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药物遗传学与精神分裂症

Pharmacogenetics and schizophrenia.

作者信息

Foster Adriana, Miller Del D, Buckley Peter F

机构信息

Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta, GA 30912, USA.

出版信息

Psychiatr Clin North Am. 2007 Sep;30(3):417-35. doi: 10.1016/j.psc.2007.04.004.

Abstract

Emergent pharmacogenetic studies indicate that the efficacy of antipsychotic medications in schizophrenia may be predicted through genetic analysis. There also is evidence that the side-effect profiles of second-generation antipsychotic medications and their propensity to cause weight gain, glucose and lipid abnormalities, and tardive dyskinesia may be predicted by pharmacogenetic analysis in this patient population. In the future, this targeted approach with the choice of antipsychotic medication based on the likelihood of clinical response and development of side effects in light of a particular patient's genetic status may gain hold as new treatments are developed with even fewer side effects.

摘要

紧急药物遗传学研究表明,通过基因分析可以预测抗精神病药物在精神分裂症中的疗效。也有证据表明,在这一患者群体中,通过药物遗传学分析可以预测第二代抗精神病药物的副作用谱及其导致体重增加、血糖和血脂异常以及迟发性运动障碍的倾向。未来,随着副作用更少的新治疗方法的开发,这种根据特定患者的基因状况,基于临床反应可能性和副作用发生情况来选择抗精神病药物的靶向方法可能会得到应用。

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