Abnormalities of the serotonergic system have classically been associa
ted with the origin of affective disorders through the biochemical act
ion of therapeutic agents and their role in affective and perceptual s
tates. In the present study, we hypothesized that genetic variation in
the 5-hydroxytryptamine (serotonin) type 2A (5-HT2A) receptor gene (H
TR2A) might have an effect on the aetiology of bipolar affective disor
der. Four different polymorphisms in the HTR2A gene were studied in 88
patients with bipolar affective disorder and 113 healthy controls, al
l of Spanish origin. No significant association was observed between a
ny of the four polymorphisms at the HTR2A locus, whether tested indivi
dually or as haplotypes, and bipolar affective disorder. The lack of a
ssociation suggests that HTR2A is not a major risk factor for bipolar
affective disorder.