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Pharmacogenetics of chlorpromazine and its role in the development of antipsychotic-induced parkinsonism 氯丙嗪的药物遗传学及其在抗精神病性帕金森病发展中的作用
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-11-17
E. Vaiman, M. Novitsky, R. Nasyrova
Antipsychotics (AP) is a group of psychotropic drugs for the treatment of mental disorders, in particular schizophrenia. In the mid-1950s, the first AP was synthesized (known as chlorpromazine (CPZ)). This drug has revolutionized the treatment of psychotic disorders. This drug, in addition to the antipsychotic effect, caused severe adverse drug reactions in patients, in particular from the neurological system, such as AP-induced extrapyramidal syndrome (EPS) — chlorpromazine-in-duced parkinsonism (CPZ-IP). CPZ-IP characterized by the occurrence of motor disorders. CPZ-IP is as a result of damage to the basal ganglia and subcortical-thalamic connections. Drug-induced EPS is subdivided into primary and secondary. Among the primary EPS, drug-IP is the most common (the leading form of secondary parkinsonism). Pharmacogenetic markers of CPZ safety are being actively studied. Some pharmacogenetic markers of therapy safety have been established: single nucleotide variants/polymorphisms of candidate genes for dopaminergic receptors D2 and D3 (DRD2 (rs1799732 (-141C Ins/Del)), DRD3 (rs6280 (Ser9Gly)), laforine phosphatase (EPM2A (rs1415744 (C/T)).
抗精神病药物(AP)是一组用于治疗精神障碍,特别是精神分裂症的精神药物。在20世纪50年代中期,合成了第一个AP(称为氯丙嗪(CPZ))。这种药物彻底改变了精神疾病的治疗。该药除了具有抗精神病作用外,还会在患者中引起严重的药物不良反应,特别是来自神经系统的不良反应,如ap诱导的锥体外系综合征(EPS) -氯丙嗪诱导的帕金森病(CPZ-IP)。CPZ-IP以运动障碍的发生为特征。CPZ-IP是基底节区和皮层下丘脑连接受损的结果。药物性EPS分为原发性和继发性。在原发性EPS中,药物性ip是最常见的(继发性帕金森病的主要形式)。目前正在积极研究CPZ安全性的药物遗传标记。已经建立了一些治疗安全性的药理学标记:多巴胺能受体D2和D3候选基因的单核苷酸变异/多态性(DRD2 (rs1799732 (-141C Ins/Del)), DRD3 (rs6280 (Ser9Gly)),肾上腺素磷酸酶(EPM2A (rs1415744 (C/T)))。
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引用次数: 5
Genetic predictors of cytokine response in ENT-associated encephalitis ent相关脑炎细胞因子反应的遗传预测因子
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-18-36
Vladimir V. Kravtsov, N. Shnayder, Nikolay G. Neznanov, Alexander A. Krivopalov, Yan K. Yanov, Regina F. Nasyrova, P. A. Shamkina, Oksana A. Gavrilyuk
(1) Introduction: An imbalance of the genetically determined cytokine response plays a key role in the etiology of ENT-associated encephalitis. In recent years, an attempt has been made to evaluatethe prognostic role of chronic pathology of the paranasal sinuses in the development of acute, subacute and chronic encephalitis and meningitis, which in clinical practice are manifested both as cerebral and focal neurological symptoms and as mental disorders: from borderline to psychotic ones. The problem requires a multidisciplinary approach on the part of the specialists in the following clinical disciplines: neurology (as well as neurobiology), psychiatry, immunology, experimental medicine, otorhinolaryngology, and pharmacogenetics. The solution of this problem is possible with the involvement of preventive and personalized medicine.(2) The purpose: Evaluation the prognostic role of genetic polymorphisms of pro- and antiinflammatory cytokines in the development of ENT-associated encephalitis.(3) Materials and Methods: We conducted a keyword-based analysis of the English and Russian-language articles published within the past 30 years (from 1988 to 2018). The following databases were used in the study: PubMed, MedLine, Web of Science Core Collection (Clarivate Analytics), Web Science, Russian Science Citation Index, Scopus, Scientific Research, Google Scholar, Oxford Press, and eLibrary.(4) Results: In a number of the analyzed works, regardless of the causative agent and viral load, an increased level of pro-inflammatory cytokine production was noted in patients with more severe disease progression, neurological complications and unfavorable outcomes, both in viral encephalitis and in bacterial one. Based on this, 30 single nucleotide variants (SNV), their influence on the expression of pro- and anti-inflammatory cytokine genes, as well as their predictor role in the development of ENT-associated encephalitis were analyzed. Due to the nature of the systemic immune response, the analysis included both cerebral and extracerebral pathology-associated SNV. The inconsistency of the previously obtained results was noted, an attempt to explain this phenomenon was made. The analysis of the dynamics and geography of publications on the stated topic was made, the leading Russian scientific centers in the field were defined. The most promising SNV for further studies were identified.(5) Conclusion: The risk of developing ENT-associated encephalitis is associated with a genetically determined status of the cytokine response and its regulation. Studies of the association of various SNV of genes encoding pro- and anti-inflammatory cytokines in the Russian Federation need to be continued.
(1)引言:基因决定的细胞因子反应失衡在ent相关性脑炎的病因学中起着关键作用。近年来,人们试图评估鼻窦慢性病理在急性、亚急性和慢性脑炎和脑膜炎发展中的预后作用,这些疾病在临床实践中表现为大脑和局灶性神经症状以及精神障碍:从边缘性到精神病性。这个问题需要以下临床学科的专家采取多学科的方法:神经病学(以及神经生物学)、精神病学、免疫学、实验医学、耳鼻喉科和药物遗传学。(2)目的:评价促炎细胞因子和抗炎细胞因子遗传多态性在ENT-associated脑炎发生中的预后作用。(3)材料和方法:对近30年来(1988 - 2018年)发表的英文和俄文文章进行关键词分析。本研究使用的数据库包括:PubMed、MedLine、Web of Science Core Collection (Clarivate Analytics)、Web Science、Russian Science Citation Index、Scopus、Scientific Research、Google Scholar、Oxford Press和library。在许多分析的工作中,无论病原体和病毒载量如何,在病毒性脑炎和细菌性脑炎中,在疾病进展更严重、神经系统并发症和不良结局的患者中,都注意到促炎细胞因子产生水平的增加。在此基础上,我们分析了30个单核苷酸变异(SNV)及其对促炎性和抗炎性细胞因子基因表达的影响,以及它们在ent相关性脑炎发生中的预测作用。由于全身免疫反应的性质,分析包括脑和脑外病理相关的SNV。注意到以前得到的结果不一致,并试图解释这一现象。对所述主题的出版物的动态和地理进行了分析,确定了俄罗斯在该领域的主要科学中心。(5)结论:发生ENT-associated脑炎的风险与细胞因子反应及其调控的遗传决定状态有关。在俄罗斯联邦,需要继续研究各种SNV与编码促炎和抗炎细胞因子的基因之间的关联。
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引用次数: 1
Candidate genes and single-nucleotide gene variants associated with muscle and tendon injuries in cyclic sports athletes 候选基因和单核苷酸基因变异与周期性运动运动员肌肉和肌腱损伤相关
Pub Date : 2021-05-15 DOI: 10.52667/2712-9179-2021-1-1-64-72
O. Balberova
Sports injuries prevention is one of the key issues of the training process and reducing the risk of developing anxiety and depressive disorders in professional athletes. One of peculiarities of sports injuries is the loss of the ability to train in view of the tendon-ligamentous apparatus integrity, joints, muscles or bones violation. In cyclic sports, the most common are injuries to the ankle joint, injuries to muscles and tendons, and sprains. Injuries to ligaments and tendons are the result of multifactorial problems, including the discrepancy between training effects and the genetically determined capabilities of the athlete's body. Sports injuries consequences are determined by complex interactions between the athlete's genotype and environmental factors, in particular training influences. (1) Background: to review scientific articles on the problem of research on candidate genes and single-nucleotide variants (SNVs) of genes associated with muscle, tendon, and ligament injuries in cyclic sports athletes. (2) Methods: a search of articles for the period from 2008 to 2020 was conducted in the databases e-LIBRARY, SCOPUS, Web of Science, Google Scholar, Clinical keys, PubMed using the keywords: personalized medicine, genetics, candidate genes, single-nucleotide variant, polymorphism, muscle, tendon, injury, athlete. (3) Results: Studies have shown that muscle and tendon injuries in cyclical sports athletes are associated with SNV rs1800012, rs1107946 of the COL1A1 gene, SNV rs12722 of the COL5A1 gene, SNV rs679620 of the MMR3 gene, SNV rs2289360 of the ELN gene, SNV rs143383 of the GDF5 gene. The most studied polymorphisms are rs1800012, rs1107946 of the COL1A1 gene, rs12722 of the COL5A1 gene, and rs143383 of the GDF5 gene. The variable results of associative genetic studies and genome-wide studies are most likely due to the racial and ethnic heterogeneity of the samples and differences in the study design. (4) Conclusions: Identification of genetic markers associated with injuries and diseases of the musculoskeletal system, ligamentous apparatus, and the ability of tissue to regenerate can help sports doctors and coaches develop personalized strategies to prevent or reduce muscles, joints, and ligaments diseases in athletes. The translation of these research results into the training and treatment process is important for improving cyclic sports athletes' performance, reducing their professional mala-daptation and anxiety and depressive disorders development risk.
运动损伤预防是职业运动员训练过程中降低焦虑和抑郁风险的关键问题之一。运动损伤的特点之一是由于肌腱-韧带的完整性、关节、肌肉或骨骼的损伤而导致训练能力的丧失。在循环运动中,最常见的是踝关节损伤、肌肉和肌腱损伤以及扭伤。韧带和肌腱的损伤是多因素问题的结果,包括训练效果和运动员身体基因决定能力之间的差异。运动损伤的后果是由运动员基因型和环境因素之间复杂的相互作用决定的,特别是训练的影响。(1)背景:综述循环运动运动员肌肉、肌腱和韧带损伤相关基因候选基因和单核苷酸变异(SNVs)研究问题的相关文献。(2)方法:在e-LIBRARY、SCOPUS、Web of Science、Google Scholar、Clinical keys、PubMed等数据库中检索2008 - 2020年的文献,检索关键词:个性化医疗、遗传学、候选基因、单核苷酸变异、多态性、肌肉、肌腱、损伤、运动员。(3)结果:研究表明周期性运动运动员肌肉和肌腱损伤与COL1A1基因SNV rs1800012、COL1A1基因rs1107946、COL5A1基因SNV rs12722、MMR3基因SNV rs679620、ELN基因SNV rs2289360、GDF5基因SNV rs143383相关。研究最多的多态性是COL1A1基因的rs1800012、rs1107946、COL5A1基因的rs12722和GDF5基因的rs143383。关联遗传研究和全基因组研究的可变结果最有可能是由于样本的种族和民族异质性以及研究设计的差异。(4)结论:识别与肌肉骨骼系统、韧带装置和组织再生能力损伤和疾病相关的遗传标记,可以帮助运动医生和教练制定个性化策略,以预防或减少运动员的肌肉、关节和韧带疾病。将这些研究成果转化到训练和治疗过程中,对于提高循环运动运动员的运动成绩,降低其职业适应不良和焦虑抑郁障碍的发展风险具有重要意义。
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引用次数: 5
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Personalized Psychiatry and Neurology
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