The pharmacogenomics of valproic acid.

Abstract:

:Valproic acid is an anticonvulsant and mood-stabilizing drug used primarily in the treatment of epilepsy and bipolar disorder. Adverse effects of valproic acid are rare, but hepatotoxicity is severe in particular in those younger than 2 years old and polytherapy. During valproic acid treatment, it is difficult for prescribers to predict its individual response. Recent advances in the field of pharmacogenomics have indicated variants of candidate genes that affect valproic acid efficacy and safety. In this review, a large number of candidate genes that influence valproic acid pharmacokinetics and pharmacodynamics are discussed, including metabolic enzymes, drug transporters, neurotransmitters and drug targets. Furthermore, pharmacogenomics is an important tool not only in further understanding of interindividual variability but also to assess the therapeutic potential of such variability in drug individualization and therapeutic optimization.

journal_name

J Hum Genet

authors

Zhu MM,Li HL,Shi LH,Chen XP,Luo J,Zhang ZL

doi

10.1038/jhg.2017.91

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1009-1014

issue

12

eissn

1434-5161

issn

1435-232X

pii

jhg201791

journal_volume

62

pub_type

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