Publications by authors named "P A Akkari"

Introduction: The field of pharmacogenetics (PGx) is experiencing significant growth, with increasing evidence to support its application in psychiatric care, suggesting its potential to personalize treatment plans, optimize medication efficacy, and reduce adverse drug reactions. However, the perceived utility and practicability of PGx for psychiatric treatment in youth remains underexplored. This study investigated perceived barriers and attitudes in Australian young adults towards the implementation of PGx testing to guide antidepressant treatment in primary care.

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Background: Anorexia nervosa (AN) is a polygenic, severe metabopsychiatric disorder with poorly understood aetiology. Eight significant loci have been identified by genome-wide association studies (GWAS) and single nucleotide polymorphism (SNP)-based heritability was estimated to be ~ 11-17, yet causal variants remain elusive. It is therefore important to define the full spectrum of genetic variants in the wider regions surrounding these significantly associated loci.

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Pathogenic variations in the fused in sarcoma () gene are associated with rare and aggressive forms of amyotrophic lateral sclerosis (ALS). As FUS-ALS is a dominant disease, a targeted, allele-selective approach to knockdown is most suitable. Antisense oligonucleotides (AOs) are a promising therapeutic platform for treating such diseases.

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Article Synopsis
  • Pharmacogenetics (PGx) explores how genetic differences among individuals affect their responses to medications, aiming to personalize drug prescriptions beyond the traditional "one-size-fits-all" model.
  • In psychiatry, PGx testing has shown promise in enhancing drug effectiveness while minimizing toxicity and adverse reactions, particularly in treating youth mental health conditions.
  • Despite supportive evidence from randomized controlled trials, the paper highlights challenges to implementing PGx in clinical practice, focusing on issues specific to youth psychiatry and the need for integrating genetic information to improve mental health treatment.
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Neurofilament heavy (NEFH) is one of the critical proteins required for the formation of the neuronal cytoskeleton and polymorphisms in NEFH are reported as a rare cause of sporadic ALS (sALS). In the current study, a candidate tetranucleotide (TTTA) repeat variant in NEFH was selected using an in-silico short structural variant (SSV) evaluation algorithm and investigated in two cohorts of North American sALS patients, both separately and combined (Duke cohort n = 138, Coriell cohort n = 333; combined cohort n = 471), compared to a group of healthy controls from the Coriell Institute biobank (n = 496). Stratification according to site of disease onset revealed that the 9 TTTA allele was associated with reduced disease risk, specifically confined to spinal-onset sALS patients in the Duke cohort (p = 0.

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