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Impact of CYP3A5 genotype of recipients as well as donors on the tacrolimus pharmacokinetics and infectious complications after living-donor liver transplantation for Japanese adult recipients.
http://hdl.handle.net/10076/12236
http://hdl.handle.net/10076/12236a79d1864-2f48-4453-a3b0-e5ff71e00ac1
| 名前 / ファイル | ライセンス | アクション |
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39A15524.pdf (184.9 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||||
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| 公開日 | 2013-03-27 | |||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||
| タイトル | Impact of CYP3A5 genotype of recipients as well as donors on the tacrolimus pharmacokinetics and infectious complications after living-donor liver transplantation for Japanese adult recipients. | |||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||
| 言語 | ||||||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | CYP3A5 | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | single nucleotide polymorphism | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | tacrolimus | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | pharmacokinetics | |||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||||||
| 主題 | liver transplantation | |||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||
| 著者 |
Muraki, Yuichi
× Muraki, Yuichi
× Usui, Masanobu
× Isaji, Shuji
× Mizuno, Shugo
× Nakatani, Kaname
× Yamada, Tomomi
× Iwamoto, Takuya
× Uemoto, Shinji
× Nobori, Tsutomu
× Okuda, Masahiro
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| 抄録 | ||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||
| 内容記述 | Background: The impact of cytochrome P450 3A5 (CYP3A5) genotype of recipients (intestine) as well as donors (graft liver) on the tacrolimus pharmacokinetics and the incidence of infectious complications was assessed in Japanese living-donor liver transplant (LDLT) adult recipients. Material/Methods: Fifty-six patients were divided into 4 groups based on the CYP3A5 genotype (expression of *1 allele: expressor (EX) and non-expressor (NEX)) in each recipients (R) and donors (D), EX-R/EX-D (n=9), EX-R/NEX-D (n=7), NEX-R/EX-D (n=12) and NEX-R/NEX-D (n=28). Tacrolimus blood concentration and concentration/ dosage ratio (C/D) were evaluated every week until 4 weeks and every month until 12 months after LDLT. The incidences of postoperative infectious complication, acute cellular rejection and tacrolimus adverse effect were compared. Results: The tacrolimus blood concentrations among 4 groups did not significantly differ at each follow-up time period. The C/Ds were significantly lower in EX-R/EX-D (median: 122.3 at 2 weeks) than in NEX-R/NEX-D (389.6 at 2 weeks) until 12 months. The C/Ds in EX-R/NEX-D (163.2 at 2 weeks) have been significantly lower than those in NEX-R/NEX-D until 6 months. Over 6 months, however, those in NEX-R/EX-D showed lower levels (84.1 at 8 months) than those in NEX-R/NEX-D (189.3 at 8 months). Additionally, logistic regression analysis showed that EX-R/EX-D had significantly higher risk for the development of infectious complications than NEX-R/NEX-D (odds ratio 8.67, p=0.03). Conclusions: Preoperative assessment of CYP3A5 genotypes in both recipients and donors would be useful not only for predicting tacrolimus pharmacokinetics but also defining high-risk group of infectious complications after LDLT. |
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| 書誌情報 |
Annals of transplantation : quarterly of the Polish Transplantation Society 巻 16, 号 4, p. 55-62, 発行日 2011-12-30 |
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| 収録物識別子タイプ | PISSN | |||||||||||||||||||||||||
| 収録物識別子 | 1425-9524 | |||||||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||||||
| 内容記述 | application/pdf | |||||||||||||||||||||||||
| 著者版フラグ | ||||||||||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||||||||||
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| 出版者 | International Scientific Literature | |||||||||||||||||||||||||
| 資源タイプ（三重大） | ||||||||||||||||||||||||||
| 値 | Journal Article / 学術雑誌論文 | |||||||||||||||||||||||||
