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How Can Drug Metabolism and Transporter Genetics Inform Psychotropic Prescribing?

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Journal Front Genet
Date 2020 Dec 28
PMID 33363564
Citations 15
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Abstract

Many genetic variants in drug metabolizing enzymes and transporters have been shown to be relevant for treating psychiatric disorders. Associations are strong enough to feature on drug labels and for prescribing guidelines based on such data. A range of commercial tests are available; however, there is variability in included genetic variants, methodology, and interpretation. We herein provide relevant background for understanding clinical associations with specific variants, other factors that are relevant to consider when interpreting such data (such as age, gender, drug-drug interactions), and summarize the data relevant to clinical utility of pharmacogenetic testing in psychiatry and the available prescribing guidelines. We also highlight areas for future research focus in this field.

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References
1.
Bauer B, Hartz A, Fricker G, Miller D . Pregnane X receptor up-regulation of P-glycoprotein expression and transport function at the blood-brain barrier. Mol Pharmacol. 2004; 66(3):413-9. DOI: 10.1124/mol.66.3.. View

2.
Pinto N, Dolan M . Clinically relevant genetic variations in drug metabolizing enzymes. Curr Drug Metab. 2011; 12(5):487-97. PMC: 3110519. DOI: 10.2174/138920011795495321. View

3.
Aitchison K, Bienroth M, Cookson J, Gray R, Haddad P, Moore B . A UK consensus on the administration of aripiprazole for the treatment of mania. J Psychopharmacol. 2008; 23(3):231-40. DOI: 10.1177/0269881108098820. View

4.
Ehlert F, Delen F, Yun S, Liem H . The interaction of amitriptyline, doxepin, imipramine and their N-methyl quaternary ammonium derivatives with subtypes of muscarinic receptors in brain and heart. J Pharmacol Exp Ther. 1990; 253(1):13-9. View

5.
Tateishi T, Watanabe M, Kumai T, Tanaka M, Moriya H, Yamaguchi S . CYP3A is responsible for N-dealkylation of haloperidol and bromperidol and oxidation of their reduced forms by human liver microsomes. Life Sci. 2001; 67(24):2913-20. DOI: 10.1016/s0024-3205(00)00874-2. View