%0 Journal Article %T 河南汉族CYP2C19基因多态性对氯吡格雷药物代谢动力学的影响<br>Effect of CYP2C19 genetic polymorphism on pharmacokinetics of clopidogrel %A 申明惠 %A 王晓飞 %A 刘敏 %A 杨卫红 %A 黄晨征 %A 张胜军 %A 张莉蓉 %J 郑州大学学报(医学版) %D 2016 %X 目的:探讨CYP2C19基因多态性对氯吡格雷人体药物代谢动力学的影响。方法:43名健康受试者在单次服用75 mg氯吡格雷片后,定时采血,用液质联用技术(LC??MS/MS)分析受试者氯吡格雷血药浓度,采用PCR?蚕拗菩云?段长度多态性分析法检测CYP2C19*2、*3基因突变。结果:CYP2C19*1/*1、CYP2C19*1/*2和CYP2C19*2/*2(*3)3种基因型分别为13、24和6例。药时曲线下面积(AUC)0??24和AUC0?病拊谌?种基因型间比较,差异有统计学意义(P<0.05)。结论:口服氯吡格雷后,CYP2C19不同基因型AUC不同。<br>Aim: To determine the effect of CYP2C19 genetic polymorphism on the pharmacokinetics of clopidogrel in healthy Chinese subjects.Methods: A total of 43 unrelated healthy Han subjects were enrolled, and each of them received a single dose of 75 mg clopidogrel tablet. Multiple blood samples were collected and the plasma concentrations of clopidogrel were determined by a validated liquid chromatography/tandem mass spectrometry. PCR??restriction fragment length polymorphism analysis was performed to detect the CYP2C19*2 and *3 gene mutations.Results: The number of the inviduals carrying CYP2C19*1/*1, CYP2C19*1/*2 and CYP2C19*2/*2 (*3) were 13, 24 and 6, respectively. There were significant differences in the various genotype groups of AUC0??24 and AUC0?病?(P<0.05).Conclusion: CYP2C19 polymorphisms affect the AUC of clopidogrel %K CYP2C19 %K 基因多态性 %K 氯吡格雷 %K 药物代谢动力学 %K 河南省 %K 汉族< %K br> %K CYP2C19 %K gene polymorphisms %K clopidogrel %K pharmacokinetics %K Henan %K Han population %U http://jms.zzu.edu.cn/oa/darticle.aspx?type=view&id=201601024