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SHR Neuro Cancer Cardio Lipid Metab Microb

Szekeres, T; Haushofer, A.
Clinical pharmacogenetics of immunosuppressive drugs in organ transplantation.
Pharmacogenomics. 2005; 6(2):163-168 Doi: 10.1517/14622416.6.2.163
Web of Science PubMed FullText FullText_MUG

 

Co-authors Med Uni Graz
Haushofer Alexander
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Abstract:
Organ transplantation has become an important additional option for patients with organ failure. Immunosuppressive drugs showing a very narrow therapeutic window have to be administered. Different transporters and metabolic pathways are responsible for absorption and metabolism of these drugs; for instance, the P-glycoprotein (P-gp) pump regulates the absorption of a drug, and its metabolism is catalyzed by cytochrome P450s (CYPs). As the phenotypes of P-gp or the CYPs are predetermined by their genotypes, genetic testing prior to drug therapy may help to predict the drug doses required. This review describes polymorphisms of the genes coding for P-gp and CYPs, and focuses on the compounds cyclosporin and tacrolimus. It is hoped that this information might help to judge the value of pharmacogenetic testing prior to immunosuppressive therapy in solid organ transplantation.
Find related publications in this database (using NLM MeSH Indexing)
Cyclosporine - administration and dosage Cyclosporine - pharmacokinetics Cyclosporine - therapeutic use
Cytochrome P-450 Enzyme System - genetics Cytochrome P-450 Enzyme System - metabolism
Humans -
Immunosuppressive Agents - administration and dosage Immunosuppressive Agents - pharmacokinetics Immunosuppressive Agents - therapeutic use
Organ Transplantation -
P-Glycoprotein - genetics P-Glycoprotein - metabolism
Pharmacogenetics -
Polymorphism, Genetic -
Tacrolimus - administration and dosage Tacrolimus - pharmacokinetics Tacrolimus - therapeutic use

Find related publications in this database (Keywords)
cyclosporin
organ transplantation
pharmacogenetics
single nucleoride polymorphism
tacrolimus
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