华法林药物基因组学和个体化用药

被引:29
作者
彭娟
谭胜蓝
周宏灏
李智
机构
[1] 中南大学临床药理研究所
基金
国家高技术研究发展计划(863计划);
关键词
华法林; 个体化治疗; 基因多态性; 剂量模型; VKORC1; CYP2C9;
D O I
暂无
中图分类号
R96 [药理学];
学科分类号
100602 ; 100706 ;
摘要
华法林是临床使用最广泛的口服抗凝药,其治疗窗窄,剂量个体差异大,容易发生出血或栓塞的风险。CYP2C9和VKORC1基因多态性明显影响华法林剂量。其他参与维生素摄入和循环,华法林转运的基因变异,以及microRNA也可能影响华法林剂量。该文结合国内外各种华法林稳定剂量预测模型研究,总结影响华法林剂量相关基因的最新研究进展,旨在为华法林个体化治疗提供参考和指导依据。
引用
收藏
页码:169 / 172
页数:4
相关论文
共 14 条
  • [1] CYP450氧化还原酶的遗传多态对药物代谢的影响
    范岚
    彭向东
    郭志华
    周宏灏
    [J]. 中国药理学通报, 2009, (09) : 1131 - 1133
  • [2] CYP3A4,CYP3A5和MDR1基因多态性对环孢素处置的影响
    胡永芳
    周宏灏
    [J]. 中国药理学通报, 2005, (03) : 257 - 261
  • [3] Integrating interacting drugs and genetic variations to improve the predictability of warfarin maintenance dose in Chinese patients
    Zhong, Shi-Long
    Yu, Xi-Yong
    Liu, Yuan
    Xu, Dan
    Mai, Li-Ping
    Tan, Hong-Hong
    Lin, Qiu-Xiong
    Yang, Min
    Lin, Shu-Guang
    [J]. PHARMACOGENETICS AND GENOMICS, 2012, 22 (03) : 176 - 182
  • [4] Development and Comparison of a Warfarin-Dosing Algorithm for Korean Patients With Atrial Fibrillation
    Cho, Hyun-Jung
    On, Young-Keun
    Bang, Oh Young
    Kim, Jong-Won
    Huh, Wooseong
    Ko, Jae-Wook
    Kim, June Soo
    Lee, Soo-Youn
    [J]. CLINICAL THERAPEUTICS, 2011, 33 (10) : 1371 - 1380
  • [5] VKORC1-1639G>A, CYP2C9, EPHX1691A>G genotype, body weight, and age are important predictors for warfarin maintenance doses in patients with mechanical heart valve prostheses in southwest China[J] . Qiang Gu,Yan Kong,J?rn Schneede,Ying-Bin Xiao,Lin Chen,Qian-Jin Zhong,Xue-Feng Wang,Jia Hao,Bai-Cheng Chen,Jing-Jin Chen.European Journal of Clinical Pharmacology . 2010 (12)
  • [6] CYP4F2 rs2108622: a minor significant genetic factor of warfarin dose in Han Chinese patients with mechanical heart valve replacement[J] . Han‐JingCen,Wu‐TaoZeng,Xiu‐YuLeng,MinHuang,XiaoChen,Jia‐LiLi,Zhi‐YingHuang,Hui‐ChangBi,Xue‐DingWang,Yan‐LingHe,FanHe,Rui‐NaZhou,Qi‐ShanZheng,Li‐ZiZhao.British Journal of Clinical Pharmacology . 2010 (2)
  • [7] Combined CYP2C9 , VKORC1 and CYP4F2 frequencies among racial and ethnic groups[J] . Stuart A Scott,Rame Khasawneh,Inga Peter,Ruth Kornreich,Robert J Desnick.Pharmacogenomics . 2010 (6)
  • [8] Genetic determinants of warfarin dosing in the Han-Chinese population
    Lee, M. T. Michael
    Chen, Chien-Hsiun
    Chou, Ching-Heng
    Lu, Liang-Suei
    Chuang, Hui-Ping
    Chen, Ying-Ting
    Saleem, Amir N.
    Wen, Ming-Shien
    Chen, Jin-Jer
    Wu, Jer-Yuarn
    Chen, Yuan-Tsong
    [J]. PHARMACOGENOMICS, 2009, 10 (12) : 1905 - 1913
  • [9] Influence of clinical and genetic factors on warfarin dose requirements among Japanese patients
    Ohno, Masako
    Yamamoto, Akiko
    Ono, Ayumu
    Miura, Genta
    Funamoto, Masanobu
    Takemoto, Yasuhiko
    Otsu, Kinya
    Kouno, Yasushi
    Tanabe, Tomoko
    Masunaga, Yuiko
    Nonen, Shinpei
    Fujio, Yasushi
    Azuma, Junichi
    [J]. EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 2009, 65 (11) : 1097 - 1103
  • [10] Validation of VKORC1 and CYP2C9 genotypes on interindividual warfarin maintenance dose: a prospective study in Chinese patients[J] . Sheng-Wen Huang,Hai-Sheng Chen,Xian-Qun Wang,Ling Huang,Ding-Li Xu,Xiao-Jia Hu,Zhi-Hui Huang,Yong He,Kai-Ming Chen,Dao-Kang Xiang,Xiao-Ming Zou,Qiang Li,Li-Qin Ma,Hao-Fei Wang,Bao-Lin Chen,Liang Li,Yan-Kai Jia,Xiang-Min Xu.Pharmacogenetics and Genomics . 2009 (3)