Pharmacogenetics of pain management in Zimbabwean patients with sickle cell disease.

IF 1.9 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pharmacogenomics Pub Date : 2023-05-01 Epub Date: 2023-05-30 DOI:10.2217/pgs-2023-0045
Nyasha Lorraine Mapira, Roslyn Stella Thelingwani, Zedias Chikwambi, Patience Kuona, Collen Masimirembwa
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Abstract

Background: Pain is a common cause of hospitalization in sickle cell disease (SCD) patients. Failure to effectively control pain remains a challenge in patient care. Materials & methods: The authors conducted a cross-sectional study to determine the effect of CYP2D6 and UGT2B7 polymorphisms on pain management in 106 Zimbabwean SCD patients. Participant information was collected on a questionnaire. Genotyping was conducted using the GenoPharm® pharmacogenomics open array panel containing CYP2D6 and UGT genetic variants implicated in opioid response. Results: The reduced function alleles CYP2D6*17 and *29 had high frequencies of 15.9% and 12.9%, respectively. UGT2B7 rs73823859 showed a statistically significant correlation with pain levels (p = 0.0454). Conclusion: This study demonstrated the role of UGT2B7 polymorphism in SCD patient pain management.

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津巴布韦镰状细胞病患者疼痛治疗的药物遗传学。
背景:疼痛是镰状细胞病(SCD)患者住院治疗的常见原因。无法有效控制疼痛仍是患者护理中的一项挑战。材料与方法:作者进行了一项横断面研究,以确定 106 名津巴布韦 SCD 患者的 CYP2D6 和 UGT2B7 多态性对疼痛控制的影响。研究人员通过调查问卷收集了参与者的信息。使用 GenoPharm® 药物基因组学开放阵列面板进行基因分型,该面板包含与阿片类药物反应有关的 CYP2D6 和 UGT 基因变异。结果功能降低等位基因 CYP2D6*17 和 *29 的频率较高,分别为 15.9% 和 12.9%。UGT2B7 rs73823859 与疼痛程度有显著的统计学相关性(p = 0.0454)。结论本研究证明了 UGT2B7 多态性在 SCD 患者疼痛管理中的作用。
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来源期刊
Pharmacogenomics
Pharmacogenomics 医学-药学
CiteScore
3.40
自引率
9.50%
发文量
88
审稿时长
4-8 weeks
期刊介绍: Pharmacogenomics (ISSN 1462-2416) is a peer-reviewed journal presenting reviews and reports by the researchers and decision-makers closely involved in this rapidly developing area. Key objectives are to provide the community with an essential resource for keeping abreast of the latest developments in all areas of this exciting field. Pharmacogenomics is the leading source of commentary and analysis, bringing you the highest quality expert analyses from corporate and academic opinion leaders in the field.
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