Association of SNPs with the efficacy and safety of immunosuppressant therapy after heart transplantation

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Autores de IIS La Fe

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Abstract

Aim: Studying the possible influence of SNPs on efficacy and safety of calcineurin inhibitors upon heart transplantation. Materials & methods: In 60 heart transplant patients treated with tacrolimus or cyclosporine, we studied a panel of 36 SNPs correlated with a series of clinical parameters during the first post-transplantation year. Results: The presence of serious infections was correlated to ABCB1 rs1128503 (p = 0.012), CC genotype reduced the probability of infections being also associated with lower blood cyclosporine concentrations. Lower renal function levels were found in patients with rs9282564 AG (p = 0.003), related to higher blood cyclosporine blood levels. A tendency toward increased graft rejection (p = 0.05) was correlated to rs2066844 CC in NOD2/CARD15, a gene related to lymphocyte activation. Conclusion: Pharmacogenetics can help identify patients at increased risk of clinical complications. Original submitted 30 January 2015; revision submitted 27 March 2015

Datos de la publicación

ISSN/ISSNe:
1462-2416, 1744-8042

PHARMACOGENOMICS  TAYLOR & FRANCIS LTD

Tipo:
Article
Páginas:
971-979
PubMed:
26107754
Factor de Impacto:
0,965 SCImago
Cuartil:
Q2 SCImago

Citas Recibidas en Web of Science: 16

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Keywords

  • cyclosporine; graft rejection; infection; polymorphism; renal function; tacrolimus

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