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Vliv genových polymorfismů na efektivitu farmakologické léčby deprese
MÍČKOVÁ, Dana
The bachelor thesis deals with the possible influence of genetic polymorphisms of selected cytochrome P450 (CYP) genes on the depression or other psychiatric diseases treatment. The treatment of psychiatric patients with psychotropic drugs often turns out to be unsatisfactory due to lack of effectivity or due to adverse drug reactions of psychiatric drugs. This means both a mental strain for the patient and social and economic impacts. One of many influences, participating on the unsatisfactory treatment, are the CYP gene polymorphisms, that result in the same (CYP) named enzymes activity, responsible for the metabolism of the respective drug. Mutation in these genes can cause both gain-of-function and reduced or loss-of-function of the respective enzymes and thus participate on the adverse drug reactions and/or lack of effectivity. The aim of the theoretical part of the thesis was to develop research on the topic of depressive disease, its history and methods of treatment. Moreover, to map the antidepressants prescribing practice in the Czech Republic during the last five years. Other aims were developing of an internet questionnaire for patients and test their genetic polymorphisms in the genes CYP2C19 and CYP2D6 (by the real-time PCR method with the melting curve analysis). Finally, to compare these results (questionnaires and test results) with each other with the aim of finding out whether there is a clear link between the detected type of metabolism and the patient's evaluation of the treatment, an/or whether it is possible to give some recommendations regarding treatment for specific patients.

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4 Míčková, Diana
2 Míčková, Dominika
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