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转运体基因多态性对癫痫患者丙戊酸血药浓度及临床疗效的影响

陈娟 王雪丁 周列民 李宏亮 周亚芳 秦家明 戴启麟 黄民

中国临床药理学杂志Issue(3):215-217,3.
中国临床药理学杂志Issue(3):215-217,3.DOI:10.13699/j.cnki.1001-6821.2016.03.007

转运体基因多态性对癫痫患者丙戊酸血药浓度及临床疗效的影响

Influence of transporter genetic polymorphisms on valproic acid blood concentration and clinical efficacy of epilepsy patients

陈娟 1王雪丁 1周列民 2李宏亮 1周亚芳 1秦家明 2戴启麟 2黄民1

作者信息

  • 1. 中山大学 药学院 临床药理研究所,广州510080
  • 2. 中山大学 附属第一医院 神经内科,广州 510080
  • 折叠

摘要

Abstract

Objective To investigate the effect of ABCC2, MCT1, MCT2, OATP2B1 on valproic acid ( VPA) blood concentration and effi-cacy in epilepsy patients.Methods One hundred sixty epilepsy patients receiving VPA as monotherapy were included.Steady-state blood con-centration of VPA was measured by a high -performance liquid chroma-tography method.ABCC2 rs2273697 , rs3740066 , MCT1 rs60844753 , rs7169, MCT2 rs10784000 , rs10877333 , rs1693614 , OATP2B1 rs2306168 genotypes were detected by Sequenom Mass ARRAY ® sys-tem.The association between different genotypes and VPA concentration was analyzed by Kruskal -Wallis test.Efficacy comparison among geno-types were performed by Chi -square test.Results The concentration of valproic acid in ABCC2 rs2273697 AA genotype was considerably higher than the GA and GG genotypes ( P <0.05 ).There was no significant effect of other SNPs on VPA dose -adjusted concentration and clinical efficacy.Conclusion ABCC2 rs2273697 polymorphism is associated with valproic acid blood concentrations , and further studies are needed to verify the effect of this SNP on VPA blood concentration and clinical efficacy.

关键词

丙戊酸/转运体/基因多态性/血药浓度/临床疗效

Key words

valproic acid/transporter/polymorphism/blood concentra-tion/clinical efficacy

分类

医药卫生

引用本文复制引用

陈娟,王雪丁,周列民,李宏亮,周亚芳,秦家明,戴启麟,黄民..转运体基因多态性对癫痫患者丙戊酸血药浓度及临床疗效的影响[J].中国临床药理学杂志,2016,(3):215-217,3.

基金项目

“十二五”国家科技重大专项资金资助项目(2012ZX09506001-004);国家自然科学基金资助项目 ()

中国临床药理学杂志

OA北大核心CSCDCSTPCD

1001-6821

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