Effects of MDR1 and OPRM1 genetic polymorphisms on the pharmacodynamics of propofol-remifentanil TIVA in pediatrics

Aims: To investigate the roles of MDR1 (1236C>T, 2677G>T/A, and 3435C>T) and OPRM1 (118A>G) gene polymorphisms on the anesthetic and adverse effects of propofol-remifentanil total intravenous anesthesia in pediatric surgery. Materials & methods: The genotypes were identified through Sanger sequencing. The clinical data including hemodynamics on anesthesia, postanesthesia pain and sedation score and the occurrence of adverse effects were recorded and compared against the genetic data. Results: A total of 72 pediatric patients undergoing surgery were recruited. A weak to no association was found between the genetic polymorphisms of MDR1 and OPRM1 and the anesthetic and adverse effects of propofol-remifentanil. Conclusion: Genetic polymorphisms in OPRM1, but not in MDR1, gene polymorphism, demonstrated plausible association with the effects of propofol-remifentanil.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Pharmacogenomics - 24(2023), 5 vom: 20. Apr., Seite 247-259

Sprache:

Englisch

Beteiligte Personen:

Liew, Yee [VerfasserIn]
Capule, Francis R [VerfasserIn]
Rahman, Raha Abdul [VerfasserIn]
Nor, Nadia Md [VerfasserIn]
Teo, Rufinah [VerfasserIn]
Makmor-Bakry, Mohd [VerfasserIn]

Links:

Volltext

Themen:

ABCB1 protein, human
Anaesthesia
Analgesia
Anesthetics, Intravenous
Genetic polymorphism
Journal Article
MDR1
OPRM1
OPRM1 protein, human
P10582JYYK
Paediatrics
Piperidines
Propofol
Receptors, Opioid, mu
Remifentanil
Research Support, Non-U.S. Gov't
YI7VU623SF

Anmerkungen:

Date Completed 19.04.2023

Date Revised 09.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2217/pgs-2023-0006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355044102