» Articles » PMID: 23199282

Pharmacogenetics of Antipsychotics: Recent Progress and Methodological Issues

Overview
Publisher Informa Healthcare
Date 2012 Dec 4
PMID 23199282
Citations 22
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: Antipsychotic drug is the mainstay of treatment for schizophrenia, and there are large inter-individual differences in clinical response and side effects. Pharmacogenetics provides a valuable tool to fulfill the promise of personalized medicine by tailoring treatment based on one's genetic markers.

Areas Covered: This article reviews the recent progress in pharmacogenetic research of antipsychotic drugs since 2010, focusing on two areas: antipsychotic-induced weight gain and clozapine-induced agranulocytosis. The article also provides discussion on the important methodological issues in this area of research. The specific aim of this article is to provide the reader with up-to-date evidence in pharmacogenetic research, and for them to gain familiarity to the issues and challenges facing the field.

Expert Opinion: Pharmacogenetic studies of antipsychotic drugs are promising despite many challenges. Recent advances as reviewed in this article push the field closer to routine clinical utilization of pharmacogenetic testing. Progress in genomic technology and bioinformatics, larger sample sizes, better phenotype characterization, and careful consideration of study design issues will help to elevate antipsychotic pharmacogenetics to its next level.

Citing Articles

Early Efficacy of Antipsychotic Medications at Week 2 Predicts Subsequent Responses at Week 6 in a Large-scale Randomized Controlled Trial.

Tang Y, Wu Y, Li X, Hao Q, Deng W, Yue W Curr Neuropharmacol. 2022; 21(2):424-436.

PMID: 36411567 PMC: 10190139. DOI: 10.2174/1570159X21666221118164612.


Pharmacogenetics of Antipsychotic Treatment in Schizophrenia.

Elsheikh S, Muller D, Pouget J Methods Mol Biol. 2022; 2547:389-425.

PMID: 36068471 DOI: 10.1007/978-1-0716-2573-6_14.


The Potential Role of Regulatory Genes (, , and ) in Antipsychotic Treatment Response in South African Schizophrenia Patients.

OConnell K, McGregor N, Emsley R, Seedat S, Warnich L Front Genet. 2019; 10:641.

PMID: 31354789 PMC: 6635553. DOI: 10.3389/fgene.2019.00641.


The gene and its associated phenotypes: focus on CNS drug response.

Younis R, Taylor R, Beardsley P, McClay J Pharmacogenomics. 2019; 20(9):669-684.

PMID: 31250731 PMC: 6912848. DOI: 10.2217/pgs-2019-0015.


Genetics of clozapine-associated neutropenia: recent advances, challenges and future perspective.

Legge S, Walters J Pharmacogenomics. 2019; 20(4):279-290.

PMID: 30767710 PMC: 6563116. DOI: 10.2217/pgs-2018-0188.


References
1.
Malhotra A, Zhang J, Lencz T . Pharmacogenetics in psychiatry: translating research into clinical practice. Mol Psychiatry. 2011; 17(8):760-9. PMC: 3928114. DOI: 10.1038/mp.2011.146. View

2.
Dettling M, Schaub R, Roots I, Cascorbi I . Further evidence of human leukocyte antigen-encoded susceptibility to clozapine-induced agranulocytosis independent of ancestry. Pharmacogenetics. 2001; 11(2):135-41. DOI: 10.1097/00008571-200103000-00004. View

3.
Zhang J, Malhotra A . Pharmacogenetics and antipsychotics: therapeutic efficacy and side effects prediction. Expert Opin Drug Metab Toxicol. 2010; 7(1):9-37. PMC: 3057913. DOI: 10.1517/17425255.2011.532787. View

4.
Julius R, Novitsky Jr M, Dubin W . Medication adherence: a review of the literature and implications for clinical practice. J Psychiatr Pract. 2009; 15(1):34-44. DOI: 10.1097/01.pra.0000344917.43780.77. View

5.
Volpi S, Potkin S, Malhotra A, Licamele L, Lavedan C . Applicability of a genetic signature for enhanced iloperidone efficacy in the treatment of schizophrenia. J Clin Psychiatry. 2009; 70(6):801-9. DOI: 10.4088/jcp.08m04391. View