دورية أكاديمية

Consensus of experts from the Spanish Pharmacogenetics and Pharmacogenomics Society and the Spanish Society of Medical Oncology for the genotyping of DPYD in cancer patients who are candidates for treatment with fluoropyrimidines

التفاصيل البيبلوغرافية
العنوان: Consensus of experts from the Spanish Pharmacogenetics and Pharmacogenomics Society and the Spanish Society of Medical Oncology for the genotyping of DPYD in cancer patients who are candidates for treatment with fluoropyrimidines
المؤلفون: García-Alfonso, Pilar, Saiz-Rodríguez, M., Mondéjar, R., Salazar, Juliana, Páez, David, Borobia, Alberto M, Safont, M. J., García-García, Irene, Colomer, Ramon, García-González, Xandra, Herrero Cervera, María José, López-Fernández, L. A., Abad-Santos, Francisco, Universitat Autònoma de Barcelona
سنة النشر: 2021
المجموعة: Universitat Autònoma de Barcelona: Dipòsit Digital de Documents de la UAB
مصطلحات موضوعية: 5-fluorouracil, Capecitabine, Dihydropyrimidine dehydrogenase, Genotypes, Pharmacogenetics, Toxicity
الوصف: 5-Fluorouracil (5-FU) and oral fluoropyrimidines, such as capecitabine, are widely used in the treatment of cancer, especially gastrointestinal tumors and breast cancer, but their administration can produce serious and even lethal toxicity. This toxicity is often related to the partial or complete deficiency of the dihydropyrimidine dehydrogenase (DPD) enzyme, which causes a reduction in clearance and a longer half-life of 5-FU. It is advisable to determine if a DPD deficiency exists before administering these drugs by genotyping DPYD gene polymorphisms. The objective of this consensus of experts, in which representatives from the Spanish Pharmacogenetics and Pharmacogenomics Society and the Spanish Society of Medical Oncology participated, is to establish clear recommendations for the implementation of genotype and/or phenotype testing for DPD deficiency in patients who are candidates to receive fluoropyrimidines. The genotyping of DPYD previous to treatment classifies individuals as normal, intermediate, or poor metabolizers. Normal metabolizers do not require changes in the initial dose, intermediate metabolizers should start treatment with fluoropyrimidines at doses reduced to 50%, and poor metabolizers are contraindicated for fluoropyrimidines.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 16993055
العلاقة: Clinical & Translational Oncology; Vol. 24 (november 2021), p. 483-494; https://ddd.uab.cat/record/258969Test; urn:10.1007/s12094-021-02708-4; urn:oai:ddd.uab.cat:258969; urn:pmcid:PMC8885558; urn:pmc-uid:8885558; urn:pmid:34773566; urn:oai:pubmedcentral.nih.gov:8885558; urn:articleid:16993055v24p483
الإتاحة: https://ddd.uab.cat/record/258969Test
حقوق: open access ; Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. ; https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.EDB75ACB
قاعدة البيانات: BASE