Impact of genetic polymorphisms on tacrolimus trough blood concentration in Chinese liver transplant recipients

Purpose: The aim of this study was to analyze the effects of various genetic polymorphisms and clinical factors on tacrolimus (TAC) concentration in the convalescence period (CP) and stabilization period (SP) post-liver transplantation. Patients & methods: A total of 13 SNPs were genotyped in 97 Chinese liver transplant recipients. Associations between SNPs and TAC trough blood concentration/dose ratio (C0/D) were analyzed using different genetic models in both CP and SP. Results: Only five SNPs were significantly associated with TAC log (C0/D) in the CP, and none showed a significant association in the SP. We identified rs15524 (CYP3A5), rs9200 (C6), albumin and creatinine as independent predictors of TAC C0/D in the CP. Furthermore, a final model in the CP explained a total of 30.5% TAC variation. Conclusion: Our study results suggest that in the early stages post-transplantation surgery, recipients' genetic and clinical factors exert a short-term impact on TAC metabolism that gradually decreases with time.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Pharmacogenomics - 24(2023), 4 vom: 16. März, Seite 207-217

Sprache:

Englisch

Beteiligte Personen:

Maseko, Nicola [VerfasserIn]
Yang, Siyao [VerfasserIn]
Li, Chengcheng [VerfasserIn]
Zhang, Siqi [VerfasserIn]
Wang, Ruiying [VerfasserIn]
Zhang, Yawen [VerfasserIn]
Li, Chuanjiang [VerfasserIn]
Zhang, Chuanjie [VerfasserIn]
Li, Liang [VerfasserIn]

Links:

Volltext

Themen:

Allograft
Cytochrome P-450 CYP3A
EC 1.14.14.1
Immunosuppression
Immunosuppressive Agents
Journal Article
Pharmacodynamics
Pharmacokinetics
Research Support, Non-U.S. Gov't
Tacrolimus
WM0HAQ4WNM

Anmerkungen:

Date Completed 29.03.2023

Date Revised 09.05.2023

published: Print-Electronic

ClinicalTrials.gov: NCT03083769

Citation Status MEDLINE

doi:

10.2217/pgs-2022-0180

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35432621X