The adrenergic system plays an important role in psychiatric disorders such
as depression and schizophrenia. Antagonism of the adrenergic receptor sub
types alpha(1A) and alpha(2A) has been found to have an a nti psychotic eff
ect. Genetic mutations in these receptors could be related to the alteratio
ns in the adrenergic system observed in psychiatric patients and to failure
to respond to drug antagonism. We have studied one polymorphism in the ala
-adrenergic receptor (Arg492Cys) and two polymorphisms in the promoter regi
on of the alpha(2a)-adrenergic receptor (-1291-C/G and 261-G/A) in a sample
of clozapine-treated schizophrenic patients and controls, No clear differe
nces were observed between the different groups suggesting that these polym
orphisms did not play an important role in the aetiology of the disorder or
in determining antipsychotic response. (C) 2000 Elsevier Science Ireland L
td. All rights reserved.