VKORC1-3673G>ACYP2C9*3CYP4F2 rs2108622CYP2C19*2基因多态性对中国汉族房颤患者华法林维持剂量的影响

    Relationship of VKORC1-3673G>A, CYP2C9*3, CYP4F2 rs2108622 and CYP2C19*2 Genetic Polymorphisms and Maintenance Warfarin Dose Requirement in Han-Chinese Patients with Atrial Fibrillation

    • 摘要: 目的 探讨VKORC1-3673G>ACYP2C9*3CYP4F2 rs2108622CYP2C19*2位点基因多态性对中国汉族房颤患者华法林维持剂量的影响。方法 收集107例服用华法林达维持剂量的汉族房颤患者的血样和临床相关资料,应用PCR-RFLP法检测VKORC1-3673G>ACYP2C9*3CYP4F2 rs2108622CYP2C19*2基因型,采用独立样本t检验分析基因型与华法林维持剂量的相关性。多元线性回归建立给药模型,探讨基因多态性对华法林维持剂量的影响。结果 VKORC1-3673G>ACYP2C9*3CYP4F2 rs2108622基因多态性和患者年龄、体质量能解释45.2%的华法林维持剂量差异。CYP2C19*2基因多态性对本研究人群华法林维持剂量无影响。结论 VKORC1-3673G>ACYP2C9*3CYP4F2 rs2108622基因多态性显著影响中国汉族房颤患者的华法林维持剂量。

       

      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.

       

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