ANTİPARKİNSON İLAÇLARINA VERİLEN BİREYSEL YANITTA FARMAKOGENETİĞİN ROLÜ

Amaç: Alzheimer hastalığından sonra ikinci en yaygın nörodejeneratif bozukluk olan Parkinson hastalığı, tremor, rijidite, bradikinezi ve postural instabilite ile karakterize ilerleyici bir nörodejeneratif hastalıktır. Çevresel ve genetik faktörler bu hastalığın patofizyolojisine katkıda bulunur. Dopaminin öncüsü olan L-DOPA, farmakoterapinin altın standardı olmaya devam etmektedir. Mevcut terapötik seçenekler klinik olarak faydalı olsa da parkinson hastalığı ilerleyici bir bozukluk olduğu için tedavisinde kullanılan tüm ilaçlarda zamanla etkinlik azalması ve yan etkilerde artış söz konusu olmaktadır.

Anahtar Kelimeler:

Parkinson hastalığı, dopamin, farmakogenetik, polimorfizm

THE ROLE OF PHARMACOGENETICS IN INDIVIDUAL RESPONSE TO ANTIPARKINSONIAN DRUGS

Objective: Parkinson’s disease, the second most common neurodegenerative disorder after Alzheimer’s, is a progressive neurodegenerative disease characterized by tremor, rigidity, bradikinesis and postural instability. Environmental and genetic factors contribute to the pathophysiology of this disease. The pioneer of dopamine, L-DOPA, remains the gold standard of pharmacotherapy. Although current therapeutic options are clinically beneficial, since parkinson’s disease is a progressive disorder, all drugs used in treatment decline over time and increase in side effects.

Keywords:

Parkinson's disease, dopamine, pharmacogenetics, polymorphism,

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