Association of CYP2C19 and UGT1A4 polymorphisms with voriconazole-induced liver injury

被引:11
作者
Song, Yan [1 ]
Jia, Miao-xin [2 ]
Yang, Guang [3 ]
Feng, Xin-yuan [2 ]
Yin, Dong-hong [1 ]
Kang, Jian-bang [1 ]
Zhao, Qiang [1 ]
Duan, Jin-ju [1 ]
机构
[1] Shanxi Med Univ, Hosp 2, Dept Pharm, Taiyuan 030001, Peoples R China
[2] Shanxi Med Univ, Sch Pharm, Taiyuan 030001, Peoples R China
[3] Shanxi Med Univ, Hosp 2, Dept Pulm & Crit Care Med, Taiyuan 030001, Peoples R China
关键词
CYP2C19; genetic polymorphism; liver injury; plasma concentration; UGT1A4; voriconazole; CLINICAL-OUTCOMES; JAPANESE PATIENTS; CLOPIDOGREL; PHARMACOKINETICS; HEPATOTOXICITY; METABOLISM; GUIDELINES; DISEASES; IMPACT;
D O I
10.2217/pme-2019-0042
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: This study investigated the association between voriconazole-induced liver injury and gene polymorphisms of CYP2C19 and UGT1A4. Materials & methods: Thirty-eight adult patients who received voriconazole therapy were included in the study. Genotype of CYP2C19 was detected using gene chip hybrid analysis. The UGT1A4 142T>G was genotyped using PCR-RFLP analysis. Results: Ten patients (26.3%) had voriconazole-induced liver injury and were considered as the case group There was no significant difference between the two groups in genotype and allele frequencies of CYP2C19*2 and UGT1A4 142T>G (p > 0.05), however, the GA frequency of CYP2C19 *3 in the drug-induced liver injury case group was higher than that in the control group (p < 0.05). Compared with patients carrying *1/*1 or *1/*2, there was no significant difference in voriconazole trough concentration of the patients with *1/*3 (p > 0.05). Conclusion: There was no significant correlation between voriconazole-induced liver injury and gene polymorphisms of CYP2C19 and UGT1A4.
引用
收藏
页码:15 / 22
页数:8
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