4.1 Article

Exploring Genetic Variability at PI, GSK3, HPA, and Glutamatergic Pathways in Lithium Response Association With IMPA2, INPP1, and GSK3B Genes

期刊

JOURNAL OF CLINICAL PSYCHOPHARMACOLOGY
卷 35, 期 5, 页码 600-604

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JCP.0000000000000382

关键词

bipolar disorder; lithium; pharmacogenetics; genetic; phosphoinositide; hypothalamic-pituitary-adrenal; glutamatergic system

资金

  1. Adamed
  2. Brainpharma
  3. Bristol-Myers Squibb
  4. Centro de Investigacion Biomedica en Red de Salud Mental
  5. Ferrer inCode
  6. Eli Lilly
  7. Rovi
  8. Servier
  9. Instituto de Salud Carlos III
  10. Plan Nacional sobre Drogas
  11. Janssen
  12. Lundbeck
  13. Pfizer
  14. Otsuka
  15. Roche Farma
  16. Spanish Ministry of Economy and Competitiveness
  17. AstraZeneca
  18. DA Pharma
  19. Elan
  20. European Commission FP6
  21. European Commission FP7
  22. Forest Research Institute
  23. Janssen-Cilag
  24. Ministerio de Sanidad, Plan Nacional sobre Drogas
  25. Roche
  26. Shire
  27. Almirall
  28. Generalitat de Catalunya
  29. Gedeon Richter
  30. GlaxoSmithKline
  31. Johnson Johnson
  32. Novartis
  33. Sanofi-Aventis
  34. Seventh European Framework Programme
  35. Spanish Ministry of Science, and Innovation

向作者/读者索取更多资源

Lithium is considered the first-line treatment in bipolar disorder, although response could range from an excellent response to a complete lack of response. Response to lithium is a complex phenotype in which different factors, part of them genetics, are involved. In this sense, the aim of this study was to investigate the potential association of genetic variability at genes related to phosphoinositide, glycogen synthetase kinase-3 (GSK3), hypothalamic-pituitary-adrenal, and glutamatergic pathways with lithium response. A sample of 131 bipolar patients (99 type I, 32 type II) were grouped and compared according to their level of response: excellent responders (ER), partial responders (PR), and nonresponders (NR). Genotype and allele distributions of the rs669838 (IMPA2), rs909270 (INNP1), rs11921360 (GSK3B), and rs28522620 (GRIK2) polymorphisms significantly differed between ER, PR, and NR. When we compared the ER versus PR+NR, the logistic regression showed significant association for rs669838-C (IMPA2; P = 0.021), rs909270-G (INPP1; P = 0.009), and rs11921360-A (GSK3B; P = 0.004) with lithium nonresponse. Haplotype analysis showed significant association for the haplotypes rs3791809-rs4853694-rs909270 (INPP1) and rs1732170-rs11921360-rs334558 (GSK3B) and lithium response. Our study is in line with previous studies reporting association between genetic variability at these genes and lithium response, pointing to an effect of IMPA2, INPP1, and GSK3B genes to lithium response in bipolar disorder patients. Further studies with larger samples are warranted to assess the strength of the reported associations.

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