Abstract:
OBJECTIVE To explore the influence of
VKORC1-3673G>
A,
CYP2C9*3,
CYP4F2 rs2108622, and
CYP2C19*2 genetic polymorphism on maintenance warfarin dose in a Han-Chinese population with atrial fibrillation.
METHODS Genetic polymorphisms were detected in 107 patients with atrial fibrillation receiving warfarin by the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Independent-samples
t-test was used to investigate the association between
VKORC1-3673G>
A,
CYP2C9*3,
CYP4F2 rs2108622, and
CYP2C19*2 genetic polymorphisms and maintenance warfarin dose. Multiple linear regression analysis was used to investigate the contribution of genetic polymorphisms to maintenance warfarin dose.
RESULTS VKORC1-3673G>
A,
CYP2C9*3,
CYP4F2 rs2108622 genotypes and clinical characteristics (age, body weight) could account for 45.2% of the variance in the warfarin maintenance dose in patients with atrial fibrillation. No relationship was found between the maintenance warfarin dose and
CYP2C19*2 genotype.
CONCLUSION VKORC1-3673G>
A,
CYP2C9*3 and
CYP4F2 rs2108622 genetic polymorphism are significantly affect the maintenance warfarin dose in Han-Chinese patients with atrial fibrillation.