We report allelic association between a polymorphism (T102C) within th
e coding region of the 5-HT2A gene (HTR2A, 13q14-21) and response to c
lozapine in schizophrenic patients. Homozygosity for the C102 allele w
as more frequent (30/57, 53%) among patients who did not respond to cl
ozapine than in those who responded (23/92, 25%). This finding is evid
ence that allelic variation of genes which encode neurotransmitter rec
eptors can influence clinical response to antipsychotic drugs.