肾移植患者MDR1C3435T基因多态性对他克莫司血药浓度/剂量比及疗效的影响
投稿时间:2009-06-29  修订日期:2009-08-18  点此下载全文
引用本文:侯明明,宋洪涛,王庆华,杨顺良,谭建明.肾移植患者MDR1C3435T基因多态性对他克莫司血药浓度/剂量比及疗效的影响[J].药学实践杂志,2010,28(1):29~31
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作者单位E-mail
侯明明 南京军区福州总医院药学科,福建福州350025
沈阳药科大学药学院,辽宁沈阳110016 
 
宋洪涛 南京军区福州总医院药学科,福建福州350025 sohoto@vip.sohu.com. 
王庆华 南京军区福州总医院泌尿外科,福建福州350025  
杨顺良 南京军区福州总医院泌尿外科,福建福州350025  
谭建明 南京军区福州总医院泌尿外科,福建福州350025  
中文摘要:目的研究肾移植术后患者MDR1C3435T基因多态性对他克莫司(FK506)血药浓度/剂量比(C/D)及急性排斥反应和不良反应的影响。方法采用聚合酶链反应(PCR)和限制性内切片段长度多态性(RFLP)的方法检测肾移植患者MDR1C3435T基因型,比较不同基因型患者之间FK506的C/D值以及急性排斥反应、不良反应的差异。结果MDR1C3435T各基因型组间FK506的C/D值及急性排斥反应、不良反应均无显著性差异。结论MDR1C3435T基因多态性与肾移植患者FK506的C/D值及急性排斥反应、不良反应间无显著相关性。
中文关键词:肾移植  他克莫司  MDR1  基因多态性  血药浓度/剂量比  疗效  不良反应
 
Effect of MDR1C3435T genetic polymorphism on concentration/dose and efficacy of tacrolimus in patients with kidney transplantation
Abstract:Objective To investigate the impact of MDR1C3435T genetic polymorphism on the concentration/dose(C/D) ratio,acute rejection and adverse effect of tacrolimus(FK506)in the renal patients after transplantation.Methods The MDR1C3435T genotype was determined by PCR-RFLP method.The differences of C/D ratio,acute rejection and adverse reaction were compared among all of the genotype groups treated with FK506.Results There was no significant difference in the C/D ratio,rejection and adverse reaction of FK506 among MDR1C3435T genotype groups.Conclusion There was no significant relation between the C/D ratio,acute rejection and adverse reaction of FK506 and MDR1C3435T genetic polymorphism in the transplant patients.
keywords:renal transplantation,tacrolimus  MDR1  genetic polymorphism  concentration/dose  efficacy  adverse reaction
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