Case Report

Clinical Relevance of Pharmacogenetics in Serotonin Syndrome

Table 1

Patient’s pharmacogenetic tests done with genotype and phenotype results.

GeneGenotypePhenotype

CYP3A4a1/22Intermediate metabolizer
CYP3A5b1/3Intermediate metabolizer
CYP2B6c1/6Intermediate metabolizer
CYP2C9d1/2Intermediate metabolizer
CYP2C19e1/2Intermediate metabolizer
CYP2D6 f4/41Intermediate metabolizer
COMTgVal158Met A/ALow COMT activity
HTR2Ch-759C > T C/CHomozygous for the C allele (rs3813929)
HTR2Ch114138144C > G C/CHomozygous for the C allele (rs1414334)
DRD2iTaq1A A/GAltered DRD2 function
UGT2B15j1/1Normal metabolizer

aCytochrome P450 family 3 subfamily A member 4. bCytochrome P450 family 3 subfamily A member 5. cCytochrome P450 family 2 subfamily B member 6. dCytochrome P450 family 2 subfamily C member 9. eCytochrome P450 family 2 subfamily C member 19. fCytochrome P450 family 2 subfamily D member 6. gCatechol-O-methyltrasferase. h5-Hydroxytryptamine receptor 2C. iDopamine receptor D2. jGlucuronosyltransferase family 2 member B15.