Liver enzymeCYP2D6gene and tardive dyskinesia

被引:5
作者
Lu, Justin Y. [1 ]
Tiwari, Arun K. [1 ,2 ]
Freeman, Natalie [1 ]
Zai, Gwyneth C. [1 ,2 ,3 ]
Luca, Vincenzo de [1 ,2 ,3 ]
Mueller, Daniel J. [1 ,2 ,3 ]
Tampakeras, Maria [1 ]
Herbert, Deanna [1 ]
Emmerson, Heather [1 ]
Cheema, Sheraz Y. [1 ]
King, Nicole [1 ]
Voineskos, Aristotle N. [2 ,3 ]
Potkin, Steven G. [4 ]
Lieberman, Jeffrey A. [5 ]
Meltzer, Herbert Y. [6 ]
Remington, Gary [1 ,2 ,3 ]
Kennedy, James L. [1 ,2 ,3 ]
Zai, Clement C. [1 ,2 ,3 ,7 ]
机构
[1] Campbell Family Mental Hlth Res Inst, Ctr Addict & Mental Hlth, Tanenbaum Ctr Pharmacogenet, Toronto, ON M5T 1R8, Canada
[2] Univ Toronto, Dept Psychiat, Toronto, ON M5T 1R8, Canada
[3] Univ Toronto, Inst Med Sci, Toronto, ON M5S 1A8, Canada
[4] Univ Calif Irvine, Long Beach Vet Adm Hlth Care Syst, Dept Psychiat & Human Behav, Irvine, CA 92617 USA
[5] Columbia Univ, New York State Psychiat Inst, New York, NY 10032 USA
[6] Northwestern Univ, Feinberg Sch Med, Chem Life Proc Inst, Psychiat & Behav Sci,Pharmacol & Physiol, Chicago, IL 60611 USA
[7] Univ Toronto, Lab Med Pathobiol, Toronto, ON M5S 1A8, Canada
基金
美国国家卫生研究院; 加拿大健康研究院;
关键词
metabolizer phenotype; pharmacogenetics; schizophrenia; tardive dyskinesia; CYTOCHROME-P450; 2D6; FAMILIAL OCCURRENCE; CYP2D6; GENOTYPE; RECEPTOR GENE; SCHIZOPHRENIA; ASSOCIATION; POLYMORPHISM; RISK; RISPERIDONE;
D O I
10.2217/pgs-2020-0065
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background:Tardive dyskinesia (TD) is an iatrogenic involuntary movement disorder occurring after extended antipsychotic use with an unclear pathogenesis.CYP2D6is a liver enzyme involved in antipsychotic metabolism and a well-studied gene candidate for TD.Materials & methods:We tested predicted CYP2D6 metabolizer phenotype with TD occurrence and severity in our two samples of European chronic schizophrenia patients (total n = 198, of which 82 had TD).Results:TD occurrence were associated with extreme metabolizer phenotype, controlling for age and sex (p = 0.012). In other words, individuals with either increased and no CYP2D6 activity were at higher risk of having TD.Conclusion:Unlike most previous findings, TD occurrence may be associated with both extremes of CYP2D6 metabolic activity rather than solely for poor metabolizers.
引用
收藏
页码:1065 / 1072
页数:8
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