Dual antiplatelet therapy with clopidogrel combined to aspirin reduces ischemic events in a wide range of patients with cardiovascular disease. However, a large interindividual variability has been observed in the pharmacodynamics response of clopidogrel with lower platelet inhibition associated with increased risk for major adverse cardiovascular events. Multiple mechanisms have been proposed for the variable response to clopidogrel, among which the impact of pharmacogenetic seems to play an important role. This article reviews the role of genetic polymorphisms in the clinical impact of oral inhibitors of the platelet P2Y12 adenosine diphosphate (ADP) receptor. (C) 2010 Elsevier Masson SAS. All rights reserved.
机构:
Albany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
Loyola Univ, Med Ctr, Maywood, IL 60153 USAAlbany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
Mousa, Shaker A.
Jeske, Walter P.
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Albany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
Loyola Univ, Med Ctr, Maywood, IL 60153 USAAlbany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
Jeske, Walter P.
Fareed, Jawed
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Albany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
Loyola Univ, Med Ctr, Maywood, IL 60153 USAAlbany Coll Pharm & Hlth Sci, Pharmaceut Res Inst, Albany, NY USA
机构:
Russian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
Sirotkina, O. V.
Zabotina, A. M.
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Russian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
Zabotina, A. M.
Berkovich, O. A.
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St Petersburg Pavlov State Med Univ, St Petersburg 197022, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
Berkovich, O. A.
Bazhenova, E. A.
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St Petersburg Pavlov State Med Univ, St Petersburg 197022, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
Bazhenova, E. A.
Vavilova, T. V.
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St Petersburg Pavlov State Med Univ, St Petersburg 197022, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
Vavilova, T. V.
Schwarzman, A. L.
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Russian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, RussiaRussian Acad Sci, St Petersburg Nucl Phys Inst, Gatchina 188350, Leningrad Oblas, Russia
机构:
Univ Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, ItalyUniv Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, Italy
Germanovich, Ksenia
Femia, Eti A.
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Univ Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, ItalyUniv Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, Italy
Femia, Eti A.
Cattaneo, Marco
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Univ Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, ItalyUniv Milan, Osped San Paolo, Dipartimento Sci Salute, Div Med 3, I-20142 Milan, Italy