Routhieaux Melanie, Keels Jessica, Tillery Erika E
PGY-1 Pharmacy Practice Resident, William Jennings Bryan Dorn VA Medical Center, Columbia, South Carolina.
(Corresponding author) Associate Professor of Pharmacy Practice, Presbyterian College School of Pharmacy, Clinton, South Carolina; Clinical Psychiatric Pharmacist, Division of Inpatient Services, G. Werber Bryan Psychiatric Hospital, Columbia, South Carolina,
Ment Health Clin. 2018 Nov 1;8(6):294-302. doi: 10.9740/mhc.2018.11.294. eCollection 2018 Nov.
Pharmacogenetic testing may assist in identifying an individual's risk of developing a mental illness as well as predict an individual's response to treatment. The objective of this study is to report published outcomes of pharmacogenetic testing in patients with schizophrenia or bipolar disorder.
A systematic review using PubMed and EBSCOhost through April 2017 was performed to identify articles that reported pharmacogenetic testing in adult patients with either bipolar disorder or schizophrenia using the keywords , , , , , , , and .
A total of 18 articles were included in the final literature review. A wide variety of genes amongst adult patients with varying ethnicities were found to be correlated with the development of schizophrenia or bipolar disorder as well as response to antipsychotics and mood stabilizers.
While current studies show a correlation between genetic variations and medication response or disease predisposition for patients with schizophrenia and bipolar disorder, research is unclear on the type of therapeutic recommendations that should occur based on the results of the pharmacogenetic testing. Hopefully interpreting pharmacogenetic results will one day assist with optimizing medication recommendations for individuals with schizophrenia and bipolar disorder.
药物遗传学检测有助于识别个体患精神疾病的风险,并预测个体对治疗的反应。本研究的目的是报告精神分裂症或双相情感障碍患者药物遗传学检测已发表的结果。
通过使用PubMed和EBSCOhost进行系统综述,检索截至2017年4月的文章,以识别使用关键词 、 、 、 、 、 、 和 报告对双相情感障碍或精神分裂症成年患者进行药物遗传学检测的文章。
最终的文献综述共纳入18篇文章。研究发现,不同种族的成年患者中,多种基因与精神分裂症或双相情感障碍的发生以及对抗精神病药物和心境稳定剂的反应相关。
虽然目前的研究表明基因变异与精神分裂症和双相情感障碍患者的药物反应或疾病易感性之间存在关联,但基于药物遗传学检测结果应给出何种治疗建议,目前尚不清楚。希望有一天,解读药物遗传学结果将有助于优化针对精神分裂症和双相情感障碍患者的用药建议。