帕金森病药物治疗的遗传药理学研究进展

帕金森病是中老龄人中常见的神经退行性疾病,主要以拟多巴胺类药物治疗为主,但药物反应个体差异较大。与多巴胺代谢相关基因的遗传变异是导致药物反应个体差异的重要原因之一。目前国内研究主要集中在遗传多态性与帕金森病易感性之间的关系方面,而对帕金森病治疗的遗传药理学研究相对较少。该文对多巴胺转运体、多巴胺代谢酶和作用的受体等相关基因的遗传多态性与帕金森病治疗反应个体差异相关性方面的研究进行了一个较为全面的阐述。

Advances in pharmacogenetics of anti-Parkinson's drugs treatment

Parkinson's disease(PD)is a neurodegenerative disease that predominantly affects the elderly.Dopamine mimicking drug is the mainstay in the treatment of Parkinson's disease.However,there is a large of interindividual variability in response to anti-Parkinson's disease drugs.It is thought that genetic variability in dopamine system genes is one of the important factors in determining interindividual variability in drug response.There are a lot of studies focused on the relationship between the risk of Parkinson's disease and genetic variations in domestic,while it is a lack of the pharmacogenetics study on Parkinson's disease.This review summarizes the relationship between the polymorphism of genes encoding dopamine transporter,dopamine-metabolizing enzymes and dopamine receptors and Parkinson's disease treatment.