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周宏灏
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-1年11月30日
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【期刊论文】Induction of polymorphic4`-hydroxylation of S-mephenytoin by rifampicin
周宏灏
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-1年11月30日
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周宏灏, Xing-Mei Han a, Dong-Sheng Ou-Yang a, Pei-Xin Lu b, Chang-Hong Jiang a, Yan Shu a, Xiao-Ping Chen a, Zhi-Rong Tan a and Hong-Hao Zhou a
Pharmacogenetics 2001, 11: 429-435,-0001,():
-1年11月30日
Either G-2964 or A734 in the human CYP1A2 gene was con
CYP1A2,, 17X/, 137X,, phenotype,, genotype,, polymorphism
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周宏灏, ZHOU-SHENG XIAO, JOYCE A. GOLDSTEIN, HONG-GUANG XIE, JOYCE BLAISDELL, WEI WANG, CHANG-HONG JIANG, FENG-XIANG YAN, NAN HE, SONG-LING HUANG, ZHEN-HUA XU and HONG-HAO ZHOU
Printed in U.S.A.281: 604-609, 1997,-0001,():
-1年11月30日
The incidence of the S-mephenytoin polymorphism was compared in two Chinese ethnic groups, Han (n=101) and Bai (n=202) by phenotype and genotype analysis. The frequency of poor metabolizers (PMs) in Han vs. Bai subjects was 19.8% vs. 13.4%. Han subjects had a higher frequency of the mutant CYP2C19m1 allele (0.366 vs. 0.257, P<.01) and a lower frequency of the wild-type allele (0.559 vs. 0.688, P<.01) than Bai subjects, which is consistent with the difference in the frequencies of PMs between the two ethnic groups. This results in a lower percentage of homozygous wild-type extensive metabolizers of mephenytoin (EMs) in Han subjects than in Bai subjects (40% vs. 59%, P=.005). Therefore, Han subjects may be more susceptible than Bai subjects to the drugs metabolized by the CYP2C19 enzyme. Ratios of urinary S/R-mephenytoin in homozygous EMs were lower than those of heterozygous EMs for both Han and Bai subjects, which shows a gene-dosage effect. Genotype analysis identified all but one PM as homozygous or heterozygous for the two known mutant CYP2C19m1 and/or CYP2C19m2 alleles. A single Bai PM outlier was shown to be heterozygous for CYP2C19m1 and a new mutant CYP2C19 allele containing a single amino acid change of Arg4333Trp433. A genotyping test demonstrated that only this one individual carried this rare allele (frequency of 0.0025 in Bai subjects).
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