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Investigation on the genome information which is useful for the prediction of clinical effect and adverse effect of new antidepressant, paroxetine

Research Project

Project/Area Number 15591219
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Psychiatric science
Research InstitutionDokkyo University School of Medicine

Principal Investigator

SHIMODA Kazutaka  Dokkyo University School of Medicine, Department of Psychiatry, Associate Professor, 医学部, 助教授 (30196555)

Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2004: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 2003: ¥1,800,000 (Direct Cost: ¥1,800,000)
Keywordsantidepressants / metabolism / interindividual difference / genetic polymorphism / cytochrome P450
Research Abstract

In this research project, individualized pharmacotherapy utilizing the genome information for patients with depression has been focused. In 2003, the effect of genetic polymorphism of serotonin transporter (5HTTLPR) on the clinical response and side effect of paroxetine(PAX), which is representative selective serotonin reuptake inhibitor, was investigated. No significant effect of genetic polymorphism (L/S polymorphism) of serotonin transporter on the clinical effect of PAX was observed. In the subjects with side effects of PAX, the frequency of L/S genotype was approximately 40%, while the frequency of L/S genotype in the subjects without any side effects of PAX was 17%. In 2004, the relationship between the side effects of PAX and genetic polymorphism of 5HTTLPR of variable number of tandem repeat(VNTR) or serotonin 2A receptor polymorphism (-1438 A/G polymorphism) was investigated. Although serotonin 2A receptor polymorphism had no significant effect on the emergence of the gastrointestinal side effect of PAX, the subject, all of the subjects with gastrointestinal side effect of PAX had 10/10 genotype of VNTR polymorphism.

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (19 results)

All 2004 2003 Other

All Journal Article (13 results) Publications (6 results)

  • [Journal Article] 身体疾患患者に対する向精神薬投与に際しての留意点2004

    • Author(s)
      下田和孝ら
    • Journal Title

      総合病院精神医学 16

      Pages: 11-17

    • NAID

      10013483785

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 喫煙による抗精神病薬の薬物動態変化2004

    • Author(s)
      下田和孝
    • Journal Title

      日本神経精神薬理学雑誌 24

      Pages: 67-70

    • NAID

      10012895231

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Proxetineの内服中に低ナトリウム血症を来たし、抗利尿ホルモン不適合分泌症候群と診断された高齢患者2症例2004

    • Author(s)
      市村麻衣ら
    • Journal Title

      精神医学 46

      Pages: 505-511

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] 精神科領域におけるPharmacogenetics2004

    • Author(s)
      渡邊 崇, 下田和孝
    • Journal Title

      Current Insights in Neurological Sciences 12

      Pages: 8-9

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 精神科領域におけるPharmacogenetics2004

    • Author(s)
      渡邊 崇, 下田和孝
    • Journal Title

      Current Insights inNeurological Sciences 12

      Pages: 11-17

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 臨床医に必要な神経薬理 遺伝子多型と薬物応答性 (6)抗精神病薬の薬物動態と薬理遺伝2004

    • Author(s)
      広兼元太, 下田和孝
    • Journal Title

      Clinical Neuroscience 22

      Pages: 130-131

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 臨床医に必要な神経薬理 遺伝子多型と薬物応答性 (6)抗うつ薬の薬物動態と薬理遺伝2004

    • Author(s)
      金 亨徹, 下田和孝
    • Journal Title

      Clinical Neuroscience 22

      Pages: 362-363

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 喫煙による抗精神病薬の薬物動態変化2004

    • Author(s)
      下田和孝
    • Journal Title

      日本神経精神薬理学会雑誌 24

      Pages: 67-70

    • NAID

      10012895231

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 抗うつ薬の薬物動態と遺伝子多型2004

    • Author(s)
      上田幹人, 下田和孝
    • Journal Title

      分子精神医学 4

      Pages: 194-198

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Effects of concomitant fluvoxamine on the metabolism of alprazolam in Japanese psychiatric patients : Interaction with CYP2C19 mutated alleles2003

    • Author(s)
      Y.Suzuki et al.
    • Journal Title

      European Journal of Clinical Pharamcology 58

      Pages: 829-833

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The effect of CYP2D6 genotypes on haloperidol metabolism in a Japanese psychiatric population2003

    • Author(s)
      T.Someya et al.
    • Journal Title

      Neuropsychopharmacology 282

      Pages: 1501-1505

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of concomitant fluvoxamine on metabolism of alprazolam in Japanese psychiatric patients : Interaction with CYP2Cl9 mutated alleles.2003

    • Author(s)
      Suzuki et al.
    • Journal Title

      European Journal of Clinical Pharmacology 58

      Pages: 829-833

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The effect of CYP2D6 genotypes on haloperidol metabolism in a Japanese psychiatric population.2003

    • Author(s)
      Someya et al.
    • Journal Title

      Neuropsychopahrmacology 282

      Pages: 1501-1505

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Y.Suzuki et al.: "Effects of concomitant fluvoxamine on metabolisrn of alprazolam in Japanese psychratric patients Interaction with CYP2C19 mutated alleles Eur J Clin Pharmacol. 58.12 829-833.2003 1922"European Journal of Clinical Pharmacology. 58. 829-833 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] T.Someya et al.: "The effect of CYP2D6 genotypes on haloperidol metabolism in a Japanese psychratric population Neuropsychopharmaology 28:1501-5、2003"Neuropsychophamracology. 282. 1501-1505 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 森田幸代: "向精神薬との相互作用に注意すべき身体疾患(救急・集中治療で出会う精神的問題の考え方と対応)"救急・集中治療. 15. 489-494 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 下田和孝: "身体疾患患者に対する向精神薬投与に際しての留意点"総合病院精神医学. 16. 11-17 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 渡邊 崇: "うつ病の最新治療 抗うつ薬のPharmacokinetics"Clinical Neuroscience. 22. 200-201 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 下田和孝: "喫煙による抗精神病薬の薬物動態変化"日本神経精神薬理学雑誌. (印刷中).

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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