Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2021-11-25 |
タイトル |
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言語 |
en |
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タイトル |
Prediction of Tacrolimus Exposure by CYP3A5 Genotype and Exposure of Co-Administered Everolimus in Japanese Renal Transplant Recipients |
言語 |
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言語 |
eng |
キーワード |
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主題Scheme |
Other |
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主題 |
tacrolimus |
キーワード |
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主題Scheme |
Other |
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主題 |
everolimus |
キーワード |
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主題Scheme |
Other |
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主題 |
CYP3A5 polymorphism |
キーワード |
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主題Scheme |
Other |
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主題 |
renal transplantation |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
著者 |
Kagaya, Hideaki
Niioka, Takenori
Saito, Mitsuru
Inoue, Takamitsu
Numakura, Kazuyuki
Yamamoto, Ryohei
Akamine, Yumiko
HABUCHI, Tomonori
SATOH, Shigeru
Miura, Masatomo
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内容記述(抄録) |
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内容記述タイプ |
Other |
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内容記述 |
While tacrolimus and everolimus have common metabolic pathways through CYP3A4/5, tacrolimus is metabolized solely by CYP3A4 in recipients with the CYP3A5*3/*3. The purpose of this study was to evaluate how the area under the blood concentration-time curves (AUC) of tacrolimus could be predicted based on CYP3A5 genotype and the AUC of everolimus in renal transplant patients taking both drugs. The dose-adjusted AUC (AUC/D) of tacrolimus and everolimus were calculated at one month and one year after transplantation. Significant correlations between the AUC/D of tacrolimus and everolimus were found for patients with the CYP3A5*1 allele or CYP3A5*3/*3 at both one month and one year. At both stages, the determination coefficients were higher and the slopes of regression equations were larger for patients with CYP3A5*3/*3 compared to the CYP3A5*1 allele. A good correlation between single doses of tacrolimus and everolimus was found for CYP3A5*3/*3 patients at 1 year after transplantation (r = 0.794, p < 0.001). The variability of the AUC0–24/D of tacrolimus for each CYP3A5 genotype could be predicted based on the AUC0–12/D of everolimus. Clinicians may be able to comprehensively carry out the dose adjustments of tacrolimus and everolimus based on relationship with AUCs of both drugs in each CYP3A5 genotype. |
著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
10.3390/ijms19030882 |
書誌情報 |
International Journal of Molecular Sciences
巻 19,
号 3,
p. 882,
発行日 2018
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ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1422-0067 |
出版者 |
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出版者 |
MDPI |
関連リンク |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.3390/ijms19030882 |
著作権等 |
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権利情報 |
© 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |