Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem

The aim of the study was to investigate effects of glycoprotein P-coding gene MDR1 polymorphic marker C3435T on digitalis intoxication symptoms and plasma digoxin concentration increase in patient with persistent atrial fibrillation (AF). In 103 AF patients, genotyping by gene MDR1 polymorphic marke...

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Main Authors: D. A. Sychev, I. V. Ignatiev, D. A. Andreev, L. G. Poshukaeva, P. V. Kolkhir, E. E. Zhukova, V. G. Kukes
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2006-08-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/1937
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author D. A. Sychev
I. V. Ignatiev
D. A. Andreev
L. G. Poshukaeva
P. V. Kolkhir
E. E. Zhukova
V. G. Kukes
author_facet D. A. Sychev
I. V. Ignatiev
D. A. Andreev
L. G. Poshukaeva
P. V. Kolkhir
E. E. Zhukova
V. G. Kukes
author_sort D. A. Sychev
collection DOAJ
description The aim of the study was to investigate effects of glycoprotein P-coding gene MDR1 polymorphic marker C3435T on digitalis intoxication symptoms and plasma digoxin concentration increase in patient with persistent atrial fibrillation (AF). In 103 AF patients, genotyping by gene MDR1 polymorphic marker С3435T was performed in polymerase chain reaction (PCR). Balance plasma digoxin concentration was measured by polarizing fluoro-immune assay in 29 participants. Results: Plasma digoxin concentration was higher in TTgenotype patients, comparing to CC and CT genotype individuals (l,77 ± 0,17vs 1,17 ± 0,21, p = 0,02; 1,77 ± 0,17 vs 1,37 ± 0,30, p = 0,037, respectively). Glycoside intoxication syndromes were more prevalent in TTgenotype than in CC and CT genotypes (57 % vs 13 %, p = 0,0001, OR = 6,4, CI 1, 9-21,9). Therefore, TT genotype of glycoprotein P-coding gene MDR1 polymorphic marker C3435T, was associated more frequent symptoms of glycoside intoxication and higher plasma digoxin levels.
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language Russian
publishDate 2006-08-01
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spelling doaj-art-2bcc1a4cc56845f99006d029c2320e2d2025-08-20T03:43:44Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202006-08-010464681695Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problemD. A. Sychev0I. V. Ignatiev1D. A. Andreev2L. G. Poshukaeva3P. V. Kolkhir4E. E. Zhukova5V. G. Kukes6Филиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораФилиал «Клиническая фармакология» НЦ Биомедицинских технологий РАМН; Институт клинической фармакологии НЦ ЭСМП РосздравнадзораThe aim of the study was to investigate effects of glycoprotein P-coding gene MDR1 polymorphic marker C3435T on digitalis intoxication symptoms and plasma digoxin concentration increase in patient with persistent atrial fibrillation (AF). In 103 AF patients, genotyping by gene MDR1 polymorphic marker С3435T was performed in polymerase chain reaction (PCR). Balance plasma digoxin concentration was measured by polarizing fluoro-immune assay in 29 participants. Results: Plasma digoxin concentration was higher in TTgenotype patients, comparing to CC and CT genotype individuals (l,77 ± 0,17vs 1,17 ± 0,21, p = 0,02; 1,77 ± 0,17 vs 1,37 ± 0,30, p = 0,037, respectively). Glycoside intoxication syndromes were more prevalent in TTgenotype than in CC and CT genotypes (57 % vs 13 %, p = 0,0001, OR = 6,4, CI 1, 9-21,9). Therefore, TT genotype of glycoprotein P-coding gene MDR1 polymorphic marker C3435T, was associated more frequent symptoms of glycoside intoxication and higher plasma digoxin levels.https://russjcardiol.elpub.ru/jour/article/view/1937persistent atrial fibrillationdigitalis intoxication symptomsplasma digoxin concentration increaseeffects of glycoprotein pfcoding gene mdr1 polymorphic marker с3435т
spellingShingle D. A. Sychev
I. V. Ignatiev
D. A. Andreev
L. G. Poshukaeva
P. V. Kolkhir
E. E. Zhukova
V. G. Kukes
Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
Российский кардиологический журнал
persistent atrial fibrillation
digitalis intoxication symptoms
plasma digoxin concentration increase
effects of glycoprotein pfcoding gene mdr1 polymorphic marker с3435т
title Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
title_full Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
title_fullStr Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
title_full_unstemmed Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
title_short Glycoprotein P pharmacogenetic assessment role in digoxin pharmacotherapy individualization: a new approach for an old problem
title_sort glycoprotein p pharmacogenetic assessment role in digoxin pharmacotherapy individualization a new approach for an old problem
topic persistent atrial fibrillation
digitalis intoxication symptoms
plasma digoxin concentration increase
effects of glycoprotein pfcoding gene mdr1 polymorphic marker с3435т
url https://russjcardiol.elpub.ru/jour/article/view/1937
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