Pharmacogenetics of ribavirin-induced anemia in hepatitis C

被引:9
作者
Ampuero, Javier [1 ,2 ]
Romero-Gomez, Manuel [1 ,2 ]
机构
[1] Univ Seville, Virgen del Rocio Virgen Macarena Univ Hosp, Interctr Unit Digest Dis, Seville, Spain
[2] Inst Biomed Sevilla, Ave Manuel Siurot S-N, Seville 41013, Spain
关键词
anemia; hepatitis C; ITPA; pharmacogenetics; ribavirin; SLC28; GENOTYPE; 1; INFECTION; GENOME-WIDE ASSOCIATION; TRIPLE THERAPY; PEGYLATED INTERFERON; DOSE REDUCTION; ITPA GENE; VIROLOGICAL RESPONSE; PROTEASE INHIBITORS; HEMOLYTIC-ANEMIA; VIRUS-INFECTION;
D O I
10.2217/pgs.16.28
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Pharmacogenetics assesses inherited genetic differences in drug metabolic pathways and its role in medicine is growing. Ribavirin (RBV) and peginterferon were the standard of care therapy in hepatitis C virus infection during 15 years, with the addition of first-generation protease inhibitors at the beginning of 2010s. New direct-acting agents are the new standard of care, but RBV remains important in some scenarios. The main adverse effect of RBV is anemia, which requires dose reduction and even stopping treatment in some patients. Pharmacogenetics has identified ITPA and SLC28/29 genes to be closely related to RBV-induced anemia. The routine evaluation of these genes could help to identify those patients at risk of developing anemia during the hepatitis C virus treatment.
引用
收藏
页码:1587 / 1594
页数:8
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