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2014~2017年连云港地区部分汉族冠心病患者CYP2C19基因多态性分析
Analysis of CYP2C19 Genetic Polymorphism in Some Patients of Han Nationality with Coronary Heart Disease in Lianyungang Region from 2014-2017
  
DOI:
中文关键词:  连云港地区  氯吡格雷  冠心病  CYP2C19  基因多态性
英文关键词:Lianyungang region  Clopidogrel  Coronary heart disease  CYP2C19  Genetic polymorphism
基金项目:
作者单位
孙莹 孙增先 连云港市第一人民医院药学部 江苏连云港 222000 
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中文摘要:
      摘 要 目的:分析连云港地区部分汉族冠心病患者氯吡格雷代谢关键酶CYP2C19基因多态性分布情况,为临床实现抗血小板药物的个体化治疗提供参考依据。方法:选取2014~2017年我院冠心病患者302例,检测CYP2C19基因型,统计代谢表型分布特征,并对比不同地区汉族人群代谢表型分布差异。结果:302例患者CYP2C19*1、*2、*3、*17等位基因频率分别为62.58%,29.30%,5.46%,2.65%,CYP2C19基因型*1/*1、*1/*2、*1/*3、*1/*17、*2/*17、*3/*17、*2/*2、*2/*3频率分别为36.42%,41.06%,7.29%,3.98%,0.99%,0.33%,6.62%,3.31%,CYP2C19代谢表型分别为超快代谢型12例(3.98%)、快代谢型110例(36.42%)、中间代谢型150例(49.67%)及慢代谢型30例(9.93%)。各代谢型与国内其他地区汉族冠心病患者相比差异无统计学意义(P>0.05)。结论:连云港地区汉族冠心病患者基因型以CYP2C19*1/*2为主,代谢表型以中间代谢型为主,代谢表型分布与国内其他地区基本一致。
英文摘要:
      ABSTRACT Objective:To analyze the distribution of genetic polymorphism of CYP2C19 gene in some patients of Han nationality with coronary artery disease in Lianyungang area from 2014 2017, in order to provide reference for the individualized treatment of anti platelet drugs. Methods:The CYP2C19 genotypes of 302 patients with coronary heart disease in 2014 2017 were determined, and the distribution frequencies of metabolic phenotypes were counted and compared between Lianyungang and other regions. Results:The frequencies of CYP2C19*1, *2, *3, *17 alleles were 62.58%, 29.30%, 5.46% and 2.65%, respectively. And the frequencies of CYP2C19*1/*1, *1/*2, *1/*3, *1/*17, *2/*17, *3/*17, *2/*2, *2/*3 genotypes were 36.42%, 41.06%, 7.29%, 3.98%, 0.99%, 0.33%, 6.62% and 3.31%, respectively. The frequencies of different metabolic phenotype in the patients were as follows: Ultra fast metabolizer 12 cases (3.98%), extensive metabolizer 110 cases (36.42%), intermediate metabolizer 150 cases (49.67%) and poor metabolizer 30 cases (9.93%). There were no significant differences in the distribution of metabolic phenotype between Lianyungang area and other regions in China (P>0.05). 〖WTHZ〗Conclusion:〖WTBZ〗The genotype of coronary heart disease in Han population of Lianyungang area was mainly CYP2C19*1/*2 mutant heterozygous type, and the metabolic phenotype was mainly intermediate metabolic type, and there was no regional difference between Lianyungang area and other regions of China.
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