Possible mechanism of action of metabolic syndrome induction in patients treated with atypical antipsychotic agents

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In this study, the authors evaluated the effect of atypical antipsychotic agents (SGAs) on metabolic syndrome induction. Using neuroblastoma cell lines, one of SGAs, olanzapine, induced 5HT_<2C> mRNA transcription in PC12 autonomic neuroblastoma. Furthermore, olanzapine also induced PPAR_γ translation and subsequent fat accumulation in 3T3L1 mouse adipoblastoma cell line. These results suggest that olanzapine induces metabolic syndrome by synergistic effect of both an activation of sympathetic nervous system and an elevation of direct differentiation of adipose tissues.