An overview of the recent progress in irinotecan pharmacogenetics

被引：15

作者：

Fujiwara, Yutaka ^{[1
]}

Minami, Hironobu

机构：

[1] Kobe Univ Hosp, Dept Med, Chuo Ku, Kobe, Hyogo 6500017, Japan

来源：

PHARMACOGENOMICS | 2010年 / 11卷 / 03期

关键词：

ABCB1; ABCC1; ABCC2; CES; CYP3A4; ethnicity; irinotecan; pharmacogenomics; polymorphism; SNP; transporter; UGT; CELL LUNG-CANCER; METASTATIC COLORECTAL-CANCER; BILIRUBIN UDP-GLUCURONOSYLTRANSFERASE; CAMPTOTHECIN DERIVATIVE IRINOTECAN; SINGLE NUCLEOTIDE POLYMORPHISMS; ORGANIC ANION TRANSPORTER; ACTIVE METABOLITE; GILBERTS-SYNDROME; UGT1A1; GENE; HUMAN LIVER;

D O I：

10.2217/PGS.10.19

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Recent developments in a number of molecular profiling technologies, including genomic/genetic testing, proteomic profiling and metabolomic analysis have allowed the development of 'personalized medicine'. Irinotecan is one of the models for personalized medicine based on pharmacogenetics, and a number of clinical studies have revealed significant associations between UGT1A1*28 and irinotecan toxicity. Based on this cumulative evidence, the US FDA and pharmaceutical companies revised the irinotecan label in June 2005. However, a recommended strategy for irinotecan-dose adjustments based on individual genetic factors has not yet been fully established. This article provides an overview of recent progress in irinotecan pharmacogenetics and discusses the clinical significance of the UGT1A1 genotype/haplotype with regard to severe irinotecan toxicity.

引用

页码：391 / 406

页数：16

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