A Pharmacogenomic Study on the Pharmacokinetics of Tacrolimus in Healthy Subjects Using the DMETTM Plus Platform

作者: Y Choi , F Jiang , H An , H J Park , J H Choi

DOI: 10.1038/TPJ.2015.99

关键词:

摘要: Genetic association studies on the pharmacokinetics of tacrolimus have reported conflicting results, except for role CYP3A5*3 polymorphism. The objective this study was to identify genetic variants affecting using DMETTM Plus microarray in 42 healthy males. Aside from CYP3A5*3, rs3814055 polymorphism NR1I2 gene associated with based false discovery rate-corrected multiple tests and least absolute shrinkage selection operator analysis. area under concentration-time curve last quantifiable time point (AUClast) 3.42 times greater subjects homozygous mutations both genes (CYP3A5*3/*3 T/T) than wild-type subjects. two explained 54% variability AUClast. An vitro luciferase reporter assay indicated that downregulation PXR expression is likely molecular mechanism responsible increased exposure carrying C>T variant.

参考文章(32)
Henrike Bruckmueller, Anneke Nina Werk, Lutz Renders, Thorsten Feldkamp, Martin Tepel, Christoffer Borst, Amke Caliebe, Ulrich Kunzendorf, Ingolf Cascorbi, Which Genetic Determinants Should be Considered for Tacrolimus Dose Optimization in Kidney Transplantation? A Combined Analysis of Genes Affecting the CYP3A Locus. Therapeutic Drug Monitoring. ,vol. 37, pp. 288- 295 ,(2015) , 10.1097/FTD.0000000000000142
Megan M. Dring, Carol A. Goulding, Valerie I. Trimble, Denise Keegan, Anthony W. Ryan, Karen M. Brophy, Claire M. Smyth, P.W. Napoleon Keeling, Diarmuid O’Donoghue, Maria O’Sullivan, Colm O’Morain, Nasir Mahmud, Ann–Charlotte Wikström, Dermot Kelleher, Ross McManus, The pregnane X receptor locus is associated with susceptibility to inflammatory bowel disease. Gastroenterology. ,vol. 130, pp. 341- 348 ,(2006) , 10.1053/J.GASTRO.2005.12.008
Elise Andrews, Martin Armstrong, Jonathan Tugwood, Dan Swan, Philip Glaves, Munir Pirmohamed, Guruprasad P. Aithal, Matthew C. Wright, Christopher P. Day, Ann K. Daly, A role for the pregnane X receptor in flucloxacillin‐induced liver injury Hepatology. ,vol. 51, pp. 1656- 1664 ,(2010) , 10.1002/HEP.23549
KA Birdwell, B Decker, JM Barbarino, JF Peterson, CM Stein, W Sadee, D Wang, AA Vinks, Y He, JJ Swen, JS Leeder, RHN van Schaik, KE Thummel, TE Klein, KE Caudle, IAM MacPhee, Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP3A5 Genotype and Tacrolimus Dosing Clinical Pharmacology & Therapeutics. ,vol. 98, pp. 19- 24 ,(2015) , 10.1002/CPT.113
E E Thompson, H Kuttab-Boulos, L Yang, B A Roe, A Di Rienzo, Sequence diversity and haplotype structure at the human CYP3A cluster. Pharmacogenomics Journal. ,vol. 6, pp. 105- 114 ,(2006) , 10.1038/SJ.TPJ.6500347
Kelly A. Birdwell, Ben Grady, Leena Choi, Hua Xu, Aihua Bian, Josh C. Denny, Min Jiang, Gayle Vranic, Melissa Basford, James D. Cowan, Danielle M. Richardson, Melanie P. Robinson, Talat Alp Ikizler, Marylyn D. Ritchie, Charles Michael Stein, David W. Haas, The use of a DNA biobank linked to electronic medical records to characterize pharmacogenomic predictors of tacrolimus dose requirement in kidney transplant recipients Pharmacogenetics and Genomics. ,vol. 22, pp. 32- 42 ,(2012) , 10.1097/FPC.0B013E32834E1641
Xiao-cong Zuo, Ya-nan Zhou, Bi-kui Zhang, Guo-ping Yang, Ze-neng Cheng, Hong Yuan, Dong-sheng Ouyang, Shi-kun Liu, Jeffrey S. Barrett, Pei-jiong Li, Zhi Liu, Hong-yi Tan, Ren Guo, Ling-yun Zhou, Yue-liang Xie, Zuo-jun Li, Jing Li, Chun-jiang Wang, Jiang-lin Wang, Effect of CYP3A5*3 Polymorphism on Pharmacokinetic Drug Interaction between Tacrolimus and Amlodipine Drug Metabolism and Pharmacokinetics. ,vol. 28, pp. 398- 405 ,(2013) , 10.2133/DMPK.DMPK-12-RG-148
M J Ratain, N J Cox, T O Henderson, Challenges in Interpreting the Evidence for Genetic Predictors of Ototoxicity Clinical Pharmacology & Therapeutics. ,vol. 94, pp. 631- 635 ,(2013) , 10.1038/CLPT.2013.178
Jae Yong Chung, Joo-Youn Cho, Hyeong-Seok Lim, Jung-Ryul Kim, Kyung-Sang Yu, Kyoung Soo Lim, Sang-Goo Shin, In-Jin Jang, Effects of Pregnane X Receptor (NR1I2) and CYP2B6 Genetic Polymorphisms on the Induction of Bupropion Hydroxylation by Rifampin Drug Metabolism and Disposition. ,vol. 39, pp. 92- 97 ,(2011) , 10.1124/DMD.110.035246
Katherine A. Barraclough, Nicole M. Isbel, Katie J. Lee, Troels K. Bergmann, David W. Johnson, Brett C. McWhinney, Jacobus P. J. Ungerer, Scott B. Campbell, Diana R. Leary, Seweryn Bialasiewicz, Rebecca J. Rockett, Christine E. Staatz, NR1I2 polymorphisms are related to tacrolimus dose-adjusted exposure and BK viremia in adult kidney transplantation Transplantation. ,vol. 94, pp. 1025- 1032 ,(2012) , 10.1097/TP.0B013E31826C3985