Pharmacogenetics of Drug-Resistant Epilepsy (Review of Literature)

Int J Mol Sci. 2021 Oct 28;22(21):11696. doi: 10.3390/ijms222111696.

Abstract

Pharmacogenomic studies in epilepsy are justified by the high prevalence rate of this disease and the high cost of its treatment, frequent drug resistance, different response to the drug, the possibility of using reliable methods to assess the control of seizures and side effects of antiepileptic drugs. Candidate genes encode proteins involved in pharmacokinetic processes (drug transporters, metabolizing enzymes), pharmacodynamic processes (receptors, ion channels, enzymes, regulatory proteins, secondary messengers) and drug hypersensitivity (immune factors). This article provides an overview of the literature on the influence of genetic factors on treatment in epilepsy.

Keywords: CYP2 family; GABA receptors; MDR-1; drug-resistant epilepsy; genes; ion channels; pharmacogenetics.

Publication types

  • Review

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • Animals
  • Drug Resistance / genetics*
  • Epilepsy / drug therapy*
  • Epilepsy / genetics
  • Humans
  • Inactivation, Metabolic / genetics*
  • Pharmacogenomic Testing
  • Pharmacogenomic Variants

Substances

  • ABCB1 protein, human
  • ATP Binding Cassette Transporter, Subfamily B