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NeuroMolecular Medicine

, Volume 20, Issue 1, pp 1–17 | Cite as

Genetics and Treatment Response in Parkinson’s Disease: An Update on Pharmacogenetic Studies

  • Cristina Politi
  • Cinzia CiccacciEmail author
  • Giuseppe Novelli
  • Paola Borgiani
Review Paper

Abstract

Parkinson’s disease (PD) is a complex neurodegenerative disorder characterized by a progressive loss of dopamine neurons of the central nervous system. The disease determines a significant disability due to a combination of motor symptoms such as bradykinesia, rigidity and rest tremor and non-motor symptoms such as sleep disorders, hallucinations, psychosis and compulsive behaviors. The current therapies consist in combination of drugs acting to control only the symptoms of the illness by the replacement of the dopamine lost. Although patients generally receive benefits from this symptomatic pharmacological management, they also show great variability in drug response in terms of both efficacy and adverse effects. Pharmacogenetic studies highlighted that genetic factors play a relevant influence in this drug response variability. In this review, we tried to give an overview of the recent progresses in the pharmacogenetics of PD, reporting the major genetic factors identified as involved in the response to drugs and highlighting the potential use of some of these genomic variants in the clinical practice. Many genes have been investigated and several associations have been reported especially with adverse drug reactions. However, only polymorphisms in few genes, including DRD2, COMT and SLC6A3, have been confirmed as associated in different populations and in large cohorts. The identification of genomic biomarkers involved in drug response variability represents an important step in PD treatment, opening the prospective of more personalized therapies in order to identify, for each person, the better therapy in terms of efficacy and toxicity and to improve the PD patients’ quality of life.

Keywords

Parkinson’s disease Pharmacogenetics Polymorphisms Levodopa Dopamine receptor agonists COMT inhibitors Monoamine oxidase inhibitors 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest.

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Cristina Politi
    • 1
  • Cinzia Ciccacci
    • 1
    Email author
  • Giuseppe Novelli
    • 1
  • Paola Borgiani
    • 1
  1. 1.Department of Biomedicine and Prevention, Genetics SectionUniversity of Rome “Tor Vergata”RomeItaly

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