor ANKK1/TaqIA rs1800497 polymorphism affecting body composition and insulin sensitivity. Among 2245 participants from the Tübingen Family study and 2921 from the Malmö Diet and Cancer study, the FTO variant was associated with increased body fat (β 0.056±0.016) and waist circumference (β 0.017±0.008) and reduced insulin sensitivity (β -0.121±0.037) only in carriers of the ANKK1 T risk allele; no associations were found in ANKK1 C allele homozygotes. Brain fMRI imaging in 45 participants also showed the interaction on central insulin sensitivity in the caudate nucleus.

Traits studied:Body fat percentageBody mass index (BMI)Fasting insulinInsulin sensitivityObesityType 2 diabetesWaist circumferenceWaist-to-hip ratio
Longitudinal predictors of cannabis use and dependence in offspring from families at ultra high risk for alcohol dependence and in control families
AssociationN=338Shirley Y. Hill et al.(2016)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A longitudinal prospective study of 338 young adult offspring from families at high and low risk for alcohol dependence examined predictors of cannabis use patterns and cannabis abuse/dependence from ages 8-30. A low P300 amplitude trajectory in childhood predicted cannabis abuse/dependence in males (P=0.01). A four-SNP ANKK1-DRD2 haplotype (rs4938012-rs4938015-rs1800497-rs6277, G-G-G-C) was significantly associated with cannabis use frequency patterns (P=0.0008). Among individuals with cannabis abuse/dependence, the CNR1 rs806368 A>G minor allele conferred a 5.4-fold increase in likelihood of frequent persistent use versus declining use (P=0.003, OR=5.4).

Traits studied:Cannabis abuseCannabis dependenceCannabis useSubstance use disorder
The relationship between polymorphisms of BDNFOS and BDNF genes and heroin addiction in the Han Chinese population
ReviewTianbo Jin et al.(2016)· The Journal of Gene Medicine

This review examines neurogenetic and neuropharmacological correlates of opioid use disorder (OUD) with emphasis on ancestry-specific genetic risk profiles. The paper identifies multiple genes involved in the reward pathway (DRD2, DRD3, DRD4, OPRM1, OPRK1, OPRD1, BDNF, NRXN3, COMT, SLC6A4, KCNC1, KCNG2) and their variants associated with OUD susceptibility and treatment response across different ethnic populations, highlighting critical research disparities where African Americans and Hispanics have been underrepresented in genetic association studies.

Traits studied:Alcohol DependenceCocaine AddictionHeroin AddictionHeroin DependenceMethamphetamine DependenceMitochondrial DysfunctionNeonatal Abstinence SyndromeOpioid AddictionOpioid DependenceOpioid Use DisorderOxidative StressPain SensitivitySubstance Use Disorder
Pharmacogenetic associations of the type-3 metabotropic glutamate receptor (GRM3) gene with working memory and clinical symptom response to antipsychotics in first-episode schizophrenia
AssociationN=61Jeffrey R. Bishop et al.(2015)· Psychopharmacology

This pharmacogenetic study in 61 first-episode schizophrenia patients found that GRM3 rs1468412 TT genotype was associated with worsening spatial working memory performance after antipsychotic treatment (p=0.001, Cohen's d=0.75), while GRM3 rs6465084 AA genotype was associated with improved negative symptoms after treatment (p=0.046). No significant associations were found between COMT Val158Met or DRD2/ANKK1 variants and cognitive or symptom changes.

Traits studied:Antipsychotic responseCognitive performanceFirst-episode schizophreniaNegative symptomsSchizophreniaSpatial working memory
Screening individuals with intellectual disability, autism and Tourette's syndrome for KCNK9 mutations and aberrant DNA methylation within the 8q24 imprinted cluster.
ReviewMarta Sánchez Delgado et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This review examines the genetic and epigenetic basis of Tourette Syndrome (TS), a neurodevelopmental disorder with high heritability (0.45-0.77). The paper reviews candidate gene associations including variants in SLITRK1 (rs9593835, rs9546538, rs9531520), DRD2/ANKK1 (rs1800497), ADORA1/ADORA2A (rs2228079, rs5751876), and other dopaminergic genes, along with a large GWAS in 1285 cases and 4964 controls highlighting rs7868992 in COL27A1. The review proposes that epigenetic mechanisms (DNA methylation, histone modifications, non-coding RNAs) may link genetic susceptibility with environmental factors in TS pathogenesis.

Traits studied:Gilles de la Tourette SyndromeTic disordersTicsTourette Syndrome
Risky alcohol consumption in young people is associated with the fatty acid amide hydrolase gene polymorphism C385A and affective rating of drug pictures
AssociationN=260Kora-Mareen Bühler et al.(2014)· Molecular Genetics and Genomics

This candidate gene association study examined 10 SNPs in addiction-related genes (CNR1, FAAH, DRD2, ANKK1, COMT, OPRM1) in university students and identified the FAAH C385A (rs324420) CC genotype as significantly associated with risky alcohol consumption (p=0.006, OR=2.38). The finding was replicated in an independent sample of 83 participants. Additionally, affective ratings of drug-related pictures were positively correlated with alcohol, tobacco, and cannabis consumption.

Traits studied:Affective rating of drug-related picturesAlcohol consumption (risky drinking)Cannabis consumptionTobacco consumption
Identification of ANKK1 rs1800497 variant in schizophrenia: New data and meta‐analysis
AssociationN=446Chen Zhang et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Association study of 446 Russian schizophrenia patients examining the functional ANKK1 rs2734849 polymorphism and antipsychotic-induced hyperprolactinemia (HPRL). The C allele was significantly associated with higher HPRL risk (OR=1.30, p=0.05 in total group; OR=1.49, p=0.04 in females), while the T allele was protective. This variant likely affects DRD2 expression through NFκB signaling, influencing D2 receptor density on pituitary lactotrophs.

Traits studied:Antipsychotic-induced hyperprolactinemiaSchizophrenia
Genetic variation at the CELF1 (CUGBP, elav‐like family member 1 gene) locus is genome‐wide associated with Alzheimer's disease and obesity
ReviewAnke Hinney et al.(2014)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This literature review examines the influence of genetic polymorphisms on obesity development and adaptive responses to physical activity, focusing on five candidate genes: COMT (rs4680, Val158Met), DRD2 (rs1800497 Taq1A and rs1799732), FABP2 (rs1799883, Ala54Thr), FTO (rs9939609, A/T), and UCP1 (rs1800592, A-3826G). The review synthesizes molecular mechanisms, phenotypic associations, and implications for human health and training adaptations, noting that physical activity reduces the FTO genetic effect on obesity risk by 30-80% and that various polymorphisms show differential impacts on body composition and metabolic responses to exercise.

Traits studied:Adipose tissue distributionAthletic performanceBody Mass Index (BMI)Body compositionExercise adaptationFat massMuscle massObesityPhysical activity responseWeight loss
Converging Evidence for the Association of Functional Genetic Variation in the Serotonin Receptor 2a Gene With Prefrontal Function and Olanzapine Treatment
AssociationN=887Giuseppe Blasi et al.(2013)· JAMA Psychiatry

Association study of 55 SNPs in 887 Hungarian adults examining genetic predisposition to aggression measured by the Buss-Perry Aggression Questionnaire. The HTR2A rs7322347 intronic variant showed significant association with aggression after Bonferroni correction (p = 0.0007), with carriers of the minor A allele showing lower aggression levels. The DRD4 rs916455 variant also showed nominal significance (p = 0.0275) but did not survive multiple testing correction.

Traits studied:Aggressive behaviorAngerHostilityPhysical aggressionVerbal aggression
Influence of ANKK1 and DRD2 polymorphisms in response to haloperidol
AssociationN=88Ina Giegling et al.(2013)· European Archives of Psychiatry and Clinical Neuroscience

This study investigated whether 9 ANKK1 and 27 DRD2 SNPs predict haloperidol efficacy and tolerability in 88 acutely psychotic patients. rs2242592 in ANKK1 (p=0.008) and rs1124493 in DRD2 (p=0.001) were significantly associated with improved clinical response on PANSS scores. Three haplotype blocks (one in ANKK1, two in DRD2) were also associated with better clinical improvement. Results showed partial replication in the CATIE schizophrenia sample, with rs11604671 (in LD with rs2242592) associated with response, suggesting ANKK1 and DRD2 variability influences haloperidol response though further validation is needed.

Traits studied:Haloperidol response/efficacy in psychotic patientsHaloperidol-induced motor side effectsSchizophrenia
Association between polymorphisms of DRD2 and DRD4 and opioid dependence: Evidence from the current studies
AssociationN=32Dingyan Chen et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

An Italian preliminary study of 32 female patients with eating disorders (25 anorexia nervosa, 5 bulimia nervosa, 2 binge eating disorder) investigated the association between dopaminergic system polymorphisms (DRD2, DRD4, COMT, DAT) and body image disturbance. While high body image disturbance was confirmed in patients, the study found no statistically significant differences in polymorphism distributions between diagnostic groups. A significant association was found only for the DAT 10R/10R genotype (χ²=21.57; p=0.006 for DRD4) with increased body dissatisfaction scores in specific body regions, but overall the preliminary results did not support the hypothesis of shared Reward Deficiency Syndrome polymorphisms with addiction disorders.

Traits studied:Anorexia nervosaBinge eating disorderBody image disturbanceBulimia nervosaEating disorders
Association analysis of ANK3 gene variants in nordic bipolar disorder and schizophrenia case–control samples
ReviewMartin Tesli et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This review comprehensively summarizes the latest genetic studies on schizophrenia, including family studies (heritability ~80%), genome-wide association studies, epigenetic mechanisms, candidate gene investigations, and next-generation sequencing findings. Key GWAS findings identified 108 schizophrenia-associated loci including variants in MIR137 (rs1625579), TCF4 (rs12966547), CSMD1 (rs10503253), CACNA1C (rs4765905), ANK3 (rs10761482), and MHC region variants, with evidence for polygenetic inheritance involving both common SNPs and rare copy number variations.

Traits studied:Auditory steady-state responseAutism spectrum disorderBipolar disorderCognitive impairmentMental retardationSchizophreniaSchizophrenia endophenotypesSchizophrenia with general psychopathologic symptomsSchizophrenia with negative symptomsSchizophrenia with positive symptomsSensory processing disorderTreatment-resistant schizophreniaUnipolar depression
Association of RANBP1 haplotype with smooth pursuit eye movement abnormality
ReviewHyun Sub Cheong et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This comprehensive review examines the genomics of schizophrenia and pharmacogenomics of antipsychotic drugs, synthesizing evidence on over 200 genes associated with psychotic disorders. The authors discuss five categories of genes relevant to antipsychotic response: disease-associated genes, mechanism-of-action genes, drug metabolism genes (particularly CYP2D6, CYP2C19, CYP2C9, CYP3A4), drug transporter genes, and pleiotropic genes. The review details pharmacogenomic profiles of 20+ antipsychotic drugs and demonstrates significant ethnic and interindividual variation in drug metabolism phenotypes, with examples including CYP2D6 extensive metabolizers (55.71% of population), intermediate metabolizers (34.7%), poor metabolizers (2.28%), and ultra-rapid metabolizers (7.31%).

Traits studied:Alzheimer diseaseAntipsychotic drug responseAntipsychotic drug side effectsAnxiety disordersBipolar disorderCNS disordersDepressive disorderParkinson's diseasePsychotic disordersSchizoaffective disorderSchizophreniaTardive dyskinesiaVascular dementia
Converging evidence implicates the dopamine D3 receptor gene in vulnerability to schizophrenia
AssociationN=446Fuquan Zhang et al.(2011)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A pharmacogenetic study of 446 schizophrenic patients (221 males, 225 females) from West Siberia investigating associations between 41 SNPs in dopaminergic genes and antipsychotic-induced hyperprolactinemia. The study found rs1799836 in MAOB gene associated with hyperprolactinemia in males (OR=0.748, p=0.048), and rs40184 and rs3863145 in SLC6A3 gene associated with hyperprolactinemia in the risperidone/paliperidone subgroup (OR=0.341, p=0.021 and OR=0.362, p=0.043, respectively), indicating protective effects.

Traits studied:Antipsychotic-induced hyperprolactinemiaSchizophrenia
Significant association between the C(−1019)G functional polymorphism of the HTR1A gene and impulsivity
AssociationN=1,862Anita Benko et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This Hungarian dissertation examined psychogenetic endophenotypes in healthy young adults (N~1800+), investigating associations between dopaminergic and serotonergic genetic polymorphisms and psychological traits including impulsivity, mood dimensions, flow susceptibility, hypnotizability, and cognitive performance. Key findings included significant associations between DRD4 VNTR 7-repeat allele and lower impulsivity (p=0.006), COMT Val/Met (rs4680) and impulse control (p=0.047), HTR1B 1997 AG (rs13212041) and impulsivity (p=0.003-0.004), GDNF variants and anxiety, and notably, a population frequency increase in DRD4 7-repeat allele carriers with advancing age suggesting possible survival advantage.

Traits studied:AnxietyCognitive performanceDepressionFlow experienceFlow susceptibilityHarm avoidanceHypnotizabilityImpulsivityInformation processing speedLifespanMood dimensionsNovelty seekingPersistenceReaction timeReward dependenceTemperamentTrait impulsivity
Familiality and molecular genetics of attention networks in ADHD
AssociationN=1,833Kerstin Konrad et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A Hungarian doctoral dissertation examining psychogenetic endophenotypes through multiple candidate gene association studies. Investigated dopaminergic and serotonergic polymorphisms (DRD2, DRD4, COMT, GDNF, HTR1A, HTR1B, SLC6A4) in relation to personality dimensions (impulsivity, anxiety, depression), flow susceptibility, hypnotizability, cognitive reaction time, and longevity. Key findings include associations between GDNF rs3812047 and rs3096140 with anxiety measures (p=0.0007, p=0.0014), COMT Val158Met with hypnotizability, and DRD4 VNTR 7-repeat with reaction time.

Traits studied:AnxietyCognitive reaction timeDepressionFlow susceptibilityHypnotizabilityImpulsivityLongevityNovelty seekingTemperament dimensionsWithdrawal
Influence of neurexin 1 (NRXN1) polymorphisms in clozapine response
ReviewRenan P. Souza et al.(2010)· Human Psychopharmacology: Clinical and Experimental

This systematic review of 98 studies examined biological predictors of clozapine response in treatment-resistant schizophrenia patients. Of 379 different gene variants investigated across 70 genetic studies, only three variants (DRD3 Ser9Gly rs6280, HTR2A His452Tyr, and GNB3 C825T) achieved independent replication. Non-genetic predictors included higher prefrontal cortical volumes and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
The association of the dopamine transporter gene and the dopamine receptor 2 gene with delirium, a meta‐analysis
Meta-analysisN=1,641Barbara C. van Munster et al.(2010)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A meta-analysis of six European populations (N=1,641, mean age 82 years) investigating genetic associations with delirium in elderly patients. The SLC6A3 rs393795 AA genotype showed protective association with delirium (OR=0.37-0.4, 95% CI 0.2-0.6, P=0.0003), while DRD2 rs6276 GG genotype showed borderline protective effect especially in patients with cognitive impairment (OR=0.6, 95% CI 0.4-1.0, P=0.06). SLC6A3 rs1042098 showed no significant association.

Traits studied:Cognitive impairmentDelirium
Candidate gene studies of ADHD: a meta-analytic review
Meta-analysisIan R. Gizer et al.(2009)· Human Genetics

Meta-analytic review of candidate gene studies for childhood ADHD examining 19 genes. Significant associations identified for DAT1 (3' UTR VNTR: OR=1.12, p=0.028; rs27072: OR=1.20, p=0.006), DRD4 (exon 3 VNTR: OR=1.33, p=0.00007; rs1800955: OR=1.21, p=0.007), DRD5, 5HTT, HTR1B (rs6296: OR=1.11, p=0.010), and SNAP25 (rs3746544: OR=1.15, p=0.030).

Traits studied:Attention-deficit/hyperactivity disorderChildhood ADHD
Analysis of genetic variations in the RGS9 gene and antipsychotic‐induced tardive dyskinesia in schizophrenia
ReviewYing‐Jay Liou et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

This is a comprehensive literature review of candidate genes and their single nucleotide variants associated with antipsychotic-induced tardive dyskinesia in schizophrenia patients. The review examined genes involved in dopamine system (DRD1, DRD2, DRD3), catecholamine metabolism (COMT), serotonin system (HTR2A, HTR2C), and other pharmacodynamic and pharmacokinetic pathways. Timely identification of genetic variants in these genes could contribute to developing diagnostic tests and selecting safer antipsychotic therapy.

Traits studied:Antipsychotic-induced movement disordersDrug-induced tardive dyskinesiaSchizophreniaTardive dyskinesia
The impact of genetic variation in DRD2 and SLC6A3 on smoking cessation in a cohort of participants 1 year after enrollment in a lung cancer screening study
AssociationN=881Mindi A. Styn et al.(2009)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

Case-control study of 881 smokers (219 abstinent, 662 not abstinent at one year) examining dopamine pathway variants on smoking cessation. DRD2 TaqIA (rs1800497) was significantly associated with smoking abstinence (p=0.01), with minor allele carriers being less likely to quit (OR: 0.47, 95% CI: 0.24-0.94). Other DRD2 variants and SLC6A3 VNTR were not significantly associated with cessation.

Traits studied:Smoking behaviorSmoking cessation
The DRD2 gene 957C>T polymorphism is associated with Posttraumatic Stress Disorder in war veterans
AssociationN=355Voisey J. et al.(2009)· Depression and Anxiety

Case-control genetic association study of 127 Vietnam war veterans with PTSD and 228 controls found that the DRD2 957C>T polymorphism (rs6277) is significantly associated with PTSD susceptibility. The C allele was more frequent in PTSD cases (51.7%) vs controls (42.5%, P=0.021, OR=1.45). The CC genotype showed twice the odds of PTSD compared to TT (P=0.041), with 14% of PTSD susceptibility attributable to this genotype.

Traits studied:Posttraumatic stress disorder (PTSD)
Lack of association of GPX1 and MnSOD genes with symptom severity and response to clozapine treatment in schizophrenia subjects
ReviewRenan P. Souza et al.(2009)· Human Psychopharmacology: Clinical and Experimental

A systematic review of 98 studies investigating biological predictors of clozapine response in treatment-resistant schizophrenia. Of 70 genetic studies examining 379 variants, only three genetic variants have independently replicated findings: DRD3 Ser9Gly (rs6280), HTR2A His452Tyr, and GNB3 C825T (rs5442/rs5443). Non-genetic predictors include higher prefrontal cortical structural integrity and activity, and lower HVA:5-HIAA ratio in cerebrospinal fluid.

Traits studied:Clozapine responseSchizophreniaTreatment-resistant schizophrenia
Dopamine D2 receptor polymorphisms and adenoma recurrence in the Polyp Prevention Trial
AssociationN=1,723Gwen Murphy et al.(2009)· International Journal of Cancer

Study of 1,723 participants from the Polyp Prevention Trial examined associations between dopamine D2 receptor (DRD2) polymorphisms and colorectal adenoma recurrence. DRD2 rs1799732 CT genotype was associated with increased risk of any adenoma recurrence (OR: 1.30; 95% CI: 1.01-1.69), while rs1800497 TT genotype was associated with advanced adenoma recurrence (OR: 2.40; 95% CI: 1.11-5.20). Dietary components including alcohol and fat intake varied significantly across DRD2 genotypes.

Traits studied:Advanced adenoma recurrenceColorectal adenoma recurrence
HTR2A A-1438G/T102C polymorphisms predict negative symptoms performance upon aripiprazole treatment in schizophrenic patients
AssociationN=128Shih-Fen Chen et al.(2009)· Psychopharmacology

This study investigated whether HTR2A A-1438G/T102C polymorphisms (rs6311/rs6313) predict aripiprazole treatment response in 128 Han Chinese schizophrenia patients. The GG/CC genotype group predicted poor negative symptom response (PANSS negative score 3.93 points higher in GG/CC vs. AA/TT, P=0.007), with clinical factors like medication dosage and age also significantly influencing treatment outcomes.

Traits studied:Aripiprazole treatment responseGeneral psychopathologyNegative symptomsPositive symptomsSchizophrenia
Clinical and pharmacogenetic determinants for the discontinuation of non-ergoline dopamine agonists in Parkinson’s disease
AssociationN=90Arbouw ME et al.(2009)· European Journal of Clinical Pharmacology

This pharmacogenetic study examined determinants of non-ergoline dopamine agonist discontinuation in 90 Parkinson's disease patients. Non-genetic factors associated with discontinuation included apomorphine use (HR 6.26) and levodopa dosages 500-1000 mg (HR 2.31). In the genetic subgroup (n=38), the absence of a 15× DRD2 CA repeat allele was significantly associated with decreased discontinuation (HR 0.23; 95% CI 0.07-0.81), while DRD3 Msp I polymorphism showed a suggestive allele dose effect.

Traits studied:Parkinson's disease - dopamine agonist treatment discontinuation
Influence of NOS1 on Verbal Intelligence and Working Memory in Both Patients With Schizophrenia and Healthy Control Subjects
ReviewGary Donohoe et al.(2009)· Archives of General Psychiatry

This comprehensive review synthesizes genomic and pharmacogenomic research in schizophrenia, discussing over 200 candidate genes associated with psychotic disorders, genetic mechanisms including copy number variants and microRNA alterations, and pharmacogenomic factors affecting antipsychotic efficacy and safety. Key genes covered include dopamine receptors (DRD1-5), dysbindin (DTNBP1), DISC1, neurotrophic factors, and metabolic enzymes such as CYP2D6, CYP3A4, and COMT, with emphasis on genotype-phenotype correlations in antipsychotic response and side effects.

Traits studied:Antipsychotic drug response and efficacyAntipsychotic drug safety and side effectsAttention-deficit hyperactivity disorderAutismBipolar disorderCognitive function in schizophreniaMajor depressive disorderMental retardationObsessive-compulsive disorderParkinson's diseasePsychotic disordersSchizophreniaTardive dyskinesia
Dopamine receptor D3 genotype association with greater acute positive symptom remission with olanzapine therapy in predominately caucasian patients with chronic schizophrenia or schizoaffective disorder
ReviewDavid H. Adams et al.(2008)· Human Psychopharmacology: Clinical and Experimental

Literature review of 77 publications examining the effects of genes COMT, MAO-A, MAO-B, DAT, DRD2, VMAT2, TPH2, and SNCA on Parkinson's disease neuropsychiatric symptoms and therapy response. Key polymorphisms include rs1800497 (DRD2) associated with impulse control disorders, rs6269/rs4633/rs4818/rs4680 (COMT) with cognitive decline, and rs1352250/rs6582078 (TPH2) with impulse control. The review identifies genetic predictors for early complications (cognitive decline, depression, psychosis, impulse control disorders) and therapy optimization, relevant for patient selection for deep brain stimulation.

Traits studied:Addiction/substance abuseAnxiety disorderAttention-deficit/hyperactivity disorderBipolar affective disorderCognitive declineDementiaDepressionHallucinationsImpulse control disorderLevodopa dyskinesiaLevodopa responseObsessive-compulsive disorderParkinson's diseasePsychotic disordersSchizophreniaSleep disorders
Preliminary evidence for an association between a dopamine D3 receptor gene variant and obsessive‐compulsive personality disorder in patients with major depression
AssociationN=99Katrina J. Light et al.(2006)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

A case-control study (N=99: 49 patients with major depressive disorder, 50 controls) conducted in Mexican mestizo population analyzing 8 genetic variants in serotonin and dopamine receptors (HTR1A rs6295, HTR2A rs6311/rs6313/rs6314, HTR6 rs1805054, DRD2 rs1801028/rs1800497, DRD3 rs6280) using PCR-RFLP genotyping. The study characterized genotype and allele frequencies in depressed patients versus healthy controls and evaluated associations with antidepressant treatment response using Hamilton Depression Scale.

Traits studied:Antidepressant Treatment ResponseMajor Depressive Disorder
Association study of 12 polymorphisms spanning the dopamine D2 receptor gene and clozapine treatment response in two treatment refractory/intolerant populations
AssociationN=409Rudi Hwang et al.(2005)· Psychopharmacology

This case-control association study examined five DRD2 polymorphisms in 213 schizophrenia patients and 196 controls from South India. H313H TT genotype was significantly associated with schizophrenia (P=0.004) and with better antipsychotic treatment response, while TaqIA A1A1 genotype was protective (P=0.029). DRD2 variants showed distinct associations with specific symptoms and treatment outcomes, highlighting ethnic and cultural factors in disease manifestation and antipsychotic response.

Traits studied:Antipsychotic treatment responseSchizophrenia
Identification and characterization of ANKK1: A novel kinase gene closely linked to DRD2 on chromosome band 11q23.1
FunctionalMatt J. Neville et al.(2004)· Human Mutation

This study identifies and characterizes ANKK1 (ankyrin repeat and kinase domain containing 1), a novel serine/threonine kinase gene located downstream of DRD2 on chromosome 11q23.1. The functionally significant Taq1A polymorphism (rs1800497, g.32806C>T) previously associated with addiction traits is shown to cause an amino acid substitution (p.Glu713Lys) within the 11th ankyrin repeat of ANKK1 rather than directly affecting DRD2, suggesting that ANKK1 activity changes may explain addiction-related associations previously attributed to DRD2 variation.

Traits studied:AddictionAlcoholismNicotine dependenceSubstance abuse

Gene information from NCBI Gene. Variant classifications from ClinVar.

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rs1800497 (ANKK1) — genewizard.net