دورية أكاديمية
Effect of ABCB1 3435C>T transporter gene polymorphism on plasma efavirenz concentration in HIV-1 infected Thai adults
العنوان: | Effect of ABCB1 3435C>T transporter gene polymorphism on plasma efavirenz concentration in HIV-1 infected Thai adults |
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المؤلفون: | Sahapat Barusrux, Napatrupron Koomdee, Rattanaporn Sukprasong, Weerawat Manosuthi, Monpat Chamnanphon, Apichaya Puangpetch, Chonlaphat Sukasem, Veeranoot Nissapatorn, Maria de Lourdes Pereira |
المصدر: | Asian Pacific Journal of Tropical Medicine, Vol 13, Iss 6, Pp 266-271 (2020) |
بيانات النشر: | Wolters Kluwer Medknow Publications, 2020. |
سنة النشر: | 2020 |
المجموعة: | LCC:Arctic medicine. Tropical medicine |
مصطلحات موضوعية: | transporter gene, abcb1 3435c>t, efavirenz, hiv-1, thai, Arctic medicine. Tropical medicine, RC955-962 |
الوصف: | Objective: To investigate the influence of ABCB1 polymorphisms on the plasma level of efavirenz in Thai adult cases infected with HIV-1. Methods: A single nucleotide polymorphism of ABCB1 3435C>T (rs1045642) in the gene encoding ABCB1 was genotyped using real-time PCR-based alleles in 149 HIV-infected Thai adults receiving efavirenz treatment. Plasma concentrations of efavirenz were measured by high-performance liquid chromatography 12 hr after administration. The relationship between plasma efavirenz concentrations and ABCB1 3435C>T polymorphisms was analyzed. Results: Logistic regression analysis showed no significant predictors of high plasma efavirenz concentration in relation to age, gender, body weight, CD4 count and plasma HIV-1 RNA, blood biochemical parameters, antiretroviral duration or ABCB1 3435C>T polymorphisms, except for height (OR=0.902, 95% CI: 0.835-0.973) (PT was 0.446. The frequency of the heterozygous mutant ABCB1 3435C/ T was 53.02% (n=79), ABCB1 3435T/T homozygous mutant was 18.12% (n=27) and the wild type ABCB1 3435C/C genotype was 28.86% (n=43). The overall median plasma concentration of efavirenz in 149 HIV-infected Thai cases was 2.41 mg/L [IQR: (1.46-4.12) mg/L]. The plasma concentration of efavirenz was higher in cases with ABCB1 3435T/T homozygous mutant [2.73 mg/L, IQR: (2.02-4.19) mg/L] and ABCB1 3435C/T heterozygous mutant [2.29 mg/L, IQR: (1.41-4.28) mg/L] genotypes compared to the wild type ABCB1 3435C/C homozygous [2.1 mg/L, IQR: (1.37-3.53) mg/L]. However, there was no statistically significant difference in the efavirenz concentration between the different genotypes (P>0.05). Conclusions: There is no statistical significance for a tendency toward higher plasma efavirenz concentration in the ABCB1 3435T/T and ABCB1 3435C/T genotypes. No parameters of physiological characteristics in this study except for height were found to be predictors of high plasma efavirenz concentration in Thai HIV-1 infected cases. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2352-4146 1995-7645 |
العلاقة: | http://www.apjtm.org/article.asp?issn=1995-7645;year=2020;volume=13;issue=6;spage=266;epage=271;aulast=BarusruxTest; https://doaj.org/toc/2352-4146Test |
DOI: | 10.4103/1995-7645.284645 |
الوصول الحر: | https://doaj.org/article/205e6834a40f4f46bc3dd9215d7f2625Test |
رقم الانضمام: | edsdoj.205e6834a40f4f46bc3dd9215d7f2625 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 23524146 19957645 |
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DOI: | 10.4103/1995-7645.284645 |