Clinical Chemistry
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Clinical Chemistry 52: 893-895, 2006; 10.1373/clinchem.2006.066605
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(Clinical Chemistry. 2006;52:893-895.)
© 2006 American Association for Clinical Chemistry, Inc.


Letters to the Editor

ABCB1 (P-Glycoprotein/MDR1) Gene G2677T/A Sequence Variation (Polymorphism): Lack of Association with Side Effects and Therapeutic Response in Depressed Inpatients Treated with Amitriptyline

Barbara Laika, Stefan Leucht and Werner Steimera

Institute for Clinical Chemistry, and Pathobiochemistry, Munich University of Technology, Klinikum rechts der Isar, Munich, Germany

aAddress correspondence to this author at: Institut für Klinische Chemie und Pathobiochemie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstrasse 22, D-81675 Munich, Germany. Fax 49-89-4140-4875; e-mail W.Steimer@gmx.de.

The first 20% of the full text of this article appears below.


To the Editor:

Amitriptyline belongs to the class of tricyclic antidepressants (TCAs), which have been a cornerstone of antidepressive therapy for more than 4 decades. Despite being replaced by newer drugs in the United States, TCAs, and amitriptyline in particular, are still widely used in Europe and many parts of the world, where prescriptions for TCAs far outnumber those for newer, more expensive drugs.

Recently, we reported significant correlations between sequence variations in the genes that encode the metabolizing enzymes cytochrome P450 2D6 (CYP2D6) and 2C19 (CYP2C19), serum amitriptyline/nortriptyline concentrations, and adverse drug reactions in a population of 50 depressed inpatients (1)(2).

However, genetic variations in drug-metabolizing enzymes do not sufficiently explain the wide interindividual variations commonly observed in drug response and clinical outcome. Obviously, other genetic and environmental factors must be considered as well. The influence of sequence variations in the gene ATP-binding cassette, subfamily B (MDR/TAP), member 1 (ABCB1) on the . . . [Full Text of this Article]




The following articles in journals at HighWire Press have cited this article:


Home page
Journal of Pharmacy PracticeHome page
M. J. Ehret
Pharmacogenomics of Antidepressant Medications
Journal of Pharmacy Practice, December 1, 2006; 19(6): 342 - 352.
[Abstract] [PDF]




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