Clopidogrel: a case for indication-specific pharmacogenetics.

Clopidogrel: a case for indication-specific pharmacogenetics.
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DOI:
10.1038/clpt.2012.21
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发表时间:
2012-05
影响因子:
6.7
通讯作者:
--
中科院分区:
医学2区
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--
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CYP2C19*2功能缺失等位基因与氯吡格雷活性代谢物生成减少有关。然而,荟萃分析支持或否定基因型对氯吡格雷治疗期间心血管不良结局的影响,这取决于分析中纳入的研究。在这里,我们回顾了这些数据并得出结论,证据支持基因型对经皮冠状动脉介入治疗(PCI)后主要不良心血管结局的保护作用的差异,但对其他氯吡格雷适应症没有影响。
The CYP2C19*2 loss-of-function allele is associated with reduced generation of active metabolites of clopidogrel. However, meta-analyses have supported or discounted the impact of genotype on adverse cardiovascular outcomes during clopidogrel therapy, depending on studies included in the analysis. Here we review these data and conclude that evidence supports a differential effect of genotype on protection from major adverse cardiovascular outcomes following percutaneous coronary intervention (PCI), but not for other clopidogrel indications.
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