Is ticagrelor the antiplatelet therapy panacea?

Is ticagrelor the antiplatelet therapy panacea?
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替格瑞洛是抗血小板治疗的灵丹妙药吗?

DOI:
10.1161/circgenetics.110.958611
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发表时间:
2010
期刊:
Circulation. Cardiovascular genetics
影响因子:
--
通讯作者:
Beitelshees,AmberL
Beitelshees,AmberL
中科院分区:
--
文献类型:
--
作者:
Beitelshees,AmberL

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替格瑞洛是一种可逆结合的P2Y12受体拮抗剂,已进行3期临床试验,目前正在接受美国食品药品监督管理局(FDA)的审查。替卡格雷已提出优于氯吡格雷的益处,因为其起效更快,血小板抑制效力更强,药效学反应的患者间变异性更小。与氯吡格雷不同,替格瑞洛不需要通过细胞色素P450 2C19(CYP2C19)生物活化为活性代谢物,因此预计不会受到CYP2C19遗传多态性的影响。
Ticagrelor is a reversibly binding P2Y12 receptor antago-nist that has undergone phase 3 clinical trials and is currently under Food and Drug Administration (FDA) review. Ticagrelor has proposed benefits over clopidogrel in that it has a faster onset of action, greater platelet inhibitory potency, and less interpatient variability in pharmacodynamic response. Unlike clopidogrel, ticagrelor does not require bioactivation to an active metabolite by cytochrome P450 2C19 (CYP2C19) and, therefore, is not expected to be influenced by CYP2C19 genetic polymorphisms.
DOI: 10.1073/pnas.97.7.3473
发表时间: 2000-03
影响因子: 11.1
作者:
S. Hoffmeyer;O. Burk;O. Richter;H. Arnold;J. Brockmöller;A. Johne;I. Cascorbi;T. Gerloff;I. Root
通讯作者: S. Hoffmeyer;O. Burk;O. Richter;H. Arnold;J. Brockmöller;A. Johne;I. Cascorbi;T. Gerloff;I. Root