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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2014, Vol. 19 ›› Issue (9): 1042-1049.

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Tacrolimus pathways:pharmacokinetics,pharmacodynamics and pharmacogenomics

ZHANG Yue-li1, MING Ying-zi2, ZHOU Hong-hao1, ZHANG Wei1   

  1. 1 Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Institute of Clinical Pharmacology,Hunan Key Laboratory of Pharmacogenetics,Central South University,Changsha 410078,Hunan,China;
    2 Institute of the third Xiangya Hospital, Central South University, Organ transplant center, Changsha 410078,Hunan,China
  • Received:2013-10-16 Revised:2014-07-23 Online:2014-09-26 Published:2014-09-26

Abstract: The calcineurin inhibitors tacrolimus is immunosuppressant drug used for the prevention of organ rejection following transplantation. Pharmacogenomics research studying the effects of genetic polymorphisms on drug absorption, metabolism, disposition and response may eventually provide information that can be used in the clinical setting for individualizing immunosuppressant therapy. Understanding the influence of genetic factors on the pharmacokinetics and pharmacodynamics of calcineurin inhibitors could allow identification of the optimal immunosuppressant drug combination for a particular individual, assist in early prediction of the optimal starting dose and maintenance regimen, and help identify patients with an increased risk of drug inefficacy or side effects.

Key words: tacrolimus, pharmacokinetics, pharmacodynamics, single nucleotide polymorphisms, pharmacogenomics

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