叶绿素和氧叶绿素的药物基因组学:当前的证据和未来的影响
Mohitosh Biswas1,2,3, Chonlaphat Sukasem2,3,4,5,6
1Department of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
在CYP酶的遗传变异影响 (CQ) 和 (HCQ) 的有效性和安全性. 高风险的代谢器表型可能会导致许多患者的治疗失败或毒性.
科学领域:
- 药物基因组学 药物基因组学
- 药物新陈代谢 药物新陈代谢
- 临床药理学 临床药理学
背景情况:
- (CQ) 和氧 (HCQ) 是广泛使用的药物.
- 它们的有效性和安全性可能受到代谢酶的遗传变异的影响.
- CYP2C8,CYP3A4/5和CYP2D6是参与CQ/HCQ代谢的关键酶.
研究的目的:
- 审查和综合关于CQ和HCQ的药理学现有证据.
- 识别对CQ/HCQ安全性或疗效构成风险的遗传变异和相关表型.
- 评估这些风险在不同族群的潜在影响.
主要方法:
- 文献审查和证据同化.
- 分析CYP2C8,CYP3A4/5和CYP2D6基因中的遗传变异.
- 识别和描述高风险代谢体表型 (超快速和差代谢体).
主要成果:
- 在CYP3A5,CYP2D6和CYP2C8中的特定遗传变异影响了CQ/HCQ的安全性和有效性.
- 超快速和差代谢器表型被确定为高风险.
- 这些高风险的表型存在于各种种族群体的相当比例.
结论:
- 在CYP酶的药物基因组变异显著影响CQ/HCQ治疗.
- 识别高风险代谢体表型对于预测患者结果至关重要.
- 许多接受CQ/HCQ治疗的患者可能会因遗传因素而面临治疗失败或严重不良事件的风险.
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