Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a significant problem in modern rheumatology, with many patients failing to achieve remission despite the availability of new treatments. A key approach to addressing this problem is pharmacogenetics, which tailors treatments based on genetic characteristics. This study...

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Main Authors: Norbutoev Olimjon, Akhmedov Khalmurad, Abdurakhmanova Nargiza, Turaev Ikhtiyor
Format: Article
Language:English
Published: EDP Sciences 2025-01-01
Series:BIO Web of Conferences
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Online Access:https://www.bio-conferences.org/articles/bioconf/pdf/2025/02/bioconf_mblc2024_04030.pdf
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author Norbutoev Olimjon
Akhmedov Khalmurad
Abdurakhmanova Nargiza
Turaev Ikhtiyor
author_facet Norbutoev Olimjon
Akhmedov Khalmurad
Abdurakhmanova Nargiza
Turaev Ikhtiyor
author_sort Norbutoev Olimjon
collection DOAJ
description Rheumatoid arthritis (RA) is a significant problem in modern rheumatology, with many patients failing to achieve remission despite the availability of new treatments. A key approach to addressing this problem is pharmacogenetics, which tailors treatments based on genetic characteristics. This study focuses on genotyping of MDR1 gene polymorphisms, specifically the C1236T, G2677T, and C3435T isoforms, in patients with RA. The results showed a significant correlation between the C3435T polymorphism and the duration of remission as well as disease activity. Carriers of the TT genotype experienced longer remissions, while patients with the CC genotype exhibited resistance to methotrexate. Based on the genotyping results, individualized treatment regimens were developed, with a focus on methotrexate monotherapy for patients with the TT genotype and alternative treatments for CC carriers. These results highlight the potential of pharmacogenetics to optimize RA treatment and reduce disease activity, leading to better patient outcomes. Further research is recommended to improve personalized RA therapy.
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institution Kabale University
issn 2117-4458
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spelling doaj-art-0301b5454d4a4d60baa951c40d477ce92025-02-05T10:42:42ZengEDP SciencesBIO Web of Conferences2117-44582025-01-011510403010.1051/bioconf/202515104030bioconf_mblc2024_04030Treatment and Genotypic Characteristics of Patients with Rheumatoid ArthritisNorbutoev Olimjon0Akhmedov Khalmurad1Abdurakhmanova Nargiza2Turaev Ikhtiyor3Tashkent Medical AcademyTashkent Medical AcademyTashkent Medical AcademyTashkent Medical AcademyRheumatoid arthritis (RA) is a significant problem in modern rheumatology, with many patients failing to achieve remission despite the availability of new treatments. A key approach to addressing this problem is pharmacogenetics, which tailors treatments based on genetic characteristics. This study focuses on genotyping of MDR1 gene polymorphisms, specifically the C1236T, G2677T, and C3435T isoforms, in patients with RA. The results showed a significant correlation between the C3435T polymorphism and the duration of remission as well as disease activity. Carriers of the TT genotype experienced longer remissions, while patients with the CC genotype exhibited resistance to methotrexate. Based on the genotyping results, individualized treatment regimens were developed, with a focus on methotrexate monotherapy for patients with the TT genotype and alternative treatments for CC carriers. These results highlight the potential of pharmacogenetics to optimize RA treatment and reduce disease activity, leading to better patient outcomes. Further research is recommended to improve personalized RA therapy.https://www.bio-conferences.org/articles/bioconf/pdf/2025/02/bioconf_mblc2024_04030.pdfrheumatoid arthritisisoformhomozygousgenemutationpharmacogeneticsmdr1 polymorphismgenotypingpersonalized medicine
spellingShingle Norbutoev Olimjon
Akhmedov Khalmurad
Abdurakhmanova Nargiza
Turaev Ikhtiyor
Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
BIO Web of Conferences
rheumatoid arthritis
isoform
homozygous
gene
mutation
pharmacogenetics
mdr1 polymorphism
genotyping
personalized medicine
title Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
title_full Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
title_fullStr Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
title_full_unstemmed Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
title_short Treatment and Genotypic Characteristics of Patients with Rheumatoid Arthritis
title_sort treatment and genotypic characteristics of patients with rheumatoid arthritis
topic rheumatoid arthritis
isoform
homozygous
gene
mutation
pharmacogenetics
mdr1 polymorphism
genotyping
personalized medicine
url https://www.bio-conferences.org/articles/bioconf/pdf/2025/02/bioconf_mblc2024_04030.pdf
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AT turaevikhtiyor treatmentandgenotypiccharacteristicsofpatientswithrheumatoidarthritis