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[福建汉族人群中参与氯吡格雷代谢的CYP2C19基因多态性的患病率]

[Prevalence of CYP2C19 polymorphisms involved in clopidogrel metabolism in Fujian Han population].

作者信息

Wei Wei, Fang Ling, Wang Ning, Zhang Ting, Zeng Jia-bin, Lin Min-ting

机构信息

Department of Neurology, Fujian Medical University, Fuzhou, Fujian, People's Republic of China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2012 Aug;29(4):420-5. doi: 10.3760/cma.j.issn.1003-9406.2012.04.009.

Abstract

OBJECTIVE

To investigate the frequency of CYP2C19 polymorphisms involved in clopidogrel metabolism in Fujian Han population.

METHODS

Frequencies of CYP2C19* 2, CYP2C193 and CYP2C1917 in 1001 unrelated Fujian Han volunteers were determined with polymerase chain reaction-restriction fragment length polymorphism and direct sequencing method.

RESULTS

The frequencies of CYP2C19*2, *3 and *17 were 32.4%, 5.8% and 0.4%, respectively. According to genotyping results, intermediate metabolizers (CYP2C19 *1/*2 or *1/*3) and poor metabolizers (CYP2C19 *2/*2 and *2/*3) respectively accounted for 47.95% and 13.99% of all subjects. Above frequencies were similar to those of Japan, Korea, Singapore, Malaysia, Thailand and Chinese Dai, Mongolian,Li and Hui ethnics (P>0.05), but were significantly different from those of Chinese Kazakh and Uygur ethnics, and people from Iran, Russia, Italy, Poland, Norway, Canada native Indians, Bolivia, Egypt or Tanzania (P<0.05).

CONCLUSION

Ethnic/regional diversity exist with regard to the prevalence of CYP2C19 polymorphisms. No significant difference were found between Fujian Han Chinese and Dai, Mongolian, Li and Hui from China or other populations from East and Southeast Asia, but higher frequencies of intermediate metabolizers and poor metabolizers compared with populations of Kazakh and Uygur in China, and people from Europe, South America and Africa.

摘要

目的

研究福建汉族人群中参与氯吡格雷代谢的CYP2C19基因多态性的频率。

方法

采用聚合酶链反应-限制性片段长度多态性和直接测序法,测定1001名无亲缘关系的福建汉族志愿者中CYP2C192、CYP2C193和CYP2C19*17的频率。

结果

CYP2C19*2、3和17的频率分别为32.4%、5.8%和0.4%。根据基因分型结果,中间代谢型(CYP2C19 *1/2或1/*3)和慢代谢型(CYP2C19 *2/2和2/*3)分别占所有受试者的47.95%和13.99%。上述频率与日本、韩国、新加坡、马来西亚、泰国以及中国傣族、蒙古族、黎族和回族相似(P>0.05),但与中国哈萨克族和维吾尔族以及来自伊朗、俄罗斯、意大利、波兰、挪威、加拿大原住民、玻利维亚、埃及或坦桑尼亚的人群有显著差异(P<0.05)。

结论

CYP2C19基因多态性的患病率存在种族/地区差异。福建汉族与中国的傣族、蒙古族、黎族和回族或东亚及东南亚其他人群之间未发现显著差异,但与中国哈萨克族和维吾尔族人群以及欧洲、南美和非洲人群相比,中间代谢型和慢代谢型的频率更高。

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