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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.
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页码:815 / 823
页数:9
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