Relationship between response to risperidone, plasma concentrations of risperidone and CYP3A4 polymorphisms in schizophrenia patients

被引:28
作者
Du, J.
Zhang, A. [1 ]
Wang, L. [1 ]
Xuan, J. [1 ]
Yu, L. [1 ]
Che, R. [1 ]
Li, X. [1 ]
Gu, N. [3 ]
Lin, Z. [3 ]
Feng, G. [3 ]
Xing, Q. [1 ]
He, L. [1 ,2 ]
机构
[1] Chinese Acad Sci, Inst Nutr Sci, SIBS, Shanghai 200031, Peoples R China
[2] Shanghai Jiao Tong Univ, Bio X Ctr, NHGG, Shanghai 200030, Peoples R China
[3] Shanghai Inst Mental Hlth, Shanghai, Peoples R China
基金
中国国家自然科学基金;
关键词
9-hydroxyrisperidone; clinical response; CYP3A4; risperidone; schizophrenia; ANTIPSYCHOTIC-DRUGS; METABOLISM; RELAPSE; CYP2D6; PREVENTION; POOR; 2D6;
D O I
10.1177/0269881109104932
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this study, we examined the relationships between plasma concentrations of risperidone and 9-hydroxyrisperidone and polymorphisms of CYP3A4. All 130 schizophrenia patients (45 men, 85 women, age 15-60 years) who met DSM-IV criteria were given risperidone for 8 weeks. Clinical efficacy was determined using the Positive and Negative Syndrome Scale (PANSS). CYP3A4*1G was found to be associated with the change in total PANSS scores (Kruskal-Wallis test, P = 0.021), which was not significant on adjusting for multiple testing. Our study has, for the first time, conducted a genetic association study of the CYP3A4 gene with risperidone response. Further studies on larger groups and on the effects of the longer term risperidone treatment are needed to confirm these results.
引用
收藏
页码:1115 / 1120
页数:6
相关论文
共 28 条
[1]   A single-nucleotide polymorphism tagging set for human drug metabolism and transport [J].
Ahmadi, KR ;
Weale, ME ;
Xue, ZYY ;
Soranzo, N ;
Yarnall, DP ;
Briley, JD ;
Maruyama, Y ;
Kobayashi, M ;
Wood, NW ;
Spurr, NK ;
Burns, DK ;
Roses, AD ;
Saunders, AM ;
Goldstein, DB .
NATURE GENETICS, 2005, 37 (01) :84-89
[2]   A comparison of risperidone and haloperidol for the prevention of relapse in patients with schizophrenia [J].
Csernansky, JG ;
Mahmoud, R ;
Brenner, R .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (01) :16-22
[3]   DEPOT ANTIPSYCHOTIC-DRUGS - PLACE IN THERAPY [J].
DAVIS, JM ;
METALON, L ;
WATANABE, MD ;
BLAKE, L .
DRUGS, 1994, 47 (05) :741-773
[4]   The CYP2D6 poor metabolizer phenotype may be associated with risperidone adverse drug reactions and discontinuation [J].
de Leon, J ;
Susce, MT ;
Pan, RM ;
Fairchild, M ;
Koch, WH ;
Wedlund, PJ .
JOURNAL OF CLINICAL PSYCHIATRY, 2005, 66 (01) :15-27
[5]   The crucial role of the therapeutic window in understanding the clinical relevance of the poor versus the ultrarapid metabolizer phenotypes in subjects taking drugs metabolized by CYP2D6 or CYP2C19 [J].
de Leon, Jose .
JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2007, 27 (03) :241-245
[6]   An evaluation of risperidone drug interactions [J].
DeVane, CL ;
Nemeroff, CB .
JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY, 2001, 21 (04) :408-416
[7]   Systematic screening for polymorphisms in the CYP3A4 gene in the Chinese population [J].
Du, Jing ;
Xing, Qinghe ;
Xu, Lingyun ;
Xu, Mingsheng ;
Shu, Anli ;
Shi, Yongyong ;
Yu, Lan ;
Zhang, Aiping ;
Wang, Lei ;
Wang, Hongsheng ;
Li, Xingwang ;
Feng, Guoyin ;
He, Lin .
PHARMACOGENOMICS, 2006, 7 (06) :831-841
[8]   Metabolism of risperidone to 9-hydroxyrisperidone by human cytochromes P450 2D6 and 3A4 [J].
Fang, J ;
Bourin, M ;
Baker, GB .
NAUNYN-SCHMIEDEBERGS ARCHIVES OF PHARMACOLOGY, 1999, 359 (02) :147-151
[9]   G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences [J].
Faul, Franz ;
Erdfelder, Edgar ;
Lang, Albert-Georg ;
Buchner, Axel .
BEHAVIOR RESEARCH METHODS, 2007, 39 (02) :175-191
[10]  
FLAUM M, 1997, DSM 4 SOURCEBOOK