CYP2C9和VKORC1基因多态性与华法林剂量的关系
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

四川省科技计划项目(2016JY0192);南充市科技计划项目(16YFZJ0030)


Relationship between CYP2C9 and VKORC1 gene polymorphisms and warfarin dose
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    【摘要】 目的 探索CYP2C9和VKORC1基因多态性与川东北汉族患者华法林维持剂量的关系。方法 采用荧光染色原位杂交测序法,对100例服用华法林的川东北地区汉族患者CYP2C9、VKORC1基因型进行检测并随访,评估CYP2C9、VKORC1对华法林剂量的影响。结果 100例服用华法林达维持剂量的患者中,CYP2C9 1075基因中AA型为890%,AC型为110%,CC型为0;VKORC1 1639基因中GG 型为20%,AA型为860%,GA型为120%。各基因型所需的华法林剂量:CYP2C9 1075 AA基因型为(305 ± 087) mg/d,AC基因型为(213 ± 054)mg/d,VKORC1 1639 GG + GA基因型为(490 ± 122)mg/d,AA基因型为(258 ± 065)mg/d。不同基因型的华法林维持剂量两两相比,均具有统计学意义(P< 005)。结论 CYP2C9和VKORC1基因多态性会影响川东北地区汉族患者华法林的剂量,检测结果可为临床治疗中调整华法林剂量提供依据。

    Abstract:

    【Abstract】 Objective To explore the relationship between CYP2C9 and VKORC1 gene polymorphisms and warfarin maintenance dose in northeastern Sichuan Han patients. Methods CYP2C9 and VKORC1 genotypes were detected by using fluorescent in situ hybridizationstaining sequencing detection system from 100 unrelated Han patients in northeastern Sichuan Province, and 100 patients taking warfarin were followed up to assess the effect of CYP2C9 and VKORC1 on warfarin dosage. Results Among 100 patients who received maintenance dose at warfarin, there is 890% of AA type, 110% of AC type and 0% of CC type in CYP2C9 1075 gene; 20% of GG type, 860% of AA type and 120% of GA type in VKORC1 1639 gene. The amount of warfarin in different genotypes is as follows: 305 ± 087 mg/d of AA type , 213 ± 054 mg/d of AC type in CYP2C9 1075 gene; 490 ± 122 mg/d of GG + GA type, 258 ± 065 mg/d of AA type in VKORC1 1639 gene. The maintenance dose of warfarin with different genotypes was respectively compared to P< 005, both of them were statistically significant. Conclusion CYP2C9 and VKORC1 gene polymorphisms may affect the dose of warfarin in patients of Han nationality in northeastern Sichuan. The results of CYP2C9 and VKORC1 gene polymorphisms may provide evidence for adjusting the dose of warfarin in clinical treatment.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2019-06-27
您是第位访问者
网站版权所有:《西部医学》编辑部     蜀ICP备18038379号-4
地址:四川省成都市武侯区小天竺街75号财富国际18F-1号    邮政编码:610041
电话:028-85570072/85588403 本网站支持 IPv6    E-mail:xbyxqk@163.com
技术支持:北京勤云科技发展有限公司