Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation

ABSTRACT: The evidence available in the pediatric population is limited for making clinical decisions regarding the optimization of tacrolimus (TAC) in pharmacotherapy. The objective of this study was to estimate the frequency of CYP3A5 genetic polymorphisms and their relationship with tacrolimus re...

Full description

Autores:
Buendía Rodríguez, Jefferson Antonio
Halac, Esteban
Bosaleh, Andrea
García de Dávila, María Teresa
Imvertasa, Óscar César
Bramuglia, Guillermo Federico
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/44827
Acceso en línea:
https://hdl.handle.net/10495/44827
Palabra clave:
Tacrolimus
Trasplante de Hígado
Liver Transplantation
Farmacocinética
Pharmacokinetics
Polimorfismo Genético
Polymorphism, Genetic
Citocromo P-450 CYP3A
Cytochrome P-450 CYP3A
https://id.nlm.nih.gov/mesh/D016559
https://id.nlm.nih.gov/mesh/D016031
https://id.nlm.nih.gov/mesh/D010599
https://id.nlm.nih.gov/mesh/D011110
https://id.nlm.nih.gov/mesh/D051544
Rights
openAccess
License
https://creativecommons.org/licenses/by/4.0/
id UDEA2_3ed05c0a51120f065c4920647f66b9e6
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/44827
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network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
title Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
spellingShingle Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
Tacrolimus
Trasplante de Hígado
Liver Transplantation
Farmacocinética
Pharmacokinetics
Polimorfismo Genético
Polymorphism, Genetic
Citocromo P-450 CYP3A
Cytochrome P-450 CYP3A
https://id.nlm.nih.gov/mesh/D016559
https://id.nlm.nih.gov/mesh/D016031
https://id.nlm.nih.gov/mesh/D010599
https://id.nlm.nih.gov/mesh/D011110
https://id.nlm.nih.gov/mesh/D051544
title_short Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
title_full Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
title_fullStr Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
title_full_unstemmed Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
title_sort Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation
dc.creator.fl_str_mv Buendía Rodríguez, Jefferson Antonio
Halac, Esteban
Bosaleh, Andrea
García de Dávila, María Teresa
Imvertasa, Óscar César
Bramuglia, Guillermo Federico
dc.contributor.author.none.fl_str_mv Buendía Rodríguez, Jefferson Antonio
Halac, Esteban
Bosaleh, Andrea
García de Dávila, María Teresa
Imvertasa, Óscar César
Bramuglia, Guillermo Federico
dc.contributor.researchgroup.spa.fl_str_mv Grupo de Investigación en Farmacología y Toxicología
dc.subject.decs.none.fl_str_mv Tacrolimus
Trasplante de Hígado
Liver Transplantation
Farmacocinética
Pharmacokinetics
Polimorfismo Genético
Polymorphism, Genetic
Citocromo P-450 CYP3A
Cytochrome P-450 CYP3A
topic Tacrolimus
Trasplante de Hígado
Liver Transplantation
Farmacocinética
Pharmacokinetics
Polimorfismo Genético
Polymorphism, Genetic
Citocromo P-450 CYP3A
Cytochrome P-450 CYP3A
https://id.nlm.nih.gov/mesh/D016559
https://id.nlm.nih.gov/mesh/D016031
https://id.nlm.nih.gov/mesh/D010599
https://id.nlm.nih.gov/mesh/D011110
https://id.nlm.nih.gov/mesh/D051544
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D016559
https://id.nlm.nih.gov/mesh/D016031
https://id.nlm.nih.gov/mesh/D010599
https://id.nlm.nih.gov/mesh/D011110
https://id.nlm.nih.gov/mesh/D051544
description ABSTRACT: The evidence available in the pediatric population is limited for making clinical decisions regarding the optimization of tacrolimus (TAC) in pharmacotherapy. The objective of this study was to estimate the frequency of CYP3A5 genetic polymorphisms and their relationship with tacrolimus requirements in the pediatric population. This was a longitudinal cohort study with a two-year follow-up of 77 patients under 18 years old who underwent a liver transplant during the period 2009–2012 at the J.P. Garrahan Pediatric Hospital. Tacrolimus levels from day five up to two years after the transplant were obtained from hospital records of routine therapeutic drug monitoring. The genotyping of CYP3A5 (CYP3A5*1/*3 or *3/*3) was performed in liver biopsies from both the donor and the recipient. The frequency of CYP3A5*1 expression for recipients was 37.1% and 32.2% for donors. Patients who received an expresser organ showed lower Co/dose, especially following 90 days after the surgery. The role of each polymorphism is di erent according to the number of days after the transplant, and it must be taken into account to optimize the benefits of TAC therapy during the post-transplant induction and maintenance phases.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020
dc.date.accessioned.none.fl_str_mv 2025-02-11T16:45:05Z
dc.date.available.none.fl_str_mv 2025-02-11T16:45:05Z
dc.type.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Buendía JA, Halac E, Bosaleh A, Garcia de Davila MT, Imvertasa O, Bramuglia G. Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation. Pharmaceutics. 2020 Sep 22;12(9):898. doi: 10.3390/pharmaceutics12090898.
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/44827
dc.identifier.doi.none.fl_str_mv 10.3390/pharmaceutics12090898
dc.identifier.eissn.none.fl_str_mv 1999-4923
identifier_str_mv Buendía JA, Halac E, Bosaleh A, Garcia de Davila MT, Imvertasa O, Bramuglia G. Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation. Pharmaceutics. 2020 Sep 22;12(9):898. doi: 10.3390/pharmaceutics12090898.
10.3390/pharmaceutics12090898
1999-4923
url https://hdl.handle.net/10495/44827
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Pharmaceutics
dc.relation.citationendpage.spa.fl_str_mv 7
dc.relation.citationissue.spa.fl_str_mv 9
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationvolume.spa.fl_str_mv 12
dc.relation.ispartofjournal.spa.fl_str_mv Pharmaceutics
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dc.format.extent.spa.fl_str_mv 7 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv MDPI
dc.publisher.place.spa.fl_str_mv Basilea, Suiza
institution Universidad de Antioquia
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spelling Buendía Rodríguez, Jefferson AntonioHalac, EstebanBosaleh, AndreaGarcía de Dávila, María TeresaImvertasa, Óscar CésarBramuglia, Guillermo FedericoGrupo de Investigación en Farmacología y Toxicología2025-02-11T16:45:05Z2025-02-11T16:45:05Z2020Buendía JA, Halac E, Bosaleh A, Garcia de Davila MT, Imvertasa O, Bramuglia G. Frequency of CYP3A5 Genetic Polymorphisms and Tacrolimus Pharmacokinetics in Pediatric Liver Transplantation. Pharmaceutics. 2020 Sep 22;12(9):898. doi: 10.3390/pharmaceutics12090898.https://hdl.handle.net/10495/4482710.3390/pharmaceutics120908981999-4923ABSTRACT: The evidence available in the pediatric population is limited for making clinical decisions regarding the optimization of tacrolimus (TAC) in pharmacotherapy. The objective of this study was to estimate the frequency of CYP3A5 genetic polymorphisms and their relationship with tacrolimus requirements in the pediatric population. This was a longitudinal cohort study with a two-year follow-up of 77 patients under 18 years old who underwent a liver transplant during the period 2009–2012 at the J.P. Garrahan Pediatric Hospital. Tacrolimus levels from day five up to two years after the transplant were obtained from hospital records of routine therapeutic drug monitoring. The genotyping of CYP3A5 (CYP3A5*1/*3 or *3/*3) was performed in liver biopsies from both the donor and the recipient. The frequency of CYP3A5*1 expression for recipients was 37.1% and 32.2% for donors. Patients who received an expresser organ showed lower Co/dose, especially following 90 days after the surgery. 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