Different effects of SLCO1B1 polymorphism on the pharmacokinetics and pharmacodynamics of repaglinide and nateglinide.

Author: KalliokoskiAnnikka, NeuvonenMikko, NeuvonenPertti J, NiemiMikko

Paper Details 
Original Abstract of the Article :
Thirty-two healthy volunteers with different SLCO1B1 genotypes ingested a 0.5-mg dose of repaglinide and 60-mg dose of nateglinide with a washout period of 1 week. Participants with SLCO1B1 c.521CC genotype (n = 4) had a 59% (P = 0.001) or 72% (P < 0.001) greater mean area under the plasma repaglini...See full text at original site
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引用元:
https://doi.org/10.1177/0091270007311569

データ提供:米国国立医学図書館(NLM)

SLCO1B1 Polymorphism: A Twister in the Desert of Drug Metabolism

Our journey leads us to the [Pharmacogenetics] desert, a place where genetic variations can dramatically alter how our bodies respond to medications. This research delves into the impact of SLCO1B1 polymorphism, a genetic variation, on the metabolism of two diabetes medications: repaglinide and nateglinide. It's like a twisting sandstorm, where genetic variations can dramatically change the effectiveness of a medication. The study explored the impact of this genetic variation on the pharmacokinetics and pharmacodynamics of these drugs, essentially examining how the variation affects how these drugs are processed and how effectively they work.

SLCO1B1 Polymorphism: A Desert Oasis for Nateglinide, but a Mirage for Repaglinide

The research revealed that SLCO1B1 polymorphism had no significant effect on the metabolism of nateglinide, highlighting the importance of personalized medicine. This could be seen as a well-stocked oasis, offering a stable and predictable response for patients with this specific genetic variation. However, the same was not true for repaglinide, where the polymorphism significantly affected its metabolism. This suggests that for individuals with this genetic variation, repaglinide might be like a mirage, promising relief but failing to deliver the desired results.

Navigating the Desert of Personalized Medicine

This study emphasizes the importance of personalized medicine, highlighting the need to consider genetic variations when prescribing medication. Understanding these variations could be crucial for optimizing treatment plans and ensuring that patients receive the most effective and safe care. It's like having a skilled camel guide, who understands the terrain and can navigate the desert safely and efficiently.

Dr.Camel's Conclusion

This research underscores the importance of considering genetic variations when choosing medication. The findings suggest that while SLCO1B1 polymorphism doesn't affect nateglinide's metabolism, it significantly impacts repaglinide's effectiveness. This is like a desert landscape where a single genetic variation can create a vast difference in how our bodies respond to medications. Personalized medicine is the key to navigating this desert landscape, ensuring that patients receive the most suitable and effective care.

Date :
  1. Date Completed 2008-05-19
  2. Date Revised 2018-12-01
Further Info :

Pubmed ID

18187595

DOI: Digital Object Identifier

10.1177/0091270007311569

Related Literature

SNS
PICO Info
in preparation
Languages

English

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