GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder

Background Genetic variants and medication adherence have been identified to be the main factors contributing to lithium treatment response in bipolar disorders. Aims To simultaneously examine effects...

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Main Authors: Chih-Ken Chen, Chau-Shoun Lee, Hsuan-Yu Chen, Lawrence Shih-Hsin Wu, Jung-Chen Chang, Chia-Yih Liu, Andrew Tai-Ann Cheng
Format: Article
Language:English
Published: Cambridge University Press 2016-09-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001757/type/journal_article
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author Chih-Ken Chen
Chau-Shoun Lee
Hsuan-Yu Chen
Lawrence Shih-Hsin Wu
Jung-Chen Chang
Chia-Yih Liu
Andrew Tai-Ann Cheng
author_facet Chih-Ken Chen
Chau-Shoun Lee
Hsuan-Yu Chen
Lawrence Shih-Hsin Wu
Jung-Chen Chang
Chia-Yih Liu
Andrew Tai-Ann Cheng
author_sort Chih-Ken Chen
collection DOAJ
description Background Genetic variants and medication adherence have been identified to be the main factors contributing to lithium treatment response in bipolar disorders. Aims To simultaneously examine effects of variant glutamate decarboxylase-like protein 1 (GADL1) and medication adherence on response to lithium maintenance treatment in Han Chinese patients with bipolar I (BPI) disorder. Method Frequencies of manic and depressive episodes between carriers and non-carriers of the effective GADL1 rs17026688 T allele during the cumulative periods of off-lithium, poor adherence to lithium treatment and good adherence to lithium treatment were compared in Han Chinese patients with BPI disorder (n = 215). Results GADL1 rs17026688 T carriers had significantly lower frequencies of recurrent affective episodes than non-T carriers during the cumulative period of good adherence, but not during those of poor adherence. Conclusions GADL1 rs17026688 and medication adherence jointly predict response to lithium maintenance treatment in Han Chinese BPI patients.
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spelling doaj.art-43a630c5ea484e42b0431a8c510289c42023-03-09T12:28:39ZengCambridge University PressBJPsych Open2056-47242016-09-01230130610.1192/bjpo.bp.116.002881GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorderChih-Ken Chen0Chau-Shoun Lee1Hsuan-Yu Chen2Lawrence Shih-Hsin Wu3Jung-Chen Chang4Chia-Yih Liu5Andrew Tai-Ann Cheng6Chang Gung University School of Medicine, Taoyuan, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital, Keelung, TaiwanDepartment of Medicine, Mackay Medical College, New Taipei City, Taiwan; Department of Psychiatry, Mackay Memorial Hospital, Taipei, TaiwanInstitute of Statistical Science, Academia Sinica, Taipei, TaiwanInstitute of Medical Sciences, Tzu Chi University, Hualien, TaiwanSchool of Nursing, College of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Psychiatry, Chang Gung Medical Center at Linkou, Chang Gung University, Taoyuan, Taiwan; Chang Gung University School of Medicine, Taoyuan, TaiwanInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan Background Genetic variants and medication adherence have been identified to be the main factors contributing to lithium treatment response in bipolar disorders. Aims To simultaneously examine effects of variant glutamate decarboxylase-like protein 1 (GADL1) and medication adherence on response to lithium maintenance treatment in Han Chinese patients with bipolar I (BPI) disorder. Method Frequencies of manic and depressive episodes between carriers and non-carriers of the effective GADL1 rs17026688 T allele during the cumulative periods of off-lithium, poor adherence to lithium treatment and good adherence to lithium treatment were compared in Han Chinese patients with BPI disorder (n = 215). Results GADL1 rs17026688 T carriers had significantly lower frequencies of recurrent affective episodes than non-T carriers during the cumulative period of good adherence, but not during those of poor adherence. Conclusions GADL1 rs17026688 and medication adherence jointly predict response to lithium maintenance treatment in Han Chinese BPI patients. https://www.cambridge.org/core/product/identifier/S2056472400001757/type/journal_article
spellingShingle Chih-Ken Chen
Chau-Shoun Lee
Hsuan-Yu Chen
Lawrence Shih-Hsin Wu
Jung-Chen Chang
Chia-Yih Liu
Andrew Tai-Ann Cheng
GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
BJPsych Open
title GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
title_full GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
title_fullStr GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
title_full_unstemmed GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
title_short GADL1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar I disorder
title_sort gadl1 variant and medication adherence in predicting response to lithium maintenance treatment in bipolar i disorder
url https://www.cambridge.org/core/product/identifier/S2056472400001757/type/journal_article
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