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10.2217/pgs.15.42

http://scihub22266oqcxt.onion/10.2217/pgs.15.42
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C4527535!4527535!26067485
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suck abstract from ncbi


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pmid26067485      Pharmacogenomics 2015 ; 16 (8): 841-54
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  • Multigene predictors of tacrolimus exposure in kidney transplant recipients #MMPMID26067485
  • Pulk RA; Schladt DS; Oetting WS; Guan W; Israni AK; Matas AJ; Remmel RP; Jacobson PA
  • Pharmacogenomics 2015[Jun]; 16 (8): 841-54 PMID26067485show ga
  • Aim:: Determine the effect of the genetic variants beyond CYP3A5*3 on tacrolimus disposition. Patients & methods:: We studied genetic correlates of tacrolimus trough concentrations with POR*28, CYP3A4*22 and ABCC2 haplotypes in a large, ethnically diverse kidney transplant cohort (n = 2008). Results:: Subjects carrying one or more CYP3A5*1 alleles had lower tacrolimus trough concentrations (p = 9.2 × 10-75). The presence of one or two POR*28 alleles was associated with a 4.63% reduction in tacrolimus trough concentrations after adjusting for CYP3A5*1 and clinical factors (p = 0.037). In subset analyses, POR*28 was significant only in CYP3A5*3/*3 carriers (p = 0.03). The CYP3A4*22 variant and the ABBC2 haplotypes were not associated. Conclusion:: This study confirmed that CYP3A5*1 was associated with lower tacrolimus trough concentrations. POR*28 was associated with decreased tacrolimus trough concentrations although the effect was small possibly through enhanced CYP3A4 enzyme activity. CYP3A4*22 and ABCC2 haplotypes did not influence tacrolimus trough concentrations.
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