Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia

Antipsychotic-induced parkinsonism is an undesirable reaction from the extrapyramidal system that occurs against the background of taking antipsychotics (AP), more often in patients with schizophrenia. Antipsychotic-induced parkinsonism belongs to the group of secondary parkinsonism. Its prevalence...

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Main Authors: E. E. Vaiman, N. A. Shnayder, N. G. Neznanov, R. F. Nasyrova
Format: Article
Language:Russian
Published: Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation 2021-12-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
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Online Access:https://www.bekhterevreview.com/jour/article/view/617
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author E. E. Vaiman
N. A. Shnayder
N. G. Neznanov
R. F. Nasyrova
author_facet E. E. Vaiman
N. A. Shnayder
N. G. Neznanov
R. F. Nasyrova
author_sort E. E. Vaiman
collection DOAJ
description Antipsychotic-induced parkinsonism is an undesirable reaction from the extrapyramidal system that occurs against the background of taking antipsychotics (AP), more often in patients with schizophrenia. Antipsychotic-induced parkinsonism belongs to the group of secondary parkinsonism. Its prevalence in the world is about 36%. It is assumed that this undesirable AP reaction is genetically determined. In recent years, numerous associative genetic studies of predisposition to the development of antipsychotic-induced parkinsonism have been conducted. However, the research results are contradictory.Purpose. Review of the results of studies of genetic predictors of antipsychotic-induced parkinsonism in patients with schizophrenia.Materials and methods. We searched for full-text publications in Russian and English in the RSCI, PubMed, Web of Science, Springer databases using keywords and combined searches for words over the past decade.Results. The review considers candidate genes encoding proteins/enzymes involved in the pharmacodynamics and pharmacokinetics of AP. We analyzed 23 genome-wide studies examining 108 genetic variations, including SNV/polymorphisms of 26 candidate genes involved in the development of AIP in schizophrenic patients. Among such a set of obtained results, only 22 positive associations were revealed: rs1799732 (141CIns/Del), rs1800497 (C/T), rs6275 (C/T) DRD2; rs167771 (G/A) DRD3; VNTR*9R DAT1; rs4680 (G/A) СOMT; rs6311 (C/T) 5HTR2A; rs6318 (C/G), rs3813929 (С/Т), haplotype-997G, -759C, -697C и 68G HTR2C; rs2179652 (C/T), rs2746073 (T/A), rs4606 (C/G), rs1152746 (A/G), rs1819741 (С/Т), rs1933695 (G/A), haplotype rs1933695-G, rs2179652-C, rs4606-C, rs1819741-T и rs1152746-G, haplotype rs1933695-G, rs2179652-T, rs4606-G, rs1819741-C и rs1152746-A RGS2; haplotype TCCTC ADORA2A; rs4795390 (C/G) PPP1R1B; rs6265 (G/A) BDNF; rs12678719 (C/G) ZFPM2; rs938112 (C/A) LSMAP; rs2987902 (A/T) ABL1; HLA-B44; rs16947 (A/G), rs1135824 (A/G), rs3892097 (A/G), rs28371733 (A/G), rs5030867 (A/C), rs5030865 (A/C), rs1065852 (C/T), rs5030863 (C/G), rs5030862 (A/G), rs28371706 (C/T), rs28371725 (A/G), rs1080983 (A/G) CYP2D6. However, at the present time it should be recognized that there is no final or unique decision about the leading role of any particular SNV/polymorphism in the development of AIP.Conclusion. Disclosure of genetic predictors of AP-induced parkinsonism development may provide a key to the development of a strategy for personalized prevention and treatment of the neurological complication of AP-therapy of schizophrenia in real clinical practice.
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series Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
spelling doaj-art-fb2da91eb00c4ca09c7dbb2dffa4a7192025-08-20T02:49:19ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2021-12-01554153510.31363/2313-7053-2021-57-4-15-35416Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophreniaE. E. Vaiman0N. A. Shnayder1N. G. Neznanov2R. F. Nasyrova3V.M. Bekhterev National Medical Research Centre for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Centre for Psychiatry and Neurology; V. F. Voyno-Yasenetsky Krasnoyarsk State Medical UniversityV.M. Bekhterev National Medical Research Centre for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Centre for Psychiatry and NeurologyAntipsychotic-induced parkinsonism is an undesirable reaction from the extrapyramidal system that occurs against the background of taking antipsychotics (AP), more often in patients with schizophrenia. Antipsychotic-induced parkinsonism belongs to the group of secondary parkinsonism. Its prevalence in the world is about 36%. It is assumed that this undesirable AP reaction is genetically determined. In recent years, numerous associative genetic studies of predisposition to the development of antipsychotic-induced parkinsonism have been conducted. However, the research results are contradictory.Purpose. Review of the results of studies of genetic predictors of antipsychotic-induced parkinsonism in patients with schizophrenia.Materials and methods. We searched for full-text publications in Russian and English in the RSCI, PubMed, Web of Science, Springer databases using keywords and combined searches for words over the past decade.Results. The review considers candidate genes encoding proteins/enzymes involved in the pharmacodynamics and pharmacokinetics of AP. We analyzed 23 genome-wide studies examining 108 genetic variations, including SNV/polymorphisms of 26 candidate genes involved in the development of AIP in schizophrenic patients. Among such a set of obtained results, only 22 positive associations were revealed: rs1799732 (141CIns/Del), rs1800497 (C/T), rs6275 (C/T) DRD2; rs167771 (G/A) DRD3; VNTR*9R DAT1; rs4680 (G/A) СOMT; rs6311 (C/T) 5HTR2A; rs6318 (C/G), rs3813929 (С/Т), haplotype-997G, -759C, -697C и 68G HTR2C; rs2179652 (C/T), rs2746073 (T/A), rs4606 (C/G), rs1152746 (A/G), rs1819741 (С/Т), rs1933695 (G/A), haplotype rs1933695-G, rs2179652-C, rs4606-C, rs1819741-T и rs1152746-G, haplotype rs1933695-G, rs2179652-T, rs4606-G, rs1819741-C и rs1152746-A RGS2; haplotype TCCTC ADORA2A; rs4795390 (C/G) PPP1R1B; rs6265 (G/A) BDNF; rs12678719 (C/G) ZFPM2; rs938112 (C/A) LSMAP; rs2987902 (A/T) ABL1; HLA-B44; rs16947 (A/G), rs1135824 (A/G), rs3892097 (A/G), rs28371733 (A/G), rs5030867 (A/C), rs5030865 (A/C), rs1065852 (C/T), rs5030863 (C/G), rs5030862 (A/G), rs28371706 (C/T), rs28371725 (A/G), rs1080983 (A/G) CYP2D6. However, at the present time it should be recognized that there is no final or unique decision about the leading role of any particular SNV/polymorphism in the development of AIP.Conclusion. Disclosure of genetic predictors of AP-induced parkinsonism development may provide a key to the development of a strategy for personalized prevention and treatment of the neurological complication of AP-therapy of schizophrenia in real clinical practice.https://www.bekhterevreview.com/jour/article/view/617antipsychotics-induced parkinsonismdrug-induced parkinsonismantipsychoticsgenesdrd2drd3dat1сomt5htr2ahtr2crgs2rgs4rgs8rgs9annk1ppp1r1batp1a3adora1adora2aadora3bdnfmnsod (sod2)zfpm2lsmapabl1nqo1gstp1hla-bcyp1a2cyp2d6
spellingShingle E. E. Vaiman
N. A. Shnayder
N. G. Neznanov
R. F. Nasyrova
Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
antipsychotics-induced parkinsonism
drug-induced parkinsonism
antipsychotics
genes
drd2
drd3
dat1
сomt
5htr2a
htr2c
rgs2
rgs4
rgs8
rgs9
annk1
ppp1r1b
atp1a3
adora1
adora2a
adora3
bdnf
mnsod (sod2)
zfpm2
lsmap
abl1
nqo1
gstp1
hla-b
cyp1a2
cyp2d6
title Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
title_full Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
title_fullStr Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
title_full_unstemmed Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
title_short Candidate genes of the development of antipsychotic-induced parkinsonism in patients with schizophrenia
title_sort candidate genes of the development of antipsychotic induced parkinsonism in patients with schizophrenia
topic antipsychotics-induced parkinsonism
drug-induced parkinsonism
antipsychotics
genes
drd2
drd3
dat1
сomt
5htr2a
htr2c
rgs2
rgs4
rgs8
rgs9
annk1
ppp1r1b
atp1a3
adora1
adora2a
adora3
bdnf
mnsod (sod2)
zfpm2
lsmap
abl1
nqo1
gstp1
hla-b
cyp1a2
cyp2d6
url https://www.bekhterevreview.com/jour/article/view/617
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AT nashnayder candidategenesofthedevelopmentofantipsychoticinducedparkinsonisminpatientswithschizophrenia
AT ngneznanov candidategenesofthedevelopmentofantipsychoticinducedparkinsonisminpatientswithschizophrenia
AT rfnasyrova candidategenesofthedevelopmentofantipsychoticinducedparkinsonisminpatientswithschizophrenia