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Chinese Journal of Kidney Disease Investigation(Electronic Edition) ›› 2018, Vol. 07 ›› Issue (06): 280-284. doi: 10.3877/cma.j.issn.2095-3216.2018.06.009

Special Issue:

• Review • Previous Articles     Next Articles

Research progress in pharmacogenomics of immunosuppressants

Jiao Fan1, Meng Hu2, Xiangling Chen2, Jun Wan3, Minghua Zhang2,()   

  1. 1. Institute of Geriatrics; PLA General Hospital, Beijing 100853, China
    2. Clinical Pharmacy Laboratory; PLA General Hospital, Beijing 100853, China
    3. Department of South Building Gastroenterology; PLA General Hospital, Beijing 100853, China
  • Received:2018-04-19 Online:2018-12-28 Published:2018-12-28
  • Contact: Minghua Zhang
  • About author:
    Corresponding author: Zhang Minghua, Email:

Abstract:

The individual differences in the patients′ response to the drug are generally caused by polymorphisms in the metabolic enzymes, transporters, and target-encoding genes of the drug in the body. The therapeutic window of immunosuppressive agents is narrow, and the adverse reactions and poor efficacy caused by individual differences in patients may cause serious consequences. In recent years, people have high expectations for individualized treatment using pharmacogenomics. Numerous studies have revealed a link between multiple gene polymorphisms and pharmacokinetics and pharmacodynamics (PK/PD) of immunosuppressive agents. This review focused on the PK/PD of immunosuppressants in some selected studies with clinical significance to briefly review the progress of pharmacogenomics related to the process of metabolism, transport, and activation of immunosuppressants.

Key words: Pharmacokinetics, Immunosuppressants, Tacrolimus, Azathioprine

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