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Benzophenone-3 (oxybenzone) in zebrafish: histopathological and oxidative stress analysis. 斑马鱼的二苯甲酮-3(氧苯酮):组织病理学和氧化应激分析。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-04-24 DOI: 10.1080/00498254.2025.2494655
Ana Elizia Cunha Carvalho, Ana Clara Rodrigues de Oliveira, Francisco de Sousa Holanda, Eduardo Libanio Reis Santos, Jeffesson de Oliveira-Lima

Benzophenone-3, commonly known as oxybenzone, is an organic compound widely used in sunscreens and personal care products for protection against UVA and UVB rays. Due to its environmental persistence and potential toxicity, this study evaluated the effects of BP-3 at an environmentally relevant concentration (1 µg/L) on the gills, kidney, and antioxidant system of zebrafish (Danio rerio).Adult male zebrafish were randomly distributed into three groups, each with three replicates (n = 10 per group): water control, solvent control, and 1 µg/L BP-3, using a static exposure system for 96 hours. After the experiment, histopathological analyses of the gills and kidneys were performed, along with biochemical assessments of the antioxidant enzymes superoxide dismutase (SOD) and catalase (CAT).Exposure to BP-3 resulted in significant histopathological alterations in the gills, including vascular congestion, epithelial detachment, edoema, and lamellar aneurysm, indicating severe damage to respiratory function. In the kidneys, glomerular capillary dilation, tubular cell vacuolisation, and focal necrosis were observed, suggesting renal dysfunction. Biochemical analyses revealed impairment of the antioxidant defense system: in the gills, SOD activity decreased, while CAT remained unchanged, indicating oxidative stress accumulation. In the kidneys, SOD activity significantly increased, while CAT decreased, suggesting enzymatic imbalance and cumulative oxidative damage.These results demonstrate that BP-3, even at low concentrations, induces significant histopathological and biochemical alterations in the gills and kidneys of D. rerio, highlighting its potential to compromise organ function and antioxidant defences. These findings underscore the need for stricter regulation of BP-3 release into aquatic environments to mitigate its ecotoxicological impacts and protect aquatic biodiversity.

二苯甲酮-3,俗称氧苯酮,是一种有机化合物,广泛用于防晒霜和个人护理产品中,以防止UVA和UVB射线。由于其环境持久性和潜在毒性,本研究评估了环境相关浓度(1 μ g/L)的BP-3对斑马鱼(Danio rerio)的鳃、肾脏和抗氧化系统的影响。将成年雄性斑马鱼随机分为3组,每组3个重复(n = 10):水对照组、溶剂对照组和1µg/L BP-3,静态暴露96 h。实验结束后,对鳃和肾脏进行组织病理学分析,并对抗氧化酶超氧化物歧化酶(SOD)和过氧化氢酶(CAT)进行生化检测。暴露于BP-3导致鳃的显著组织病理学改变,包括血管充血、上皮脱离、水肿和板层动脉瘤,表明呼吸功能严重受损。肾脏可见肾小球毛细血管扩张、小管细胞空泡化和局灶性坏死,提示肾功能不全。生化分析显示抗氧化防御系统受损:在鳃中,SOD活性下降,而CAT保持不变,表明氧化应激积累。在肾脏中,SOD活性显著升高,而CAT活性降低,提示酶失衡和累积氧化损伤。这些结果表明,BP-3,即使在低浓度下,也会在D. rerio的鳃和肾脏中诱导显着的组织病理学和生化改变,突出其损害器官功能和抗氧化防御的潜力。这些发现强调了对BP-3在水生环境中的释放进行更严格的调控以减轻其生态毒理学影响和保护水生生物多样性的必要性。
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引用次数: 0
Dolutegravir metabolism: impact of genetic variations on uridine diphosphate glucuronosyltransferase subfamilies. 多替格拉韦代谢:遗传变异对尿苷二磷酸葡萄糖醛酸转移酶亚家族的影响。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-01-20 DOI: 10.1080/00498254.2025.2453983
Kouji Tagawa, Yoshihiro Maruo

Dolutegravir (DTG) is a key drug used to treat human immunodeficiency virus type-1 (HIV-1) infections. Adverse events (AEs) of DTG treatment, including headache, anxiety, depression, insomnia, and abnormal dreams, are influenced by sex, body weight, age, and serum bilirubin levels. DTG is mainly metabolised by members of the uridine diphosphate glucuronosyltransferase 1A subfamilies (UGT1As), especially UGT1A1.Some studies suggest a relationship between UGT1A1 variants and AEs. The aim of this study was to identify UGT1A isoforms that exhibit DTG glucuronidation activity and determine the relationship between UGT1A variants and DTG glucuronidation in vitro.UGT1A1, UGT1A3, UGT1A9, and UGT1A10 exhibited DTG glucuronidation activity, of which UGT1A1 was the most active. Furthermore, variants of these isoforms showed decreased DTG glucuronidation activity. The different variants of UGT1As, such as UGT1A1.6, UGT1A1.7, UGT1A1.35, UGT1A1.63, UGT1A3.5, UGT1A9.2, UGT1A10M59I, and UGT1A10T202I, showed reduced glucuronidation activity towards DTG in comparison with the wild-type UGT1As.This study elucidates the relationship between UGT1A variants and the levels of glucuronidation associated with each variant.Checking for UGT1As may be helpful in predicting potential toxicities and adverse effects related to DTG treatment.

Dolutegravir (DTG)是治疗人类免疫缺陷病毒1型(HIV-1)感染的关键药物。DTG治疗的不良事件(ae),包括头痛、焦虑、抑郁、失眠和梦异常,受性别、体重、年龄和血清胆红素水平的影响。二甘油三酯主要由尿苷二磷酸葡萄糖醛酸转移酶1A亚家族(UGT1As)成员代谢,尤其是UGT1A1。一些研究表明UGT1A1变异与ae之间存在关系。本研究的目的是鉴定具有DTG糖醛酸化活性的UGT1A亚型,并确定UGT1A变体与体外DTG糖醛酸化之间的关系。UGT1A1、UGT1A3、UGT1A9和UGT1A10表现出DTG糖醛酸化活性,其中UGT1A1活性最强。此外,这些异构体的变体显示DTG糖醛酸化活性降低。UGT1As的不同变异体UGT1A1.6、UGT1A1.7、UGT1A1.35、UGT1A1.63、UGT1A3.5、UGT1A9.2、UGT1A10M59I和UGT1A10T202I对DTG的糖醛酸化活性均低于野生型UGT1As。本研究阐明了UGT1A变体与每种变体相关的糖醛酸化水平之间的关系。检查ugt1a可能有助于预测与DTG治疗相关的潜在毒性和不良反应。
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引用次数: 0
Effectiveness of pain care intervention combined with traditional Chinese medicine care in the perioperative care of patients with urinary stones. 疼痛护理干预结合中医护理在泌尿系结石患者围手术期护理中的效果。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-05-08 DOI: 10.1080/00498254.2025.2494651
Binglei Yuan

The study investigated the effectiveness of pain care intervention combined with traditional Chinese medicine (TCM) care in the perioperative care of patients with urinary stones.Pain and urinary function recovery before and after postoperative care intervention, and Pittsburgh sleep quality index (PSQI), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) scores before and after care intervention in the two groups were compared. First anal discharge time, catheter retention time, first out of bed activity time, the total number of hospital days, and complications were observed in both groups after surgery, and the satisfaction scores of patients in both groups with the perioperative care were recorded.Compared with the control group, the observation group showed lower first anal discharge time, catheter retention time, first out of bed activity time, the total number of hospital days, and the incidence of complications after surgery, and the patients were more satisfied with the care.Pain care intervention combined with TCM care is beneficial in reducing postoperative pain in patients undergoing urinary stone surgery, speeding up the recovery of urinary function, improving sleep quality, anxiety, and depression, and reducing the incidence of complications.

本研究探讨疼痛护理干预结合中医护理在泌尿系结石患者围手术期护理中的效果。比较两组患者术后护理干预前后疼痛和尿功能恢复情况,以及护理干预前后匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。观察两组患者术后首次肛门排出时间、置管时间、首次下床活动时间、总住院天数、并发症发生情况,并记录两组患者对围手术期护理的满意度评分。观察组患者首次肛门排出时间、置管时间、首次下床活动时间、总住院天数、术后并发症发生率均低于对照组,患者对护理更满意。疼痛护理干预与中医护理相结合,有利于减轻尿路结石手术患者术后疼痛,加快泌尿功能恢复,改善睡眠质量,减少焦虑、抑郁,减少并发症的发生。
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引用次数: 0
Bioavailability and dose proportionality of a highly lipophilic phenolic antioxidant. 一种高度亲脂性酚类抗氧化剂的生物利用度和剂量比例。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-03-19 DOI: 10.1080/00498254.2025.2465237
Elena A Yanovskaya, Galina A Frelikh, Alexander P Lakeev, Vera I Smolyakova, Galina A Chernysheva

IBP (2,6-diisobornyl-4-methylphenol) is a camphene derivative with unique pharmacological properties and low toxicity. It exhibits pronounced antioxidant and membrane-protective effects, making it a promising cardio- and neuroprotector.The aim of the study was investigating the pharmacokinetics of IBP in rats after intravenous (1 mg/kg) and oral administration at three doses (10, 25, 50 mg/kg). Specifically, we focused on assessing the bioavailability and dose proportionality following oral administration.Blood samples were collected via a jugular vein catheter, and plasma samples were analysed using a validated HPLC-MS/MS method. The calculation of pharmacokinetic parameters was performed by both non-compartmental and compartmental approaches. The proposed dosage form for intravenous administration was a multicomponent mixture containing N-methyl-2-pyrrolidone.Concentration of IBP in the body after intravenous administration decreased over time, exhibiting bi-exponential decay kinetics. IBP reached peak concentrations immediately and was rapidly distributed into the peripheral compartment after intravenous administration. The systemic exposure after oral administration was proportional to the dose. The calculated absolute oral bioavailability of IBP was no more than 20%.The value of the average half-life of IBP after intravenous administration exceeded similar values after oral administration by 1.5-1.6 times.

IBP(2,6-二异硼基-4-甲基苯酚)是一种具有独特药理性质和低毒性的莰烯衍生物。它具有明显的抗氧化和膜保护作用,使其成为一种有前途的心脏和神经保护剂。本研究的目的是研究IBP在大鼠体内静脉注射(1 mg/kg)和口服3种剂量(10、25、50 mg/kg)后的药代动力学。具体而言,我们侧重于评估口服给药后的生物利用度和剂量比例。通过颈静脉导管采集血样,血浆样本采用经验证的HPLC-MS/MS方法进行分析。药代动力学参数的计算采用非室室法和室室法。建议的静脉给药剂型是含有n -甲基-2-吡咯烷酮的多组分混合物。静脉给药后体内IBP浓度随时间下降,呈现双指数衰减动力学。静脉给药后,IBP立即达到峰值浓度,并迅速分布到外周腔室。口服给药后的全身暴露量与剂量成正比。计算的IBP绝对口服生物利用度不大于20%。静脉给药后IBP的平均半衰期是口服给药后的1.5 ~ 1.6倍。
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引用次数: 0
Inhibition of ABC transporters by sorafenib and lenvatinib: implications for drug-induced cholestasis. sorafenib和lenvatinib对ABC转运蛋白的抑制:对药物性胆汁淤积的影响。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-03-17 DOI: 10.1080/00498254.2025.2475501
Getahun Befirdu Abza, Kristof De Vos, Pieter Annaert

Sorafenib and lenvatinib are systemic treatments for hepatocellular carcinoma. They often exhibit high intersubject pharmacokinetic variability and can cause drug-induced liver injury, yet the underlying mechanisms are poorly understood. Inhibition of some ATP-binding cassette (ABC) transporters, such as bile salt export pump (BSEP; ABCB11) and multidrug resistance-associated protein 2 (MRP2; ABCC2), which are involved in bile acid disposition, may lead to cholestatic liver injury.In this study, we investigated the inhibitory effects of sorafenib and lenvatinib on selected ABC transporters in membrane vesicles and sandwich-culture human hepatocytes (SCHH) using fluorescent probe substrates.The BSEP-mediated tauro-nor-THCA-24-DBD uptake was inhibited by sorafenib, with half-maximal inhibitory concentrations (IC50) of 30.1 μM. Transport of Lucifer yellow by BCRP was strongly inhibited by sorafenib (IC50 = 2.9 μM). Only sorafenib affected MRP2 activity (IC50 = 15.6 µM). Both drugs showed comparable inhibition potency on P-gp with IC50 values of 12.4 μM for sorafenib and 13.9 μM for lenvatinib. Unlike lenvatinib, sorafenib decreased the biliary excretion of tauro-nor-THCA-24-DBD, a probe substrate of BSEP, in SCHH by over 40%.In conclusion, sorafenib exhibited a more pronounced inhibition of ABC transporters, including BCRP, BSEP and MRP2, than lenvatinib, which could contribute to cholestatic liver injury.

索拉非尼和lenvatinib是肝细胞癌的全身治疗药物。它们通常表现出高度的主体间药代动力学变异性,并可引起药物性肝损伤,但其潜在机制尚不清楚。抑制一些atp结合盒(ABC)转运体,如胆汁盐输出泵(BSEP);ABCB11)和多药耐药相关蛋白2 (MRP2;ABCC2)参与胆汁酸处置,可导致胆汁淤积性肝损伤。在这项研究中,我们使用荧光探针底物研究了索拉非尼和lenvatinib对膜泡和三明治培养人肝细胞(SCHH)中选定的ABC转运蛋白的抑制作用。sorafenib抑制bsep介导的牛头-非thca -24- dbd摄取,半数最大抑制浓度(IC50)为30.1 μM。sorafenib强烈抑制BCRP对Lucifer yellow的转运(IC50 = 2.9 μM)。只有索拉非尼影响MRP2活性(IC50 = 15.6µM)。两种药物对P-gp的抑制作用相当,索拉非尼的IC50值为12.4 μM, lenvatinib的IC50值为13.9 μM。与lenvatinib不同,索拉非尼减少了shh中牛磺酸-非thca -24- dbd (BSEP的探针底物)的胆汁排泄超过40%。综上所述,索拉非尼对ABC转运蛋白(包括BCRP、BSEP和MRP2)的抑制作用比lenvatinib更明显,这可能导致胆汁淤积性肝损伤。
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引用次数: 0
In vivo inhibition of CYP2E1 fails to reduce pulegone-induced liver injury in mice. 体内抑制CYP2E1不能减轻普乐酮引起的小鼠肝损伤。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-02-01 Epub Date: 2025-04-28 DOI: 10.1080/00498254.2025.2493620
Liwen Huan, Yahong Zhang, Wenwen Liu, Hongyu Lu, Cai Zhang, Runting Yin, Zhen Ouyang, Yuan Wei

Pulegone, an active component of the Chinese herb Mentha haplocalyx Briq., is primarily found in Mentha arvensis oil. It exerts toxic effects on the liver, nervous system, and kidneys, and its excessive intake leads to various adverse reactions and potentially fatal outcomes. CYP2E1 is considered the major metabolic enzyme that produces toxic metabolites of pulegone, which in turn cause toxicity in hepatocytes.This study aimed to establish a method for treating pulegone-induced acute liver injury via in vivo inhibition of CYP2E1 in mice.Acute liver toxicity was observed in mice intraperitoneally injected with 200 mg/kg pulegone, manifested as elevated serum levels of alanine aminotransferase (ALT) and aspartate transaminase (AST), disorganisation of the hepatic lobular structure, degeneration of hepatocytes, karyopyknosis, apoptosis, and upregulation of inflammatory factors. Hepatic CYP2E1 expression was inhibited by the delivery of siRNA in lipid nanoparticles in mice.However, experimental results showed that si-Cyp2e1 LNPs could not ameliorate acute liver injury induced by pulegone. Interestingly, bicyclol could attenuate that liver injury in mice, which may be related to the inhibition of hepatocyte apoptosis.

1. 薄荷酮是中药薄荷的一种有效成分。主要存在于薄荷油中。它对肝脏、神经系统和肾脏有毒性作用,过量摄入会导致各种不良反应和潜在的致命后果。CYP2E1被认为是产生普莱酮毒性代谢物的主要代谢酶,而普莱酮的毒性代谢物又会引起肝细胞的毒性。本研究旨在建立一种通过体内抑制小鼠CYP2E1来治疗普列酮诱导的急性肝损伤的方法。小鼠腹腔注射200 mg/kg普乐酮后,观察到急性肝毒性,表现为血清谷丙转氨酶(ALT)和天冬氨酸转氨酶(AST)水平升高,肝小叶结构紊乱,肝细胞变性,核固缩,细胞凋亡,炎症因子上调。脂质纳米颗粒递送siRNA可抑制小鼠肝脏CYP2E1的表达。然而,实验结果表明,si-Cyp2e1 LNPs不能改善普莱酮所致的急性肝损伤。有趣的是,双环醇可以减轻小鼠肝损伤,这可能与抑制肝细胞凋亡有关。
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引用次数: 0
Inorganic mercury pharmacokinetics in man: a hybrid model. 无机汞在人体内的药代动力学:一个混合模型。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2025-01-22 DOI: 10.1080/00498254.2024.2448979
Fred Farris, Ayda Awaness, Joe Su

A four-compartment model is presented that simulates inorganic mercury [Hg(II)] pharmacokinetics in blood, tissue, and excreta over a 70-day period. Simulations are validated against data collected from five human subjects, and previously analyzed.In the model, two compartments simulate Hg(II) in blood: one for mobile-Hg(II) and the other for immobile-Hg(II). Two corresponding compartments simulate Hg(II) in tissue. Mobile-Hg(II) represents Hg(II) available for transport across cell membranes. Immobile-Hg(II) represents Hg(II) that is not easily transported.Following dosing, blood total-Hg(II) droped rapidly in all subjects. Blood mobile-Hg(II) also droped rapidly with a concomitant rise in blood immobile-Hg(II). For four subjects, immobile-Hg(II) became the dominant Hg(II) species in blood by day 4. For subject five, mobile-Hg(II) remained dominant in blood for the study duration.Tissue mobile-Hg(II) declined rapidly for four of the subjects, with a simultaneous rapid rise in tissue immobile-Hg(II). In subject 5, tissue mobile-Hg(II) declined linearly, and immobile-Hg(II) accumulated slowly in tissue. For all subjects, tissue mobile-Hg(II) is the primary source of fecal Hg(II). The major source for Hg(II) excreted into the urine is immobile-Hg(II) from tissue.

提出了一个四室模型,模拟了70天内血液、组织和排泄物中的无机汞[Hg(II)]药代动力学。模拟是根据从五个人类受试者中收集的数据进行验证的,并在之前进行了分析(Farris, f.f., A. Kaushal, and J.G. Strom. 2008)。无机汞在人体中的药代动力学:一个双室模型。环境科学与技术,2009(5):527 - 531。在该模型中,两个隔室模拟血液中的汞(II):一个用于移动汞(II),另一个用于固定汞(II)。两个相应的区室模拟组织中的Hg(II)。Mobile-Hg(II)表示可以跨细胞膜运输的汞(II)。不可移动汞(II)表示不易运输的汞(II)。给药后,所有受试者血液中总汞(II)迅速下降。血液流动汞(II)也迅速下降,同时血液固定汞(II)升高。对于四名受试者,固定汞(II)在第4天成为血液中主要的汞(II)种类。对于受试者5,在研究期间,移动汞(II)在血液中仍占主导地位。四名受试者的组织移动汞(II)迅速下降,同时组织固定汞(II)迅速上升。在受试者5中,组织活动汞(II)呈线性下降,而固定汞(II)在组织中缓慢积累。对于所有受试者,组织移动汞(II)是粪便汞(II)的主要来源。排泄到尿液中的汞(II)的主要来源是来自组织的固定汞(II)。
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引用次数: 0
Noise - an insidious stressor affecting xenobiotic metabolism? 噪音——影响异种生物代谢的潜在压力源?
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-12-18 DOI: 10.1080/00498254.2024.2441675
Rosemary Waring, Stephen Mitchell
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引用次数: 0
Effects of CYP3A5 polymorphism and renal impairment on the drug interaction between venetoclax and fluconazole in acute myeloid leukaemia patients. CYP3A5多态性与肾损害对急性髓系白血病患者维妥乐与氟康唑药物相互作用的影响。
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2024-12-20 DOI: 10.1080/00498254.2024.2442431
Takahiro Kobayashi, Honami Sato, Yumiko Akamine, Yayoi Fukushi, Naoto Takahashi, Masatomo Miura

The aim of this study was to investigate the effects of renal function and CYP3A5 polymorphism on the drug interaction between venetoclax and fluconazole in thirty acute myeloid leukaemia patients.The area under the plasma concentration-time curve (AUC) and trough concentration (C0) of venetoclax and the fluconazole C0 were obtained from plasma samples on day 7 after initiation of venetoclax 200 mg/day combined with fluconazole.The fluconazole C0 values in patients with moderate and severe renal impairment were significantly higher than those in patients with normal or mild impairment (median values 7037, 6234, and 4813 ng/mL, respectively, P = 0.026).In patients with CYP3A5*3/*3 genotype, the AUC0-24 and C0 of venetoclax were not associated with fluconazole C0; however, in patients with a CYP3A5*1 allele, a significant positive correlation was observed between venetoclax C0 and fluconazole C0 (r = 0.782, P = 0.004).The metabolism of venetoclax by CYP3A4 is inhibited even at low fluconazole C0. In patients with a CYP3A5*1 allele, CYP3A5 is inhibited when high fluconazole C0 is induced by renal impairment.The dose of fluconazole for prophylaxis may be 100 mg in patients with severe renal impairment receiving venetoclax therapy.

本研究旨在探讨30例急性髓系白血病患者肾功能及CYP3A5多态性对维妥乐与氟康唑药物相互作用的影响。在venetoclax与氟康唑联合用药200mg /d后第7天的血浆样品中测定venetoclax与氟康唑的血药浓度-时间曲线下面积(AUC)和谷浓度(C0)。中度和重度肾功能损害患者氟康唑C0值显著高于正常和轻度肾功能损害患者(中位数分别为7037、6234和4813 ng/mL, P = 0.026)。在CYP3A5*3/*3基因型患者中,venetoclax的AUC0-24和C0与氟康唑C0无相关性;而在CYP3A5*1等位基因患者中,venetoclax C0与氟康唑C0呈显著正相关(r = 0.782, P = 0.004)。即使在低氟康唑浓度下,CYP3A4对venetoclax的代谢也受到抑制。在CYP3A5*1等位基因患者中,高氟康唑C0引起肾功能损害时,CYP3A5被抑制。在接受venetoclax治疗的严重肾功能损害患者中,氟康唑的预防剂量可为100mg。
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引用次数: 0
The impact of CYP3A5, NR1I2, and POR polymorphisms on tacrolimus dose-adjusted concentration and clinical outcomes in adult allogeneic haematopoietic stem cell transplantation. CYP3A5、NR1I2和POR多态性对成人异基因造血干细胞移植中他克莫司剂量调整浓度和临床结果的影响
IF 1.3 4区 医学 Q4 PHARMACOLOGY & PHARMACY Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.1080/00498254.2024.2448967
Yuan Gao, Jingjing Ma

Polymorphisms in genes related to drug-metabolising enzymes may affect tacrolimus exposure. This study aimed to assess the influence of CYP3A5, NR1I2, and POR polymorphisms on tacrolimus pharmacokinetics and outcomes in allogeneic haematopoietic stem cell transplantation (HSCT).Forty-six adult patients receiving oral tacrolimus at an initial dose of 0.03 mg/kg/day for acute graft versus host disease (GVHD) prophylaxis after allogeneic HSCT were enrolled in this retrospective study. Genetic polymorphisms were detected in relation to concentration/dose (C/D) ratios of tacrolimus and the incidence of acute GVHD and acute kidney injury (AKI).The CYP3A5 *3/*3 genotype and co-administration of voriconazole were significantly associated with increased C/D ratios of tacrolimus (p < 0.05). NR1I2 8055CC presents a significantly higher tacrolimus C/D ratio compared with carriers of 8055CT and 8055TT genotypes in allogeneic HSCT recipients with the CYP3A5*1 allele (p = 0.033). Younger age and recipients with the CYP3A5*1 allele were significantly associated with higher incidence of II-IV acute GVHD post-transplantation.CYP3A5*3, NR1I2 8055C > T, and concomitant use of voriconazole are important determinants affecting tacrolimus pharmacokinetics. Moreover, CYP3A5*1 allele and younger age are independent risk factors for II-IV acute GVHD in HSCT recipients.

1. 与药物代谢基因相关的基因多态性可能影响他克莫司暴露。本研究旨在评估CYP3A5、NR1I2和POR多态性对他克莫司药代动力学和异基因造血干细胞移植(HSCT)结果的影响。这项回顾性研究纳入了46名成年患者,他们在同种异体造血干细胞移植后接受口服他克莫司,初始剂量为0.03mg/kg/天,用于预防急性移植物抗宿主病(GVHD)。他克莫司浓度/剂量比(C/D)与急性GVHD和急性肾损伤(AKI)发生率之间存在遗传多态性。CYP3A5* 3/*3基因型和同时给药voriconazole与他克莫司C/D比值升高有显著相关性(CYP3A5*1等位基因的同种异体HSCT接受者中,P NR1I2 8055CC比8055CT和8055TT基因型携带者的他克莫司C/D比值显著升高(P = 0.033)。年龄较小和携带CYP3A5*1等位基因的受体与移植后II-IV期急性GVHD的发生率显著相关。CYP3A5*3、NR1I2 8055 C > T及合用伏立康唑是影响他克莫司药代动力学的重要因素。此外,CYP3A5*1等位基因和年龄较小是HSCT受者II-IV期急性GVHD的独立危险因素。
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Xenobiotica
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