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Tacrolimus dose requirement based on the CYP3A5 genotype in renal transplant patients

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机构: [1]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Kidney Dis Ctr, Hangzhou, Zhejiang, Peoples R China [2]State Adm Tradit Chinese Med PR China, Kidney Dis Immunol Lab, Grade Lab 3, Hangzhou, Zhejiang, Peoples R China [3]Minist Hlth, Key Lab Multiple Organ Transplantat, Hangzhou, Zhejiang, Peoples R China [4]Key Lab Nephropathy, Hangzhou, Zhejiang, Peoples R China [5]Univ Hong Kong, LKS Fac Med, Dept Biochem, Hong Kong, Hong Kong, Peoples R China [6]Univ Hong Kong, LKS Fac Med, Ctr Genom Sci, Hong Kong, Hong Kong, Peoples R China [7]Univ Hong Kong, Shenzhen Inst Res & Innovat, Shenzhen, Guangdong, Peoples R China [8]Zhejiang Univ, Dept Epidemiol, Coll Med, Hangzhou, Zhejiang, Peoples R China [9]Zhejiang Univ, Inst Translat Med, Coll Med, Hangzhou, Zhejiang, Peoples R China
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关键词: CYP3A5 FK506 renal transplantation acute rejection

摘要:
Tacrolimus (FK506) and cyclosporine A (CsA) are widely used to protect graft function after renal transplantation. The aim of the present study is to determine whether the single nucleotide polymorphism of CYP3A5 is a predictive index of FK506 dose requirement, and also the selection yardstick of FK506 or CsA treatment. We tested archival peripheral blood of 218 kidney recipients for CYP3A5 genotyping with PCR-SSP. Meanwhile, the dose of FK506 and CsA was recorded, blood concentration of the drugs was measured, and graft outcome was monitored. These results indicate that CYP3A5*AA/AG carriers need higher FK506 dose than CYP3A5*GG homozygote to achieve the target blood concentration. For CYP3A5*GG carriers, taking FK506 or CsA are both advisable. CYP3A5*AA/AG carriers preferred to CsA treatment depending on the graft outcomes and drug costs. CYP3A5 genotyping is a new approach to detecting FK506 dose requirement and a predictive index for the FK506 or CsA treatment selection in kidney recipients.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 2 区 细胞生物学 2 区 肿瘤学
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出版当年[2015]版:
Q1 CELL BIOLOGY Q1 ONCOLOGY
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影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

第一作者:
第一作者机构: [1]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Kidney Dis Ctr, Hangzhou, Zhejiang, Peoples R China [2]State Adm Tradit Chinese Med PR China, Kidney Dis Immunol Lab, Grade Lab 3, Hangzhou, Zhejiang, Peoples R China [3]Minist Hlth, Key Lab Multiple Organ Transplantat, Hangzhou, Zhejiang, Peoples R China [4]Key Lab Nephropathy, Hangzhou, Zhejiang, Peoples R China
通讯作者:
通讯机构: [1]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Kidney Dis Ctr, Hangzhou, Zhejiang, Peoples R China [2]State Adm Tradit Chinese Med PR China, Kidney Dis Immunol Lab, Grade Lab 3, Hangzhou, Zhejiang, Peoples R China [3]Minist Hlth, Key Lab Multiple Organ Transplantat, Hangzhou, Zhejiang, Peoples R China [4]Key Lab Nephropathy, Hangzhou, Zhejiang, Peoples R China [6]Univ Hong Kong, LKS Fac Med, Ctr Genom Sci, Hong Kong, Hong Kong, Peoples R China [8]Zhejiang Univ, Dept Epidemiol, Coll Med, Hangzhou, Zhejiang, Peoples R China
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