Valproic acid levels in neurodevelopmental disorders: correlation with CYP and SULT genes using LC-MS/MS

Bibliographic Details
Title: Valproic acid levels in neurodevelopmental disorders: correlation with CYP and SULT genes using LC-MS/MS
Authors: Shada Abutaleb, Eyad Mallah, Luay Abu-Qatouseh, Ahmad Abu-awwad, Kenza Mansoor, Sarah Khallad, Khaled W. Omari, Omar Mouhtady, Tawfiq Arafat
Source: BMC Neurology, Vol 25, Iss 1, Pp 1-9 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: Therapeutic drug monitoring, Valproic acid, Neurodevelopmental disorders, Autism spectrum disorder (ASD), LC-MS/MS, CYP and SULT genes, Neurology. Diseases of the nervous system, RC346-429
More Details: Abstract Background Valproic acid (VPA) is one of the most widely prescribed antiepileptic drugs worldwide, which is used to treat migraines, bipolar disorder, and anxiety. However, VPA is associated with a wide range of side effects. This study evaluates therapeutic drug monitoring (TDM) in individuals with neurodevelopmental disorders. It explores the correlation between valproic acid (VPA) plasma levels and genetic polymorphisms in cytochrome P450 (CYP) enzymes and cytosolic sulfotransferase (SULT) genes. Methods A simple and accurate LC-MS/MS method was developed, validated, and applied in the TDM of 14 individuals on VPA therapy. Plasma VPA levels were measured, and genotyped genes SULT1A1, CYP2D64, CYP2D610, CYP3A5, and CYP2C19*2. Statistical analyses were conducted using SPSS. Results Of the fourteen participants, two had toxic plasma VPA levels (≥ 100 µg/mL), one had a sub-therapeutic level (
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2377
Relation: https://doaj.org/toc/1471-2377
DOI: 10.1186/s12883-025-04065-z
Access URL: https://doaj.org/article/21d83b5c618948d0ad1ba51e55a673b5
Accession Number: edsdoj.21d83b5c618948d0ad1ba51e55a673b5
Database: Directory of Open Access Journals
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More Details
ISSN:14712377
DOI:10.1186/s12883-025-04065-z
Published in:BMC Neurology
Language:English