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Table 1 Characteristics of included studies for assessment of association between genetic variants and ADRs in PD

From: A systematic review and integrative approach to decode the common molecular link between levodopa response and Parkinson’s disease

Study

Population/ ethnicity

Response criteria

Age (years)a

Gender

Number of samples

Type of ADR

Genes

Studied variants

p- value

OR

(95% CI)

Dosea (drug)

FPa (years)

Score

M

F

Total

ADR

Non

ADR

Schuh A F S et al. [64]; t

Brazilian

UPDRS, HY, MMSE

67.38 ± 10.34

105

100

205

86

119

Dyskinesia

HOMER1

rs4704559

(GG/GA) 0.04

0.53 (0.29-0.98) *

200 (L)

1

13

Rieck M et al. [65]; t

Brazilian

UPDRS-IV

66.88  ± 10.80

110

98

208

90

118

Dyskinesia

ADORA2A

rs2298383

CT-0.04

1.89 (1.03–3.45)

805.14 ± 310.17 (L)

8.34 ± 4.86

13

TT-0.02

2.06 (1.10–3.82)

rs3761422

CC-0.02

3.12 (1.22-7.96)

CT-0.01

3.28 (1.30-8.27)

Strong J.A et al [23]. $

Caucasian

NR

65.3 ± 1.56 early; 69.4 ± 1.25 late

57

35

92

92

NA

Dyskinesia

DRD2

14 allele

0.04

3.4 (1.1-10.4)

NA (L, C)

5

9

14/15

0.003

27.2 (1.4-51.0)

Rieck M et.al [66]

Brazilian

UPDRS-IV

65.52 ± 9.99

102

97

199

83

116

Dyskinesia

DRD2

rs2283265

0.05

-

780.12 ± 308.08 (L)

8.44 ± 4.92

13

ANKK1

rs1800497

0.02

Oliveri R.L et al. [57]

Italian

UPDRS-ME, AIMS, MMSE, Hamilton

64.6 ± 9.4

53

45

98

49

49

Dyskinesia

DRD2

13

0.02

0.37 (0.15- 0.89) *

25mg (C); 250mg (L)

5

13

14

0.02

0.25 (0.07- 0.92) *

15

0.02

1.94 (1.08- 3.49) *

13/16

0.05

-

15/16

0.01

3.88 (1.28- 11.74)

Gorgone G et al. [32]

Italian

HY

64.5 ± 7.7

(cases)

64

78

142

60 cases

82 control

Hyper-homocysteinemia

MTHFR

rs1801133

<0.0001

2.59 (1.20-5.57) *

452.0 ± 170.0 (L)

1

12

Acuña G et al. [61] $

European

NR

NA

261

148

409

135

274

Elevated liver

transaminase levels

UGT1A

C908G

0.0018

-

NA (T, L)

NA

7

T232G

0.01060

A528G

0.0008

A754G

0.0023

A765C

0.0023

A197C

0.024

G551T

0.049

A555C

0.0494

A556G

0.0494

T786C

0.0252

Foltynie T et al. [45];#; t

UK Caucasian

UPDRS

62.2

194

121

315

47

268

Dyskinesia

BDNF

rs6265

0.001

2.12 (1.36-3.38)

NA (L)

1-2

11

Kiferle L et al. [19]

Caucasian

UPDRS, MMSE, HY

62.69±11.52

59

63

312

60

62

Visual hallucinations/ Psychosis (psy.)

SLC6A4

rs25531

>0.01

0.86 (0.52-1.44) *

(L)-259 ± 117.30 (psy.), 278.2 ± 181.98 (no psy.); (DA) 2.98 ± 1.73 (psy.), 2.78 ± 1.66 (no psy.)

≥ 4

13

HTR2A

rs6313

>0.05

0.94 (0.57- 1.55) *

Stefanovic M et al. [29] $

Croatian

HY (2.5)

62

81

105

41 case, 145 control

NA

NA

Wearing on- off, Dyskinesia

CYP2D6

*3, *4, *6, *7, and *8

0.03 (*4)

2.1 (1.11-3.99)

NA (L)

NA

5

De Bonisa ML et al. [36]

Italian

UPDRS, HY (1.5-3)

71.96±4.69 (A1), 65.75±9.60 (A2),

38

18

44 (treated)

NA

NA

Hyperhomocysteinemia

MTHFR

rs1801133

< 0.0001

-

NA (L)

NA

10

Schuh AFS et al. [28]

Brazilian

MMSE, HY

68.0±10.3

100

96

196

50

146

Visual hallucinations

DAT1

rs28363170

0.02

2.5 (1.13–5.5)

793.2 ± 409.1 (L)

> 1

12

Fujii C et al. [30]; $; a

Japanese

NR

68.2±9.2 cases, 64.0±9.0 controls

130

81

116 case, 95 control

23

93

Hallucination

CCK

rs1799923

0.02

0.28 (0.10-0.77) *

350.4 ± 140.7 (L)

3.9 ± 4.5

10

Yuan RY et al.[31]

Taiwanese

HY (1-3)

71.37 ± 9.86

85

101

76 cases, 110 control

48

28

Hyper-homocysteinemia

MTHFR

rs1801133 (C677T),

CT-0.004 TT-0.02

-

360.21 ± 137.62 (L, A, S/R)

6.23 ± 4.33

11

rs1801131 (A1298C)

AA <0.001 AC-0.01

-

Paus S et al.[38]

German

HY

64.7 ± 10.1

364

227

591

117

474

Chorea

DRD3

rs6280

0.0005

-

NA (L)

NA

13

92

499

Dystonia

Ivanova SA et al.[20] $

Caucasian

AIMS

NA

NA

NA

143

143

NA

Dyskinesia

GRIN2A

   

NA (L, DA)

≥ 3

7

rs7192557

0.0062

3.21 (1.37-7.51)

rs8057394

0.0033

3.59 (1.48-8.71)

De Luca V et al. [60]; t

Southern Italian

UPDRS, HY, MMSE

70.87 ± 7.59

65

66

131

47

84

Hallucination

HOMER1

rs4704559

0.004

5.89 (1.33-26.14) *

676.42 ± 244.38 (L)

6 months

12

rs4704560

0.04

1.79 (1.03-3.10) *

Wu H et al. [33]

Chinese

NA

NA

144

115

516

259 cases

257 control

Wearing off

COMT

rs4680

GA vs AA-0.01

6.54 (1.49-28.57)

407.45 (Multiple)

NA

10

GG vs AA-<0.001

8.84 (4.74-16.39)

de Lau L M et al. [37]; t

Dutch

HY, UPDRS, MMSE

49.9

143

76

219

98

121

Dyskinesia

COMT

rs4680

A allele-0.004

-

(A-P M)

NA

10

Zappia M et al. [59]

Italian

UPDRS, HY

65.2  ± 8.4

123

92

215

105

110

Dyskinesia

DRD2

13, 14 + CA n STR repeat

0.005

0.45 (0.26-0.79)

654.5 ± 289.6 (L)

0.5

12

Kaplan N et al. [68]

Israeli

NR

55.2 ±13.5

213

139

352

192

160

Dyskinesia

SLC6A3

rs393795

0.000041

4.96 (2.3-10.9)

NA (L)

5 ± 4.5

11

Greenbaum L et al. [46]

Jewish Israeli, Italian

UPDRS

NR

230

160

390

128

75

Tardive dyskinesia

ABCC8

rs886292

0.05, 0.88

1.63 (1–2.67), 1.03 (0.75–1.41)

NA (L)

≥ 3

12

RYR1

rs11880894

0.26, 0.03

0.7 (0.39–1.29), 1.26 (0.81–1.97)

DRD2

rs1800497

0.53, 0.04

1.25 (0.63–2.48), 0.64 (0.42–0.98)

  1. M male, F female, ADR Adverse drug reaction, FP Follow-up Period, AJ Ashkenazi Jews; UKPDS-BBC,UK Parkinson’s disease society Brain Bank Criteria, UPDRS Unified Parkinson’s disease rating scale; HY Hoehn and Yahr Staging of Parkinson's Disease, MMSE Mini mental state examination, AIMS Abnormal Involuntary Movement Scale, PPRS Parkinson’s Psychosis Rating Scale; PDSK,DDSK14; ADL Activities of Daily living, WHO-UMC World health organization-Uppsala Monitoring Centre, PCR-RFLP Polymerase chain reaction- Restriction fragment length polymorphism; OR Odds Ratio, CI Confidence Interval; Drugs are L-levodopa, C-carbidopa, A-amantadine, T-, DA-Dopamine Agonist, MBI-MAO-B inhibitor, S-Selegiline, R-Ropinirole, E-Entacapone, P-Pramipexole, p- pergolide; LEDD, Levodopa equivalent drug dose; NA No association, -; Insufficient data. Score- Cumulative score for Methodological Quality Assessment (Ref Additional file 4: Table S1a for detailed scoring) Odds Ratio, Prevalence Ratio and Hazard Ratio are synonymously used in the table. *OR calculated using reported frequencies from the respective article. Dose of drug are in mg/day. aUnit of Age, Dose and Follow up period are represented with Mean  ± standard deviation; Greenbaum L et al. two p-values are of Israeli and Italian, respectively. All the studies recruited PD patients diagnosed by United Kingdom Parkinson’s Disease society brain bank criteria expect $- Not reported, #- by Neurologist/PD Specialist, €- CAPIT, β- Gelb Criteria. Most of the studies followed PCR-RFLP for genotyping except t- TaqMan, s- Sequenom iPLEXTM, r- RT-PCR, a- ABI PRISM 310. Bold are significant polymorphisms (p≤ 0.05) and their corresponding genes