Evidence map›Paper›PMID 37686266›Full record

ArticleInternational journal of molecular sciences2023

The Impact of the CYP2D6 and CYP1A2 Gene Polymorphisms on Response to Duloxetine in Patients with Major Depression.

Julian Maciaszek, Tomasz Pawłowski, Tomasz Hadryś, Marta Machowska, Anna Wiela-Hojeńska, Błażej Misiak

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Epigenetic Mechanisms of Suicidal Behavior Formation: A Review.Medical journal of the Islamic Republic of Iran · 2026
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Julian MaciaszekDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Tomasz PawłowskiDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0002-3997-609X
Tomasz HadryśDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Marta MachowskaDepartment of Clinical Pharmacology, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Anna Wiela-HojeńskaDepartment of Clinical Pharmacology, Wroclaw Medical University, 50-367 Wroclaw, Poland.ORCID 0000-0003-3813-2300
Błażej MisiakDepartment of Psychiatry, Wroclaw Medical University, 50-367 Wroclaw, Poland.
Wroclaw Medical University · PL

Funding

This research was funded by the budget for science in the years 2017-2020, as a research project under the "Diamentowy Grant" program: "CYP 2D6 and CYP 1A2 polymorphisms and the effi-cacy and tolerability of duloxetine in the treatment of depression" (No. No. DI2016 012046
6 · The paper itself

Abstract

Depression is a global mental health concern, and personalized treatment approaches are needed to optimize its management. This study aimed to investigate the influence of the CYP2D6 and CYP1A2 gene polymorphisms on the efficacy of duloxetine in reducing depressive and anxiety symptoms. A sample of 100 outpatients with major depression, who initiated monotherapy with duloxetine, were followed up. Polymorphisms in the CYP2D6 and CYP1A2 genes were assessed. The severity of depressive and anxiety symptoms was recorded using standardized scales. Adverse drug reactions (ADRs) were analyzed. Statistical analyses, including linear regression, were conducted to examine the relationships between genetic polymorphisms, clinical variables, and treatment outcomes. Patients with higher values of the duloxetine metabolic index (DMI) for CYP2D6, indicating a faster metabolism, achieved a greater reduction in anxiety symptoms. The occurrence of ADRs was associated with a lower reduction in anxiety symptoms. However, no significant associations were found between studied gene polymorphisms and reduction in depressive symptoms. No significant effects of the DMI for CYP1A2 were found. Patients with a slower metabolism may experience less benefit from duloxetine therapy in terms of anxiety symptom reduction. Personalizing treatment based on the CYP2D6 and CYP1A2 gene polymorphisms can enhance the effectiveness of antidepressant therapy and improve patient outcomes.

Indexed as

Drug-Related Side Effects and Adverse ReactionsMajor Depressive DisorderCytochrome P-450 CYP1A2Cytochrome P-450 CYP2D6DepressionDuloxetine HydrochlorideHumansPolymorphism, GeneticCYP1A2 protein, humanCytochrome P-450 CYP1A2Cytochrome P-450 CYP2D6Duloxetine Hydrochlorideanxiety symptomsCYP1A2CYP2D6duloxetineefficacymajor depressionpolymorphismspredictiontolerability

Identifiers

PMID37686266
PMCPMC10487921
OpenAlexW4386284481

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.