肝移植后CYP2C19酶基因型频率的变化。

IF 0.3 Q4 TRANSPLANTATION International Journal of Organ Transplantation Medicine Pub Date : 2019-01-01 Epub Date: 2019-05-01
P Badiee, Z Hashemizadeh, S A Malek-Hosseini, B Geramizadeh
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引用次数: 0

摘要

背景:肝移植受者接受多种药物治疗,这些药物的代谢依赖于细胞色素P450多态性基因型。目的:探讨同种异体肝移植前后CYP2C19基因型的多态性变化。方法:对88例肝脏受者进行研究。供体和受体CYP2C19基因型32例相同,56例不同。采用TaqMan SNP基因分型法对白细胞和肝移植组织提取的基因组DNA进行分析。研究了两组小鼠纯合子、杂合子、代谢不良者和超快速代谢者基因型的分布。结果:移植前血液和肝脏中CYP2C19基因型分布均在正常范围内。移植后,供体和受体CYP2C19基因型不同的患者,纯合子基因型和超快速代谢物基因型均显著降低(p=0.024);杂合子和低代谢基因型显著增加(p=0.017)。结论:在不同基因型的供受体患者中,CYP2C19基因分型的变化是预测给药方案、优化治疗方案、降低毒性的重要依据。
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The Genotype Frequency of CYP2C19 Enzyme after Liver Transplantation.

Background: Liver transplant recipients are treated with various drugs, the metabolism of which is dependent on the cytochrome P450 polymorphic genotype.

Objective: To identify the polymorphic variety of CYP2C19 genotype in liver allograft before and after transplantation.

Methods: The study was conducted on 88 liver recipients. The CYP2C19 genotypes in donors and recipients were the same in 32 and different in 56 recipients. Extracted genomic DNA from the leukocytes and liver graft tissues were analyzed by TaqMan SNP genotyping assay. The distributions of homozygote, heterozygote, poor and ultra-rapid metabolizers' genotypes were investigated in both groups.

Results: The distributions of CYP2C19 genotypes before transplantation in the blood and liver graft were within the normal range. After transplantation, in patients with different CYP2C19 genotype in donors and recipients, the genotypes of homozygote and ultra-rapid metabolizers were significantly decreased (p=0.024); the heterozygotes and poor metabolizer genotypes were significantly increased (p=0.017).

Conclusion: The variety in CYP2C19 genotyping must be considered in patients with different genotypes in donor and recipients to predict the dosage regimens, optimize the treatment and decrease toxicity.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The International Journal of Organ Transplantation Medicine (IJOTM) is a quarterly peer-reviewed English-language journal that publishes high-quality basic sciences and clinical research on transplantation. The scope of the journal includes organ and tissue donation, procurement and preservation; surgical techniques, innovations, and novelties in all aspects of transplantation; genomics and immunobiology; immunosuppressive drugs and pharmacology relevant to transplantation; graft survival and prevention of graft dysfunction and failure; clinical trials and population analyses in the field of transplantation; transplant complications; cell and tissue transplantation; infection; post-transplant malignancies; sociological and ethical issues and xenotransplantation.
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