摘要
质子泵抑制剂(PPI)是目前临床上治疗酸相关性疾病的首选药物。但其疗效存在个体差异,且其对老年人和肝肾功能不全患者的安全性也倍受关注。这些问题都与患者CYP2C19基因多态性有密切关系。本文对CYP2C19基因多态性及其对PPI的药动学、药效学和临床疗效的影响作一综述,并对临床合理应用PPI作进一步探讨。
Proton pump inhibitors (PPI) are the drugs of first choice for the treatment of acid-related diseases. But there are individual differences in the efficacy, and their safety in older people and patients with liver and kidney dysfunction also have been widely noticed. These issues are closely related to the CYP2C19 genetic polymorphism. The paper reviewed the genetic polymorphism of CYP2C19 and its effect on the pharmacokinetics, pharmacodynamics and clinical efficacy of PPI, and the clinical application of PPI was further studied.
出处
《中国新药与临床杂志》
CAS
CSCD
北大核心
2013年第10期775-779,共5页
Chinese Journal of New Drugs and Clinical Remedies