کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2484814 | 1114338 | 2013 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Gene–Gene–Environment Interactions Between Drugs, Transporters, Receptors, and Metabolizing Enzymes: Statins, SLCO1B1, and CYP3A4 as an Example Gene–Gene–Environment Interactions Between Drugs, Transporters, Receptors, and Metabolizing Enzymes: Statins, SLCO1B1, and CYP3A4 as an Example](/preview/png/2484814.png)
ABSTRACTPharmacogenetic biomarker tests include mostly specific single gene-drug pairs, capable of accounting for a portion of interindividual variability in drug response and toxicity. However, multiple genes are likely to contribute, either acting independently or epistatically, with the CYP2C9–VKORC1–warfarin test panel, an example of a clinically used gene–gene–dug interaction. I discuss here further instances of gene–gene–drug interactions, including a proposed dynamic effect on statin therapy by genetic variants in both a transporter (SLCO1B1) and a metabolizing enzyme (CYP3A4) in liver cells, the main target site where statins block cholesterol synthesis. These examples set a conceptual framework for developing diagnostic panels involving multiple gene-drug combinations.
Journal: Journal of Pharmaceutical Sciences - Volume 102, Issue 9, September 2013, Pages 2924–2929