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将解剖生理变化和药物基因组学整合到抗感染治疗管理中:这是一个主要关注点吗?

Integrating anatomo-physiological changes and pharmacogenomics in anti-infective therapy management: is it a major concern?

机构信息

Pôle Pharmacie, Centre Hospitalier Universitaire Grenoble Alpes, F-38000, Grenoble, France.

Université Grenoble Alpes, F-38000, Grenoble, France.

出版信息

Br J Clin Pharmacol. 2019 Jan;85(1):263-265. doi: 10.1111/bcp.13785. Epub 2018 Nov 16.

DOI:10.1111/bcp.13785
PMID:30447013
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6303195/
Abstract

Success of anti-infective therapy is a major challenge in some patients given anatomo-physiological changes and genetic variations. In this case anecdote, we report the management strategy of a patient suffering from chronic pulmonary aspergillosis in a context of anorexia nervosa and genetic polymorphism.

摘要

在一些患者中,由于解剖生理变化和遗传变异,抗感染治疗的成功是一个主要挑战。在这个病例中,我们报告了一名患有慢性肺曲霉病的患者在神经性厌食症和遗传多态性背景下的治疗策略。

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Integrating anatomo-physiological changes and pharmacogenomics in anti-infective therapy management: is it a major concern?将解剖生理变化和药物基因组学整合到抗感染治疗管理中:这是一个主要关注点吗?
Br J Clin Pharmacol. 2019 Jan;85(1):263-265. doi: 10.1111/bcp.13785. Epub 2018 Nov 16.
2
Invasive Aspergillus infection requiring lobectomy in a CYP2C19 rapid metabolizer with subtherapeutic voriconazole concentrations.在一名CYP2C19快速代谢型患者中,侵袭性曲霉感染需要进行肺叶切除术,其伏立康唑浓度低于治疗水平。
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本文引用的文献

1
Response to "Impact of CYP3A4 Genotype on Voriconazole Exposure: New Insights Into the Contribution of CYP3A4*22 to Metabolism of Voriconazole".对《CYP3A4基因分型对伏立康唑暴露的影响:CYP3A4*22对伏立康唑代谢贡献的新见解》的回应
Clin Pharmacol Ther. 2018 Feb;103(2):187. doi: 10.1002/cpt.811. Epub 2017 Nov 16.
2
Pharmacogenetics may influence the impact of inflammation on voriconazole trough concentrations.药物遗传学可能会影响炎症对伏立康唑谷浓度的影响。
Pharmacogenomics. 2017 Aug;18(12):1119-1123. doi: 10.2217/pgs-2017-0054. Epub 2017 Jul 26.
3
Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP2C19 and Voriconazole Therapy.临床药物遗传学实施联盟(CPIC) CYP2C19 和伏立康唑治疗指南。
Clin Pharmacol Ther. 2017 Jul;102(1):45-51. doi: 10.1002/cpt.583. Epub 2017 Apr 18.
4
Therapeutic Drug Monitoring and Genotypic Screening in the Clinical Use of Voriconazole.伏立康唑临床应用中的治疗药物监测与基因分型筛查
Curr Fungal Infect Rep. 2015 Jun;9(2):74-87. doi: 10.1007/s12281-015-0219-0. Epub 2015 Apr 16.
5
Interethnic variation of CYP2C19 alleles, 'predicted' phenotypes and 'measured' metabolic phenotypes across world populations.全球人群中CYP2C19等位基因、“预测”表型及“测量”代谢表型的种族间差异。
Pharmacogenomics J. 2016 Apr;16(2):113-23. doi: 10.1038/tpj.2015.70. Epub 2015 Oct 27.
6
Diamine oxidase activity levels in anorexia nervosa.厌食症中血清二胺氧化酶活性水平。
Int J Eat Disord. 2014 Mar;47(2):203-5. doi: 10.1002/eat.22202. Epub 2013 Oct 30.
7
Impact of genetic polymorphism on drug-drug interactions mediated by cytochromes: a general approach.遗传多态性对细胞色素介导的药物-药物相互作用的影响:一种通用方法。
AAPS J. 2013 Oct;15(4):1242-52. doi: 10.1208/s12248-013-9530-2. Epub 2013 Sep 12.
8
Simultaneous quantitation of azole antifungals, antibiotics, imatinib, and raltegravir in human plasma by two-dimensional high-performance liquid chromatography-tandem mass spectrometry.二维高效液相色谱-串联质谱法同时定量检测人血浆中的唑类抗真菌药、抗生素、伊马替尼和雷特格韦。
J Chromatogr B Analyt Technol Biomed Life Sci. 2013 Mar 1;919-920:1-9. doi: 10.1016/j.jchromb.2012.12.028. Epub 2013 Jan 9.
9
Software for dosage individualization of voriconazole for immunocompromised patients.用于免疫功能低下患者伏立康唑剂量个体化的软件。
Antimicrob Agents Chemother. 2013 Apr;57(4):1888-94. doi: 10.1128/AAC.02025-12. Epub 2013 Feb 4.
10
In vivo quantitative prediction of the effect of gene polymorphisms and drug interactions on drug exposure for CYP2C19 substrates.体内定量预测基因多态性和药物相互作用对 CYP2C19 底物药物暴露的影响。
AAPS J. 2013 Apr;15(2):415-26. doi: 10.1208/s12248-012-9431-9. Epub 2013 Jan 15.