Pregled bibliografske jedinice broj: 1139337
Effect of cytochrome CYP2C19 metabolizing activity on antidepressant response and side effects: Meta-analysis of data from genome-wide association studies
Effect of cytochrome CYP2C19 metabolizing activity on antidepressant response and side effects: Meta-analysis of data from genome-wide association studies // European neuropsychopharmacology, 28 (2018), 8; 945-954 doi:10.1016/j.euroneuro.2018.05.009 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 1139337 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Effect of cytochrome CYP2C19 metabolizing
activity on antidepressant response and side
effects: Meta-analysis of data from genome-wide
association studies
Autori
Fabbri, Chiara ; Tansey, Katherine E. ; Perlis, Roy H. ; Hauser, Joanna ; Henigsberg, Neven ; Maier, Wolfgang ; Mors, Ole ; Placentino, Anna ; Rietschel, Marcella ; Souery, Daniel ; Breen, Gerome ; Curtis, Charles ; Lee, Sang-Hyuk ; Newhouse, Stephen ; Patel, Hamel ; O'Donovan, Michael ; Lewis, Glyn ; Jenkins, Gregory ; Weinshilboum, Richard M. ; Farmer, Anne ; Aitchison, Katherine J. ; Craig, Ian ; McGuffin, Peter ; Schruers, Koen ; Biernacka, Joanna M. ; Uher, Rudolf ; Lewis, Cathryn M.
Izvornik
European neuropsychopharmacology (0924-977X) 28
(2018), 8;
945-954
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
CYP2C19 ; Gene ; Antidepressant ; Response ; Side effects ; Major depression
Sažetak
Cytochrome (CYP) P450 enzymes have a primary role in antidepressant metabolism and variants in these polymorphic genes are targets for pharmacogenetic investigation. This is the first meta- analysis to investigate how CYP2C19 polymorphisms predict citalopram/escitalopram efficacy and side effects. CYP2C19 metabolic phenotypes comprise poor metabolizers (PM), intermediate and intermediate + metabolizers (IM ; IM + ), extensive and extensive + metabolizers (EM [wild type] ; EM + ) and ultra- rapid metabolizers (UM) defined by the two most common CYP2C19 functional polymorphisms (rs4244285 and rs12248560) in Caucasians. These polymorphisms were geno- typed or imputed from genome-wide data in four samples treated with citalopram or escitalo- pram (GENDEP, STAR ∗D, GenPod, PGRN- AMPS). Treatment efficacy was assessed by standardized percentage symptom improvement and by remission. Side effect data were available at weeks 2–4, 6 and 9 in three samples. A fixed- effects meta-analysis was performed using EM as the reference group. Analysis of 2558 patients for efficacy and 2037 patients for side effects showed that PMs had higher symptom improvement (SMD = 0.43, CI = 0.19–0.66) and higher remission rates (OR = 1.55, CI = 1.23–1.96) compared to EMs. At weeks 2–4, PMs showed higher risk of gastro- intestinal (OR = 1.26, CI = 1.08–1.47), neurological (OR = 1.28, CI = 1.07–1.53) and sexual side effects (OR = 1.52, CI = 1.23–1.87 ; week 6 values were similar). No difference was seen at week 9 or in total side effect burden. PMs did not have higher risk of dropout at week 4 compared to EMs. Antidepressant dose was not different among CYP2C19 groups. CYP2C19 polymorphisms may provide helpful information for guiding citalopram/escitalopram treatment, despite PMs being relatively rare among Caucasians ( ∼2%).
Izvorni jezik
Engleski
Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE