Molecular Psychiatry ( IF 9.6 ) Pub Date : 2024-11-19 , DOI: 10.1038/s41380-024-02841-w Luan Chen, Cong Huai, Chuanfu Song, Shaochang Wu, Yong Xu, Zhenghui Yi, Jinsong Tang, Lingzi Fan, Xuming Wu, Zhenhua Ge, Chuanxin Liu, Deguo Jiang, Saizheng Weng, Guoqiang Wang, Xinfeng Zhang, Xudong Zhao, Lu Shen, Na Zhang, Hao Wu, Yongzhi Wang, Zhenglin Guo, Suli Zhang, Bixuan Jiang, Wei Zhou, Jingsong Ma, Mo Li, Yunpeng Chu, Chenxi Zhou, Qinyu Lv, Qingqing Xu, Wenli Zhu, Yan Zhang, Weibin Lian, Sha Liu, Xinrong Li, Songyin Gao, Aihong Liu, Lei He, Zhenzhen Yang, Bojian Dai, Jiaen Ye, Ruiqian Lin, Yana Lu, Qi Yan, Yalan Hu, Qinghe Xing, Hailiang Huang, Shengying Qin
Schizophrenia (SCZ) is a severe mental disorder affecting around 1% of individuals worldwide. The variability in response to antipsychotic drugs (APDs) among SCZ patients presents a significant challenge for clinicians in determining the most effective medication. In this study, we investigated the biological markers and established a predictive model for APD response based on a large-scale genome-wide association study using 3269 Chinese schizophrenia patients. Each participant underwent an 8-week treatment regimen with one of five mono-APDs: olanzapine, risperidone, aripiprazole, quetiapine, or amisulpride. By dividing the response into ordinal groups of “high”, “medium”, and “low”, we mitigated the bias of unclear treatment outcome and identified three novel significantly associated genetic loci in or near CDH12, WDR11, and ELAVL2. Additionally, we developed predictive models of response to each specific APDs, with accuracies ranging from 79.5% to 98.0%. In sum, we established an effective method to predict schizophrenia patients’ response to APDs across three categories, integrating novel biomarkers to guide personalized medicine strategies.