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Differential impacts of CYP2C19 gene polymorphisms on the antiplatelet effects of clopidogrel and ticlopidine.
Author: AndoH, AsaiT, FujimuraA, HosohataK, IshiguroH, KobayashiT, MaedaA, MorishimaM, OhtaM, SumidaA, UmemotoN, UshijimaK
Original Abstract of the Article :
We examined the influence of CYP2C19 polymorphisms on the antiplatelet effects of clopidogrel and ticlopidine. The platelet aggregation induced by 20 µmol/l adenosine diphosphate (ADP) and CYP2C19 single-nucleotide polymorphisms (*2 and *3) was determined in patients with coronary artery disease (CA...See full text at original site
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引用元:
https://doi.org/10.1038/clpt.2010.268
データ提供:米国国立医学図書館(NLM)
Clopidogrel vs. Ticlopidine: The Impact of CYP2C19 Polymorphisms
The world of pharmaceuticals is a complex landscape, with genetic variations playing a significant role in how individuals respond to medications. This study investigates the influence of CYP2C19 polymorphisms, variations in a gene responsible for drug metabolism, on the antiplatelet effects of clopidogrel and ticlopidine. Researchers explored the impact of these genetic variations on platelet aggregation, a key process involved in blood clotting, in patients with coronary artery disease (CAD).
The study found that CYP2C19 polymorphisms significantly affected the antiplatelet effects of clopidogrel but not ticlopidine. Patients with certain CYP2C19 polymorphisms, known as poor metabolizers, showed significantly reduced antiplatelet responses to clopidogrel, highlighting the importance of considering genetic variations in tailoring antiplatelet therapy. The study also suggested that ticlopidine could be an effective alternative for patients with these polymorphisms, providing valuable insights for personalized medicine.
A Tailor-Made Approach to Antiplatelet Therapy
This study highlights the importance of considering individual genetic variations in optimizing antiplatelet therapy. By understanding the impact of CYP2C19 polymorphisms on clopidogrel response, clinicians can make more informed decisions regarding treatment selection, potentially improving patient outcomes and reducing the risk of adverse events.
Navigating the Genetic Desert of Antiplatelet Therapy
The human body is a complex desert, with its own unique genetic landscape. This study underscores the importance of understanding these genetic variations in tailoring drug therapy for optimal effectiveness and safety.
Dr. Camel's Conclusion
Antiplatelet therapy is a critical element in managing cardiovascular disease. This study reminds us that a one-size-fits-all approach doesn't work in the desert of human genetics. By understanding the impact of CYP2C19 polymorphisms, we can navigate this landscape more effectively, providing personalized care that optimizes treatment outcomes.
Date :
- Date Completed 2011-02-28
- Date Revised 2018-12-01
Further Info :
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