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Personalized Prescribing

Genetics

Gene Glossary

| Gene | Function | |---|---| | ABCB1 | Helps control how some medications move across the blood-brain barrier.

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Gene Function
ABCB1 Helps control how some medications move across the blood-brain barrier. Differences in this gene may influence how much of certain medications reaches the brain.
ADRA2A Makes an important norepinephrine receptor involved in attention, concentration and impulse control. It is particularly relevant to some ADHD medications.
BDNF Helps brain cells grow, adapt and form healthy connections. It is important for learning, memory, stress recovery and neuroplasticity.
CES1 Makes an enzyme that breaks down certain medications, particularly methylphenidate. Differences may affect how quickly the medication is processed.
COMT Helps break down dopamine and norepinephrine, especially in the prefrontal cortex. It can influence attention, motivation and executive function.
CYP1A2 Helps the liver process several medications, including clozapine and olanzapine. Its activity can also be affected by cigarette smoking and other medications.
CYP2B6 Helps process certain medications, including bupropion and some other psychiatric drugs.
CYP2C9 Helps the liver process a variety of medications. Genetic differences can make this enzyme work more slowly or quickly.
CYP2C19 Helps process several antidepressants, including citalopram, escitalopram and sertraline. Genetic differences can affect medication levels and, for some drugs, dosing recommendations.
CYP2D6 One of the most important medication-processing genes in psychiatry. It affects many antidepressants, antipsychotics and ADHD medications.
CYP3A4 Helps process many medications. Its activity can also be strongly affected by other drugs, supplements and foods.
CYP3A5 Works alongside CYP3A4 in processing certain medications. Genetic differences can influence how active this enzyme is.
DBH Helps convert dopamine into norepinephrine. It therefore helps regulate the balance between these two important brain chemicals.
DRD2 Makes the dopamine D2 receptor, an important target of many antipsychotic medications. It is involved in reward, movement, motivation and psychosis-related pathways.
DRD3 Makes the dopamine D3 receptor, which is involved in motivation, reward and emotional functioning. Some antipsychotics act strongly on this receptor.
DRD4 Makes the dopamine D4 receptor, which is involved in attention, behaviour and dopamine signaling. It has been studied in ADHD and psychiatric medication response.
DRD4 4R/7R Different repeating versions of the DRD4 dopamine receptor gene that have been studied in attention, behaviour and ADHD.
HTR1A Makes the serotonin 1A receptor. This receptor helps regulate serotonin release and is also targeted by medications such as buspirone, vilazodone and vortioxetine.
HTR1B Makes a serotonin receptor involved in controlling serotonin release, mood and behaviour.
HTR2A Makes the serotonin 2A receptor. It is involved in mood, anxiety, perception and dopamine regulation and is an important target of many antipsychotic medications.
HTR2C Makes the serotonin 2C receptor. It helps regulate dopamine, appetite, mood and other brain systems.
HTR3A Helps make the serotonin 3 receptor, which is involved in serotonin signaling, nausea, anxiety and communication between brain circuits.
HTR3B Works with HTR3A to form the serotonin 3 receptor and may influence how this receptor responds to serotonin and medications.
HTR7 Makes the serotonin 7 receptor, which is involved in mood, sleep, learning and other serotonin-related brain functions.
IDO1 Helps determine how much tryptophan, a building block for serotonin, is directed toward serotonin production versus other pathways.
MAOA Makes an enzyme that breaks down serotonin, norepinephrine and dopamine. Genetic differences may influence how quickly these brain chemicals are removed.
MAOA uVNTR A repeating section of the MAOA gene that can influence how active the MAO-A enzyme is.
MAOB Makes an enzyme involved mainly in breaking down dopamine and other brain chemicals.
SLC6A2 Makes the norepinephrine transporter (NET), which removes norepinephrine from the space between brain cells. It is an important target of several antidepressant and ADHD medications.
SLC6A3 Makes the dopamine transporter (DAT), which removes dopamine from the space between brain cells. It is especially important in ADHD and stimulant medication response.
SLC6A3 9R/10R Different numbers of repeated DNA sections in the dopamine transporter gene. These may influence dopamine transporter function.
SLC6A4 Makes the serotonin transporter (SERT), which removes serotonin from the space between brain cells. This transporter is the main target of SSRIs.
SLC6A4 (5-HTTLPR) A variation in the SLC6A4 serotonin transporter gene that has been studied for differences in serotonin transporter activity.
SLC6A4 (rs25531) Another variation within SLC6A4 that can further influence how the serotonin transporter gene functions.
SLC6A4 (STin2) A repeating section within SLC6A4 that has been studied for its possible influence on serotonin transporter activity.
TH Helps with the first major step in producing dopamine and norepinephrine. It therefore plays an important role in the body’s ability to make these neurotransmitters.
TPH1 Helps the body produce serotonin from tryptophan.
TPH2 Helps produce serotonin specifically within the brain and nervous system and is important to brain serotonin signaling.

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