Pharmacogenomics,
Journal Year:
2022,
Volume and Issue:
23(6), P. 371 - 392
Published: March 21, 2022
Clozapine
(CLZ)
is
an
atypical
antipsychotic
reserved
for
patients
with
refractory
psychosis,
but
it
associated
a
significant
risk
of
severe
adverse
reactions
(ADRs)
that
are
potentiated
the
concomitant
use
alcohol.
Additionally,
pharmacogenetic
studies
have
explored
influence
several
genetic
variants
in
CYP450,
receptors
and
transporters
involved
interindividual
response
to
CLZ.
Herein,
we
systematically
review
current
multiomics
knowledge
behind
interaction
between
CLZ
alcohol
intake,
how
its
might
modulate
pharmacogenetics.
CYP1A2*1F,
*1C
other
alleles
not
yet
discovered
could
support
precision
medicine
approach
better
therapeutic
effects
fewer
ADRs.
monitoring
systems
should
be
amended
include
intake
protect
from
Current Medicinal Chemistry,
Journal Year:
2023,
Volume and Issue:
31(36), P. 5837 - 5855
Published: Oct. 13, 2023
Alcohol
use
disorders
are
responsible
for
5.9%
of
all
death
annually
and
5.1%
the
global
disease
burden.
It
has
been
suggested
that
alcohol
abuse
can
modify
gene
expression
through
epigenetic
processes,
namely
DNA
histone
methylation,
acetylation,
microRNA
expression.
The
influence
on
mechanisms
leads
to
molecular
adaptation
a
wide
number
brain
circuits,
including
hypothalamus-hypophysis-adrenal
axis,
prefrontal
cortex,
mesolimbic-dopamine
pathways
endogenous
opioid
pathways.
Epigenetic
regulation
represents
an
important
level
alcohol-induced
in
brain.
demonstrated
acute
chronic
exposure
induce
opposite
modifications
mechanisms:
increases
decreases
methylation
inhibits
methyltransferase
activity,
while
induces
hypermethylation
DNA.
Some
studies
investigated
chromatin
status
during
withdrawal
period
craving
showed
was
associated
with
low
status,
elevated
activity
deacetylase
decreased
acetylation.
Given
effects
exerted
by
ethanol
consumption
mechanisms,
structure
modifiers,
such
as
inhibitors
inhibitors,
might
represent
new
potential
strategy
treat
disorder.
Further
investigations
induced
be
helpful
develop
therapies
alcoholism
drug
addiction
targeting
processes.
Addiction Biology,
Journal Year:
2023,
Volume and Issue:
28(12)
Published: Nov. 14, 2023
Abstract
Excessive
alcohol
consumption
has
detrimental
effects
on
the
entire
organism,
especially
liver.
The
toxicity
is
partly
dependent
age,
as
older
individuals
metabolize
more
slowly
leading
to
increased
cellular
injury.
This
study
aimed
investigate
of
moderate
binge
drinking
liver
young
and
aged
mice
in
a
genome‐wide
multi‐omics
approach.
We
determined
DNA
methylation
(DNAm)
using
Illumina
MouseMethylation
array
gene
expression
by
RNA
sequencing
18
female
Balb/c
2
×
design.
animals
underwent
three
cycles
(ethanol
vs.
vehicle)
tissue
was
harvested
at
4
or
19
months
age.
tested
differential
(DE)
DNAm
associated
with
ethanol
intake
linear
models
separately
mice,
performed
enrichment
analyses
for
pathways
GWAS
signatures
problematic
use,
analysed
overlap
expression.
observed
DE
substantial
genes
such
Bhlhe40
,
Klf10
Frmd8
.
were
enriched
biological
processes
related
metabolism,
inflammation,
fibrosis,
use.
identified
overlapping
from
expression,
example,
St6galnac4
mice.
offers
converging
evidence
novel
age‐related
targets
model
highlighting
dysregulations
fibrosis.
Future
studies
are
needed
confirm
these
results
elucidate
underlying
mechanisms.
Pharmacogenomics,
Journal Year:
2022,
Volume and Issue:
23(6), P. 371 - 392
Published: March 21, 2022
Clozapine
(CLZ)
is
an
atypical
antipsychotic
reserved
for
patients
with
refractory
psychosis,
but
it
associated
a
significant
risk
of
severe
adverse
reactions
(ADRs)
that
are
potentiated
the
concomitant
use
alcohol.
Additionally,
pharmacogenetic
studies
have
explored
influence
several
genetic
variants
in
CYP450,
receptors
and
transporters
involved
interindividual
response
to
CLZ.
Herein,
we
systematically
review
current
multiomics
knowledge
behind
interaction
between
CLZ
alcohol
intake,
how
its
might
modulate
pharmacogenetics.
CYP1A2*1F,
*1C
other
alleles
not
yet
discovered
could
support
precision
medicine
approach
better
therapeutic
effects
fewer
ADRs.
monitoring
systems
should
be
amended
include
intake
protect
from