Association between neuroleptic drug-induced extrapyramidal symptoms and dopamine D2-receptor polymorphisms in Japanese schizophrenic patients

Y. Nakazono, H. Abe, H. Murakami, N. Koyabu, Y. Isaka, Y. Nemoto, S. Murata, Y. Tsutsumi, H. Ohtani, Y. Sawada

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


The aim of the present study is to examine the relationship between dopamine D2-receptor gene (DRD2) polymorphisms (Taq1A, Taq1B, -141C Ins/Del) and the risk of extrapyramidal adverse effects (EPS), assessed according to the Drug-Induced Extra-Pyramidal Symptoms Scale (DIEPSS), or the maintenance dose of antipsychotics in schizophrenic patients. The DIEPSS score was significantly higher in patients bearing the -141C Del allele than in those without it. Taq1A and Taq1B restriction fragment length polymorphisms (RFLPS) did not significantly affect the DIEPSS score. On the other hand, maintenance doses of neuroleptics and antiparkinsonian drugs were significantly higher in patients with the B1 allele of Taq1B RFLP than in those without it, while the Taq1A RFLP and -141C Ins/Del polymorphisms were not significantly related to the maintenance doses. In conclusion, the risk of EPS may be increased in patients with the -141C Del allele of the DRD2 gene. In these patients, antipsychotics should be administered with caution.

Original languageEnglish
Pages (from-to)163-171
Number of pages9
JournalInternational journal of clinical pharmacology and therapeutics
Issue number4
Publication statusPublished - 2005
Externally publishedYes


  • 141C Ins/Del
  • Dopamin D-receptor gene (DRD2) polymorphisms
  • Extrapyramidal adverse effects
  • Taq1A
  • Taq1B

ASJC Scopus subject areas

  • Pharmacology
  • Pharmacology (medical)


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