Table 1.
Polymorphisms and genomic variants underlying responses to anti-PD drugs.
Drugs | Gene | SNP | Effect | References |
---|---|---|---|---|
L-DOPA | COMT gene | rs4680 | Higher frequency of COMT LL genotype in patients requiring lower L-dopa dosage | [21, 22, 78] |
No association between COMT polymorphism and the occurrence of LID | [22, 33] | |||
Higher frequency of COMT LL genotype in patients with dyskinesia | [23, 32] | |||
Higher frequency of COMT LL/LH genotypes in patients with higher Epworth sleepiness scale scores | [79] | |||
rs165815 | Higher frequency of COMT C allele in patients with visual hallucinations | [54] | ||
DAT gene | rs28363170 & rs393795 | Lower frequency of the combination of the two genotypes of the DAT gene in patients with LID | [80] | |
rs28363170 | Higher frequency of DAT gene VATR sequence in patients with LID | [27] | ||
Higher frequency of DAT gene VATR sequence in patients with Levodopa-induced hallucinations and psychosis | [27] | |||
Lower frequency of DAT1 9/9 genotype in patients with LID | [28] | |||
rs393795 | Higher frequency of DAT C genotype in patients with later occurrence time of LID | [27] | ||
DRD2 gene | rs1800497 | DRD2/ANKK1 is significantly associated with increased doses of L-dopa | [28] | |
No association between TaqIA polymorphism and the motor fluctuation | [28] | |||
Lower frequency of DRD2 13 or 14 alleles in patients with peak-dose dyskinesias | [34, 35] | |||
Higher frequency of DRD2 14/15 genotype in patients with LID | [36] | |||
Higher frequency of DRD2 C allele in patients with delayed visual hallucinations | [56] | |||
DRD3 gene | rs6280 | Higher frequency of DRD3 C genotype in patients with visual hallucinations | [55] | |
MAO-A gene | rs6323 | No association between MAO-A and the occurrence of LID | [22] | |
rs1799836 | Higher frequency of A allele and AA genotype in patients LID | [23] | ||
BDNF gene | rs6265 | No association between BDNF and the occurrence of LID | [22] | |
Higher frequency of BDNF met allele in patients LID | [81] | |||
HOMER1 gene | rs4704560 | Lower frequency of HOMER1 G allele in patients with LID | [46] | |
ACE gene | rs4646994 | Higher frequency of ins/ins genotype in patients with L-DOPA-induced psychosis | [82] | |
SLC22A1 gene | rs622342 | Higher frequency of the minor C allele in patients requiring higher anti-Parkinsonian drugs dosage | [29] | |
SV2C gene | rs30196 | Higher frequency of the C allele in patients requiring lower L-dopa dosage | [30] | |
SLC6A3 gene | rs2836371 | Higher frequency of SLC6A3 9R allele in patients requiring lower L-dopa dosage | [30] | |
MTHFR gene | rs1801133 | Higher frequency of MTHFR TT677 mutants in patients with lower daily levodopa dose | [83] | |
Higher frequency of C677T in patients with L-dopa-induced hyperhomocysteinemi | [53] | |||
Lower frequency of C677T TT homozygosity in patients with L-DOPA resistance | [53] | |||
EIF4EBP2 gene | rs1043098 | Higher frequency of CC homozygous in patients with the later occurrence of LID and LID peak | [84] | |
Dopamine Receptor Agonists | DRD2 gene | rs1800497 | No association between Taq1 genotypes and the reaction of pramipexole | [63] |
Higher frequency of Allele A2 in patients with the sudden onset of sleep in patients taking bromocriptine, pergolide, or cabergoline | [85] | |||
DRD3 gene | rs6280 | Higher frequency of Ser/ser genotype in patients with a higher response rate of pramipexole | [60] | |
DRD4 gene | DRD4 48-bp VNTR | No association between the Taq1 genotype and the reaction of pramipexole | [63] | |
COMT inhibitors | COMT gene | rs4680 | COMT HH genotype prolongs the ON time of patients treated with entacapone | [71] |
COMT gene rs4608 polymorphism modifies the motor response to COMT inhibitors entacapone | [86] | |||
UGT1A6 gene | A528G SNP | Higher frequency of A528G SNP with a higher risk of hepatotoxicity induced by entacapone and tolcapone | [72] | |
MAO Inhibitors | DRD2 gene | rs2283265 & rs1076560 | The two genotypes can significantly improve the motor function of patients treated with rasagiline | [68] |
Abbreviations: L-dopa: levodopa; COMT: catechol-O-methyltransferase; LID: levodopa-induced dyskinesia; DR: dopamine receptor; MAO: monoamine oxidase; DAT: dopamine transporter.