CLINICAL-SIGNIFICANCE OF GENETIC INFLUENCES ON CARDIOVASCULAR DRUG-METABOLISM

被引:9
作者
ARCAVI, L
BENOWITZ, NL
机构
[1] SAN FRANCISCO GEN HOSP, DIV CLIN PHARMACOL & EXPTL THERAPEUT, BLDG 30, SAN FRANCISCO, CA 94110 USA
[2] UNIV CALIF SAN FRANCISCO, SAN FRANCISCO, CA 94143 USA
[3] KAPLAN HOSP, IL-76100 REHOVOT, ISRAEL
关键词
PHARMACOGENETICS; GENETIC POLYMORPHISM; ACETYLATION POLYMORPHISM; DEBRISOQUINE SPARTEINE POLYMORPHISM; P-450; CARDIOVASCULAR; DRUG METABOLISM;
D O I
10.1007/BF00880154
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Inherited differences in metabolism may be responsible for individual variability in the efficacy of drugs and the occurrence of adverse drug reactions. Among the cardiovascular drugs reported to exhibit genetic polymorphism are debrisoquine, sparteine, some beta-adrenoceptor antagonists, flecainide, encainide, propafenone, nifedipine, procainamide, and hydralazine. The implications of genetic differences in the metabolism of these drugs for cardiovascular therapeutics is the subject of this review.
引用
收藏
页码:311 / 324
页数:14
相关论文
共 94 条
[11]   FLECAINIDE HALF-LIFE PROLONGATION IN 2 PATIENTS WITH CONGESTIVE HEART-FAILURE AND COMPLEX VENTRICULAR ARRHYTHMIAS [J].
CAVALLI, A ;
MAGGIONI, AP ;
MARCHI, S ;
VOLPI, A ;
LATINI, R .
CLINICAL PHARMACOKINETICS, 1988, 14 (03) :187-188
[12]   THE TRANS-HEPATIC EXTRACTION OF NIFEDIPINE [J].
CHALLENOR, VF ;
WALLER, DG ;
RENWICK, AG ;
GRUCHY, BS ;
GEORGE, CF .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1987, 24 (04) :473-477
[13]   ADVERSE DRUG REACTION REPORTING AND RETROSPECTIVE PHENOTYPING FOR OXIDATION POLYMORPHISM [J].
CLARK, DWJ ;
EDWARDS, IR .
MEDICAL TOXICOLOGY AND ADVERSE DRUG EXPERIENCE, 1988, 3 (03) :241-247
[14]   METABOLISM OF FLECAINIDE [J].
CONARD, GJ ;
OBER, RE .
AMERICAN JOURNAL OF CARDIOLOGY, 1984, 53 (05) :B41-B51
[15]   DEFECTIVE HYDROXYLATION OF BUFURALOL ASSOCIATED WITH SIDE-EFFECTS OF THE DRUG IN POOR METABOLIZERS [J].
DAYER, P ;
KUBLI, A ;
KUPFER, A ;
COURVOISIER, F ;
BALANT, L ;
FABRE, J .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1982, 13 (05) :750-752
[16]   STEREOSELECTIVITY AND REGIOSELECTIVITY OF HEPATIC OXIDATION IN MAN - EFFECT OF THE DEBRISOQUINE SPARTEINE PHENOTYPE ON BUFURALOL HYDROXYLATION [J].
DAYER, P ;
LEEMANN, T ;
KUPFER, A ;
KRONBACH, T ;
MEYER, UA .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1986, 31 (03) :313-318
[17]  
DAYER P, 1982, LANCET, V1, P509
[18]  
DRAYER DE, 1977, CLIN PHARMACOL THER, V22, P251
[19]   PATTERNS OF ACETYLATION OF PROCAINAMIDE AND PROCAINAMIDE-DERIVED P-AMINOBENZOIC ACID IN MAN [J].
DUSOUICH, P ;
ERILL, S .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1976, 10 (3-4) :283-287
[20]   THE GENETIC-POLYMORPHISM OF DEBRISOQUINE SPARTEINE METABOLISM - CLINICAL ASPECTS [J].
EICHELBAUM, M ;
GROSS, AS .
PHARMACOLOGY & THERAPEUTICS, 1990, 46 (03) :377-394