Literature DB >> 27716659

Clinical Response to Donepezil in Mild and Moderate Dementia: Relationship to Drug Plasma Concentration and CYP2D6 and APOE Genetic Polymorphisms.

Luís F J R Miranda1, Karina B Gomes2, Pedro A L Tito3, Josianne N Silveira2, Gerson A Pianetti2, Ricardo M D Byrro2, Patrícia R H Peles4, Fernando H Pereira1, Thiago R Santos5, Arthur G Assini2, Valéria V Ribeiro2, Edgar N Moraes1,6, Paulo Caramelli1,4.   

Abstract

The clinical response to donepezil in patients with mild and moderate dementia was investigated in relation to the drug plasma concentration and APOE and CYP2D6 polymorphisms. In a prospective naturalistic observational study, 42 patients with Alzheimer's disease (AD) and AD with cerebrovascular disease who took donepezil (10 mg) for 12 months were evaluated. Their DNA was genotyped, and the donepezil plasma concentrations were measured after 3, 6, and 12 months. Good responders scored ≥-1 on the Mini-Mental State Examination at 12 months in comparison to the baseline score. The study results indicated the good response pattern was influenced by the concentration of donepezil, but not by APOE and CYP2D6 polymorphisms.

Entities:  

Keywords:  APOE; Alzheimer’s disease; CYP2D6; donepezil; genetics; naturalistic study

Mesh:

Substances:

Year:  2017        PMID: 27716659     DOI: 10.3233/JAD-160164

Source DB:  PubMed          Journal:  J Alzheimers Dis        ISSN: 1387-2877            Impact factor:   4.472


  6 in total

Review 1.  Role of Pharmacogenomics in Individualizing Treatment for Alzheimer's Disease.

Authors:  Natalie Argueta; Emily Notari; Kinga Szigeti
Journal:  CNS Drugs       Date:  2022-03-30       Impact factor: 5.749

2.  Predictors of response to acetylcholinesterase inhibitors in dementia: A systematic review.

Authors:  Federico Emanuele Pozzi; Elisa Conti; Ildebrando Appollonio; Carlo Ferrarese; Lucio Tremolizzo
Journal:  Front Neurosci       Date:  2022-09-20       Impact factor: 5.152

3.  Serum Concentrations of Cholinesterase Inhibitors in Patients With Alzheimer's Dementia Are Frequently Below the Recommended Levels.

Authors:  Marion Ortner; Marion Stange; Heike Schneider; Charlotte Schroeder; Katharina Buerger; Claudia Müller; Bianca Dorn; Oliver Goldhardt; Janine Diehl-Schmid; Hans Förstl; Werner Steimer; Timo Grimmer
Journal:  Front Pharmacol       Date:  2020-05-21       Impact factor: 5.810

4.  Influence of CYP2D6, CYP3A5, ABCB1, APOE polymorphisms and nongenetic factors on donepezil treatment in patients with Alzheimer's disease and vascular dementia.

Authors:  Thitipon Yaowaluk; Vorapun Senanarong; Chanin Limwongse; Rasda Boonprasert; Pornpimol Kijsanayotin
Journal:  Pharmgenomics Pers Med       Date:  2019-09-04

5.  CYP2D6 Predicts Plasma Donepezil Concentrations in a Cohort of Thai Patients with Mild to Moderate Dementia.

Authors:  Monpat Chamnanphon; Sorawit Wainipitapong; Teeravut Wiwattarangkul; Phenphichcha Chuchuen; Kunathip Nissaipan; Weeraya Phaisal; Sookjaroen Tangwongchai; Chonlaphat Sukasem; Supeecha Wittayalertpanya; Andrea Gaedigk; Daruj Aniwattanapong; Pajaree Chariyavilaskul
Journal:  Pharmgenomics Pers Med       Date:  2020-11-02

6.  Therapeutic Drug Monitoring of Rivastigmine and Donepezil Under Consideration of CYP2D6 Genotype-Dependent Metabolism of Donepezil.

Authors:  Timo Grimmer; Werner Steimer; Marion Ortner; Marion Stange; Heike Schneider; Charlotte Schröder; Katharina Buerger; Claudia Müller; Felix Müller-Sarnowski; Janine Diehl-Schmid; Hans Förstl
Journal:  Drug Des Devel Ther       Date:  2020-08-11       Impact factor: 4.162

  6 in total

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