Pregled bibliografske jedinice broj: 403149
Association of Cyp2c9 Gene Polymorphism with Bleeding as a Complication of Warfarin Therapy
Association of Cyp2c9 Gene Polymorphism with Bleeding as a Complication of Warfarin Therapy // Collegium antropologicum, 32 (2008), 2; 557-564 (međunarodna recenzija, članak, znanstveni)
CROSBI ID: 403149 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Association of Cyp2c9 Gene Polymorphism with Bleeding as a Complication of Warfarin Therapy
Autori
Samardžija, Marina ; Topić, Elizabeta ; Štefanović, Mario ; Zibar, Lada ; Samardžija, Goran ; Balen, Sanja ; Včev, Aleksandar ; Domanović, Dragoslav ; Mirat, Jure ; Barbić, Jerko
Izvornik
Collegium antropologicum (0350-6134) 32
(2008), 2;
557-564
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni
Ključne riječi
gene polymorphism; CYP2C9; warfarin; bleeding
Sažetak
The aim of this study was to determine the association of bleeding as a complication of warfarin therapy with polymorphism of CYP2C9 gene (alleles 1, 2 and 3). The CYP2C9 is the main enzyme for warfarin metabolism. Study included 181 patients receiving warfarin for at least one month. Allele 1 of CYP2C9 gene (in 94.5%) and genotype *1/*1 (57.5%) prevailed. Allele 3 was found in 12.7% patients. Bleeding side- effects occurred in 18 patients (10%). Patients with allele *1 needed significantly higher maintenance warfarin dose (p=0.011). Those with allele *3 had significantly lower maintenance warfarin dose (p=0.005) and higher prothrombin time (PT) at induction (p=0.034). Bleeding occurred significantly more often in those with lower maintenance warfarin dose (p=0.017). Patients with allele *3 had increased risk of bleeding, with marginal significance (p=0.05). Polymorphism of CYP2C9 could determine dose of warfarin therapy and thus it could be related to the risk of bleeding complications. Allele *3 carriers need lower warfarin dose. Therefore, initially reduced warfarin induction dose in allele *3 carriers could avoid more prolonged PT and decrease the risk of bleeding complication.
Izvorni jezik
Engleski
Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
108-1080135-0126 - Regionalna distribucija čimbenika rizika u hospitaliziranih koronarnih bolesnika (Bergovec, Mijo, MZOS ) ( CroRIS)
134-1340227-0200 - Upala i udio farmakogenetike u razvoju i ishodu akutnih i kroničnih bolesti (Šimundić, Ana-Maria, MZOS ) ( CroRIS)
219-0000000-3362 - Genski polimorfizam i funkcija bubrežnog presatka (Barbić, Jerko, MZOS ) ( CroRIS)
Ustanove:
Medicinski fakultet, Zagreb,
Klinički bolnički centar Osijek,
Klinička bolnica "Sveti Duh",
KBC "Sestre Milosrdnice",
Medicinski fakultet, Osijek,
Klinički bolnički centar Rijeka
Profili:
Marina Samardžija
(autor)
Mario Štefanović
(autor)
Goran Samardžija
(autor)
Sanja Balen
(autor)
Elizabeta Topić
(autor)
Jure Mirat
(autor)
Aleksandar Včev
(autor)
Lada Zibar
(autor)
Jerko Barbić
(autor)
Citiraj ovu publikaciju:
Časopis indeksira:
- Current Contents Connect (CCC)
- Web of Science Core Collection (WoSCC)
- Social Science Citation Index (SSCI)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus
- MEDLINE
Uključenost u ostale bibliografske baze podataka::
- Abstracts in Anthropology
- Anthropological Literature
- International Bibliography of the Social Sciences (IBSS)
- MEDLINE
- Sociological Abstracts
- Scopus
- INIST - CNRS
- Science Culture SARL
- UnCover
- International Center for Scientific Research (CIRS)