机构:[1]Zhejiang Univ, Affiliated Hosp 1, Coll Med, Kidney Dis Ctr, Hangzhou, Zhejiang, Peoples R China浙江大学医学院附属第一医院[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
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.
基金:
National Fund Committee of China [81470938, 81200546]; Dr Cheng Yu Tung Fellowships
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
推荐引用方式(GB/T 7714):
Qu Lihui,Lu Yingying,Ying Meike,et al.Tacrolimus dose requirement based on the CYP3A5 genotype in renal transplant patients[J].ONCOTARGET.2017,8(46):81285-81294.doi:10.18632/oncotarget.18150.
APA:
Qu, Lihui,Lu, Yingying,Ying, Meike,Li, Bingjue,Weng, Chunhua...&Huang, Hongfeng.(2017).Tacrolimus dose requirement based on the CYP3A5 genotype in renal transplant patients.ONCOTARGET,8,(46)
MLA:
Qu, Lihui,et al."Tacrolimus dose requirement based on the CYP3A5 genotype in renal transplant patients".ONCOTARGET 8..46(2017):81285-81294