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Original Article

Impact of ABCB1 C3435T Polymorphism on Treatment Response of Vitamin K Antagonists : A Systematic Review and Meta-analysis

첫 페이지 보기
  • 발행기관
    한국임상약학회 바로가기
  • 간행물
    한국임상약학회지 KCI 등재 바로가기
  • 통권
    제32권 제3호 (2022.09)바로가기
  • 페이지
    pp.238-250
  • 저자
    So Yeon Lee, Sook Hee An
  • 언어
    영어(ENG)
  • URL
    https://www.earticle.net/Article/A418386

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원문정보

초록

영어
Objective: The aim of this study was to examine the impact of ATP-binding cassette subfamily B member 1 (ABCB1) C3435T polymorphism on the treatment response of patients to vitamin K antagonists (VKAs). Methods: In this systematic review and metaanalysis, the PubMed/Medline, Embase, and Cochrane Library databases were searched for eligible articles for the period up to November 2020. Articles that reported treatment response to VKAs according to the ABCB1 C3435T polymorphism were included in this study. Results: A total of 13 and 9 articles were included in the systematic review and meta-analysis, respectively. The weekly maintenance dose of warfarin was significantly lower in patients with the ABCB1 3435CT or TT polymorphism type than in those with the ABCB1 3435CC type (weighted mean difference [WMD], −2.53 mg/week; 95% confidence interval [CI], −3.64 to −1.43, p<0.001). However, the weekly maintenance dose of acenocoumarol was not significantly associated with the ABCB1 C3435T polymorphism (WMD, 1.02; 95% CI, −0.61 to 2.65, p=0.22). Conclusion: The ABCB1 C3435T polymorphism was significantly associated with the weekly maintenance dose of warfarin. Further research is needed to confirm the association between the ABCB1 C3435T polymorphism and the incidence rate of bleeding events.

목차

ABSTRACT
Methods
Literature search
Inclusion and exclusion criteria
Data extraction
Assessment of risk of bias
Data conversion and synthesis
Heterogeneity
Results
Literature search
Characteristics of included articles and patients
Risk of bias analysis
Association between ABCB1 C3435T polymorphism and maintenance dose of VKAs
Association between ABCB1 C3435T polymorphism and treatment response of VKAs
Discussion
Acknowledgments
Conflicts of Interest
References

키워드

ABCB1 warfarin acenocoumarol maintenance dose bleeding risk

저자

  • So Yeon Lee [ College of Pharmacy, Wonkwang University, Iksan 54538, Republic of Korea ]
  • Sook Hee An [ College of Pharmacy, Wonkwang University, Iksan 54538, Republic of Korea ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국임상약학회 [Korean College of Clinical Pharmacy]
  • 설립연도
    1
  • 분야
    의약학>약학
  • 소개
    합리적 약물치료(rational pharmacotherapy)의 보장 및 증진을 궁극목적으로 하며 이를 달성하기 위해 임상약학의 발전과 회원 상호간의 친목을 도모한다.

간행물

  • 간행물명
    한국임상약학회지 [Korean Journal of Clinical Pharmacy]
  • 간기
    계간
  • pISSN
    1226-6051
  • 수록기간
    1991~2026
  • 등재여부
    KCI 등재
  • 십진분류
    KDC 518 DDC 615

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