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Polymorphisms of the ABCB1 gene are associated with the therapeutic response to risperidone in Chinese schizophrenia patients

    Qinghe Xing

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Rui Gao

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Huafang Li

    Shanghai Institute of Mental Health, Shanghai 200030, PR China.

    ,
    Guoyin Feng

    Shanghai Institute of Mental Health, Shanghai 200030, PR China.

    ,
    Mingqing Xu

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Shiwei Duan

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Junwei Meng

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Aiping Zhang

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    ,
    Shengying Qin

    Bio-X Center, Shanghai Jiao Tong University, Shanghai 200030, PR China.

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    &
    Lin He

    † Author for correspondence

    Institute for Nutritional Sciences, Shanghai Institute of Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, PR China.

    Shanghai Jiao Tong University, Bio-X Center, Hao Ran Building, 1954 Hua Shan Road, Shanghai 200030; or Institute for Nutritional Sciences, SIBS, Chinese Academy of Sciences, 294 Taiyuan Road, Shanghai 200031, China China.

    Published Online:https://doi.org/10.2217/14622416.7.7.987

    P-glycoprotein, a product of the ATP-binding cassette B1 (ABCB1) gene, plays an important role in absorption and distribution of drugs. The brain entry of risperidone and 9-OH-risperidone is greatly limited by P-glycoprotein, which implies that the functional polymorphisms of ABCB1 in humans may be a factor contributing to the variability in response to risperidone. The present study was therefore designed to examine whether polymorphisms of the ABCB1 gene are related to therapeutic response. For this purpose, 130 Chinese schizophrenia patients undergoing risperidone treatment were recruited. Plasma drug concentrations were monitored and clinical symptoms were evaluated using the Brief Psychiatric Rating Scale (BPRS) before and 8 weeks after the treatment. Association tests between genotypes and percentage improvement in total BPRS scores were performed using analyses of variance. Our results show that genotyping C1236T may help to predict the efficacy of risperidone treatment on the basis that patients with the TT genotype showed greater improvement than those with other genotypes on the overall BPRS (F = 3.967, p = 0.021), while other polymorphisms, including rs13233308, G2677T/A and C3435T polymorphism, did not show any association with the response to risperidone. These results showed suggestive evidence that genetic variation in the ABCB1 gene may influence the individual response to risperidone.

    Papers of special note have been highlighted as either of interest (•) or of considerable interest (••) to readers.

    Bibliography

    • Kim RB, Fromm MF, Wandel Cet al.: The drug transporter P-glycoprotein limits oral absorption and brain entry of HIV-1 protease inhibitors. J. Clin. Invest.101,289–294 (1998).
    • Uhr M, Grauer MT: abcb1ab P-glycoprotein is involved in the uptake of citalopram and trimipramine into the brain of mice. J. Psychiatr Res.37,179–185 (2003).
    • Wang JS, Taylor R, Run Y, Donovan LJ, Markowitz SJ, DeVane CL: Olanzapine penetration into brain is greater in transgenic mdr1a P-glycoprotein deficient mice than FVB1 (wild-type) animals. Neuropsychopharmacology29,551–557 (2004).• This study demonstrated that olanzapine penetration into the brain is greater in transgenic abcb1a P-glycoprotein-deficient mice than in FVB1 (wild-type) animals.
    • Wang JS, DeVane CL, Gibson BB, Donovan JL, Markowitz JS, Zhu HJ: Population pharmacokinetic analysis of drug–drug interactions among risperidone, bupropion, and sertraline in CF1 mice. Psychopharmacology (Berl)183(4),490–499 (2006).
    • Yasui-Furukori N, Saito M, Nakagami T, Kaneda A, Tateishi T, Kaneko S: Association between multidrug resistance 1 (MDR1) gene polymorphisms and therapeutic response to bromperidol in schizophrenic patients: a preliminary study. Prog. Neuropsychopharmacol Biol. Psychiatry30(2),286–291 (2006).• This study suggested that the C3435T polymorphism of ABCB1 is associated with some therapeutic response to bromperidol in schizophrenic patients, possibly by a different drug concentration in the brain.
    • Peuskens J: Risperidone in the treatment of patients with chronic schizophrenia: a multi-national, multi-centre, double-blind, parallel-group study versus haloperidol. Risperidone Study Group. Br. J. Psychiatry166(6),712–726 (1995).
    • Heck AH, Haffmans PM, de Groot IW, Hoencamp E: Risperidone versus haloperidol in psychotic patients with disturbing neuroleptic-induced extrapyramidal symptoms: a double-blind, multi-center trial. Schizophr. Res.46(2–3),97–105 (2000).
    • Csernansky JG, Mahmoud R, Brenner R; Risperidone-USA-79 Study Group: A comparison of risperidone and haloperidol for the prevention of relapse in patients with schizophrenia. N. Engl. J. Med346(1),16–22 (2002).
    • Freudenreich O, Goff DC: Antipsychotic combination therapy in schizophrenia. A review of efficacy and risks of current combinations. Acta Psychiatr. Scand.106(5),323–330 (2002).
    • 10  Boulton DW, DeVane CL, Liston HL, Markowitz JS: In vitro P-glycoprotein affinity for atypical and conventional antipsychotics. Life Sci.71(2),163–169 (2002).
    • 11  Ejsing TB, Pedersen AD, Linnet K: P-glycoprotein interaction with risperidone and 9-OH-risperidone studied in vitro, in knock-out mice and in drug–drug interaction experiments. Hum. Psychopharmacol.20(7),493–500 (2005).•• The knockout mice experiments showed that both risperidone and 9-OH-risperidone interact with P-glycoprotein in vitro, and P-glycoprotein has a profound effect on risperidone and 9-OH-risperidone distribution over the blood–brain barrier.
    • 12  Wang JS, Ruan Y, Taylor RM, Donovan JL, Markowitz JS, DeVane CL: The brain entry of risperidone and 9-OH-risperidone is greatly limited by P-glycoprotein. Int. J. Neuropsychopharmacol7(4),415–419 (2004).•• These results showed that the brain entry of risperidone and 9-hydroxyrisperidone is greatly limited by P-glycoprotein.
    • 13  Fojo A, Lebo R, Shimizu N et al.: Localization of multidrug resistance-associated DNA sequences to human chromosome 7. Somat. Cell Mol. Genet.12(4),415–420 (1986).
    • 14  Hoffmeyer S, Burk O, von Richter O et al.: Functional polymorphisms of the human multidrug-resistance gene: multiple sequence variations and correlation of one allele with P-glycoprotein expression and activity in vivo. Proc. Natl Acad. Sci. USA97(7),3473–3478 (2000).•• This study observed a significant correlation of a polymorphism in exon 26 (C3435T) of MDR-1 (ABCB1) with expression levels and function of MDR-1.
    • 15  Kerb R, Hoffmeyer S, Brinkmann U: ABC drug transporters: hereditary polymorphisms and pharmacological impact in MDR1, MRP1 and MRP2. Pharmacogenomics2(1),51–64 (2001).
    • 16  Furuno T, Landi MT, Ceroni M et al.: Expression polymorphism of the blood–brain barrier component P-glycoprotein (MDR1) in relation to Parkinson's disease. Pharmacogenetics12(7),529–534 (2002).
    • 17  Wang D, Johnson AD, Papp AC, Kroetz DL, Sadee W: Multidrug resistance polypeptide 1 (MDR1, ABCB1) variant 3435C>T affects mRNA stability. Pharmacogenet. Genomics.15(10),693–704 (2005).
    • 18  Drozdzik M, Bialecka M, Mysliwiec K, Honczarenko K, Stankiewicz J, Sych Z: Polymorphism in the P-glycoprotein drug transporter MDR1 gene: a possible link between environmental and genetic factors in Parkinson's disease. Pharmacogenetics13(5),259–263 (2003).
    • 19  Jones PM, George AM: A new structural model for P-glycoprotein. J. Membr. Biol.166(2),133–147 (1998).
    • 20  Kim RB, Leake BF, Choo EF et al.: Identification of functionally variant MDR1 alleles among European–Americans and African–Americans. Clin. Pharmacol. Ther.70(2),189–199 (2001).
    • 21  Tanabe M, Ieiri I, Nagata N et al.: Expression of P-glycoprotein in human placenta: relation to genetic polymorphism of the multidrug resistance (MDR)-1 gene. J. Pharmacol. Exp. Ther297(3),1137–1143 (2001).
    • 22  Morita Y, Sakaeda T, Horinouchi M et al.: MDR1 genotype-related duodenal absorption rate of digoxin in healthy Japanese subjects. Pharm. Res.20(4),552–556 (2003).
    • 23  Verstuyft C, Schwab M, Schaeffeler E et al.: Digoxin pharmacokinetics and MDR1 genetic polymorphisms. Eur. J. Clin. Pharmacol.58(12),809–12 (2003).
    • 24  Marzolini C, Paus E, Buclin T, Kim RB. Polymorphisms in human MDR1 (P-glycoprotein): recent advances and clinical relevance. Clin. Pharmacol. Ther75(1),13–33 (2004).
    • 25  Llerena A, Berecz R, Dorado P et al.: Determination of risperidone and 9-hydroxyrisperidone in human plasma by liquid chromatography: application to the evaluation of CYP2D6 drug interactions. J. Chromatogr.B783,213–219 (2003).
    • 26  Shi YY, He L: SHEsis, a powerful software platform for analyses of linkage disequilibrium, haplotype construction, and genetic association at polymorphism loci. Cell Res.15(2),97–98 (2005).
    • 27  Fanous AH, van den Oord EJ, Riley BP et al.: Relationship between a high-risk haplotype in the DTNBP1 (dysbindin) gene and clinical features of schizophrenia. Am. J. Psychiatry162(10),1824–1832 (2005).
    • 28  Hitzl M, Drescher S, van der Kuip H et al.: The C3435T mutation in the human MDR1 gene is associated with altered efflux of the P-glycoprotein substrate rhodamine 123 from CD56+ natural killer cells. Pharmacogenetics11(4),293–298 (2001).
    • 29  Siegmund W, Ludwig K, Giessmann T et al.: The effects of the human MDR1 genotype on the expression of duodenal P-glycoprotein and disposition of the probe drug talinolol. Clin. Pharmacol. Ther.72(5),572–583 (2002).
    • 30  Kimchi-Sarfaty C, Gribar JJ, Gottesman MM: Functional characterization of coding polymorphisms in the human MDR1 gene using a vaccinia virus expression system. Mol. Pharmacol.62(1),1–6 (2002).
    • 31  Morita N, Yasumori T, Nakayama K: Human MDR1 polymorphism: G2677T/A and C3435T have no effect on MDR1 transport activities. Biochem. Pharmacol.65(11),1843–1152 (2003).
    • 32  Sakaeda T, Nakamura T, Horinouchi M et al.: MDR1 genotype-related pharmacokinetics of digoxin after single oral administration in healthy Japanese subjects. Pharm. Res.18(10),400–404 (2001).