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Related Experiment Videos

Pharmacogenetics in affective disorders.

Alessandro Serretti1, Roberta Lilli, Enrico Smeraldi

  • 1Department of Psychiatry, Instituto Scientifico H San Raffaele, Vita-Salute University, Fondazione Centro San Raffaele del Monte Tabor, Via Stamira D'Ancona 20, 20127, Milan, Italy. serretti.alessandro@hsr.it

European Journal of Pharmacology
|March 23, 2002
PubMed
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Pharmacogenetics can significantly improve affective disorder treatments by identifying genetic profiles for drug efficacy and side effects. Preliminary studies suggest specific genes influence treatment outcomes for selective serotonin reuptake inhibitors and lithium.

Area of Science:

  • Psychiatry
  • Pharmacogenetics
  • Neuroscience

Background:

  • Affective disorders pharmacotherapy requires treatments that can take weeks to months to become effective.
  • Identifying genetic factors influencing drug response can optimize treatment strategies.
  • Pharmacogenetics offers a promising approach to personalize treatment for mood disorders.

Purpose of the Study:

  • To review the role of pharmacogenetics in affective disorder pharmacotherapy.
  • To identify potential genetic liability genes for drug side effects and efficacy.
  • To summarize current findings on genetic influences on antidepressant and mood stabilizer treatments.

Main Methods:

  • Literature review of studies investigating genetic polymorphisms and pharmacotherapy outcomes in affective disorders.

Related Experiment Videos

  • Analysis of associations between specific genes (e.g., SERTPR, TPH, 5-HT2a receptor) and treatment response.
  • Evaluation of preliminary data and replicated findings.
  • Main Results:

    • Selective serotonin reuptake inhibitor (SSRI) efficacy and onset are associated with SERTPR promoter polymorphism in multiple studies.
    • Pilot studies suggest associations between SSRI response and variants in tryptophan hydroxylase (TPH), 5-HT2a receptor, and G-protein beta3.
    • Lithium's long-term efficacy has preliminary associations with SERTPR, TPH, and inositol polyphosphate 1-phosphatase variants, though these require replication.

    Conclusions:

    • Both acute and long-term treatments for affective disorders are influenced by genetic factors.
    • Preliminary data have identified candidate genes that may serve as liability markers for treatment response.
    • Pharmacogenetics holds substantial potential for improving the personalized pharmacotherapy of affective disorders.