Prolactin levels: sex differences in the effects of risperidone, 9-hydroxyrisperidone levels, CYP2D6 and ABCB1 variants

被引:15
作者
Schoretsanitis, Georgios [1 ,2 ,3 ]
de Leon, Jose [4 ,5 ,6 ]
Diaz, Francisco J. [7 ]
机构
[1] Univ Hosp Psychiat, Bern, Switzerland
[2] Rhein Westfal TH Aachen, Dept Psychiat Psychotherapy & Psychosomat, Aachen, Germany
[3] JARA Translat Brain Med, Aachen, Germany
[4] Univ Kentucky, Mental Hlth Res Ctr, Eastern State Hosp, Lexington, KY 40508 USA
[5] Univ Granada, Inst Neurosci, Psychiat & Neurosci Res Grp CTS 549, Granada, Spain
[6] Univ Basque Country, Santiago Apostol Hosp, Biomed Res Ctr Mental Hlth Net CIBERSAM, Vitoria, Spain
[7] Univ Kansas, Med Ctr, Dept Biostat, Kansas City, KS 66103 USA
关键词
9-hydroxyrisperidone; ABCB1; CYP2D6; p-glycoprotein; prolactin; risperidone; sex; P-GLYCOPROTEIN; ATYPICAL ANTIPSYCHOTICS; GENETIC POLYMORPHISMS; DRUG-INTERACTIONS; FEMALE-PATIENTS; CO-MEDICATIONS; PHARMACOKINETICS; PHARMACODYNAMICS; METABOLISM; ELEVATION;
D O I
10.2217/pgs-2018-0053
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The role of sex on the association of plasma prolactin levels with risperidone (R) and 9-hydroxyrisperidone (9-OHR) concentrations is investigated. Methods: Plasma R and prolactin concentrations, CYP2D6 and exon 21 and 26 ABCB1 gene variants were studied in 110 patients. Results: In females, a 1 ng/ml increase in R levels was associated with a significant 1.02% increase in prolactin levels. In males, a 1 ng/ml increase in 9-OHR levels was associated with a significant 1.18% increase in prolactin levels. ABCB1 haplotype 12 had significant but opposite effects in males and females. In the combined sample, 9-OHR, but not R levels had significant effects on prolactin levels. Conclusion: Genes had sex-specific effects on risperidone-associated prolactin elevations.
引用
收藏
页码:815 / 823
页数:9
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