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中国临床药理学与治疗学 ›› 2021, Vol. 26 ›› Issue (10): 1200-1207.doi: 10.12092/j.issn.1009-2501.2021.10.014

• 综述与讲座 • 上一篇    下一篇

新型口服抗凝药的药物基因组学研究进展

梅笛1,2沈纪中2,刘春妍1,2,陆程灿1,2,徐伟3,彭宇竹4   

  1. 1中国药科大学南京鼓楼医院,南京 210009,江苏;
    2南京大学医学院附属鼓楼医院药学部,南京 210008,江苏;
    3南京大学附属医院附属鼓楼医院心血管内科,南京 210008,江苏;
    4南京市卫生健康委员会,南京 210019,江苏
  • 收稿日期:2021-05-13 修回日期:2021-09-10 出版日期:2021-10-26 发布日期:2021-11-02
  • 通讯作者: 彭宇竹 E-mail:pyz1131@163.com
  • 作者简介:梅笛,女,硕士研究生在读,研究方向:药物基因组学。E-mail: 13337709785@163.com
  • 基金资助:
    基于多组学与人工智能技术开展新型口服抗凝药治疗非瓣膜性房颤的精准用药研究

Research Progress of Pharmacogenomics of Dabigatran Etexilate and Rivaroxaban

  • Received:2021-05-13 Revised:2021-09-10 Online:2021-10-26 Published:2021-11-02

摘要: 新型口服抗凝药(NOAC)达比加群酯、利伐沙班、阿哌沙班和依度沙班因其疗效确切,安全性较优,被广泛应用于临床抗凝。NOAC的药代动力学参数和药物反应存在较大的个体间差异,可能与参与体内过程的转运体和代谢酶的基因多态性有关。本文综述基因多态性对NOAC的药代学和不良反应的影响,为今后的研究提供方向。

关键词: 新型口服抗凝药, 药代动力学, 药物基因组学, 基因多态性

Abstract: Dabigatran etexilate and rivaroxaban, as two representative new oral anticoagulants, have been widely used in clinical anticoagulation due to their fixed dosage and superior safety. However,for special populations, precise medication based on pharmacogenomics is still necessary.Most of the existing research data confirm that multiple drug gene polymorphisms are closely related to the patient's blood drug concentration and/or stroke events, but some studies have reached conflicting conclusions. Therefore, this article intends to take the genetic polymorphism as the starting point to review the research progress related to the pharmacogenomics of Dabigatran Etexilate and Rivaroxaban, in order to expand the individual differences in people’s response to Dabigatran Etexilate and Rivaroxaban.

Key words: pharmacogenomics, Dabigatran Etexilate, Rivaroxaban, gene polymorphism

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