Pharmacogenetic aspects of the treatment of Type 2 diabetes with the incretin effect enhancers

Incretin effect enhancers are drugs used in the treatment of Type 2 diabetes and include GLP-1 receptor agonists and dipeptidyl peptidase-4 inhibitors (gliptins). Variants in several genes were shown to be involved in the physiology of incretin secretion. Only two gene variants have evidence also fr...

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Veröffentlicht in:Pharmacogenomics 2016-05, Vol.17 (7), p.795-804
Hauptverfasser: Tká, Ivan, Gotthardová, Ivana
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description Incretin effect enhancers are drugs used in the treatment of Type 2 diabetes and include GLP-1 receptor agonists and dipeptidyl peptidase-4 inhibitors (gliptins). Variants in several genes were shown to be involved in the physiology of incretin secretion. Only two gene variants have evidence also from pharmacogenetic studies. rs7903146 C>T and rs7202877 T>G minor allele carriers were both associated with a smaller reduction in HbA1c after gliptin treatment when compared with major allele carriers. After replication in further studies, these observations could be of clinical significance in helping to identify patients with potentially lower or higher response to gliptin treatment.
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subjects Alleles
Chymotrypsin - genetics
Chymotrypsin - metabolism
Defects
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - genetics
Diabetes Mellitus, Type 2 - metabolism
Dipeptidyl-peptidase IV
Dipeptidyl-Peptidase IV Inhibitors - pharmacokinetics
Dipeptidyl-Peptidase IV Inhibitors - therapeutic use
Enhancers
Gene expression
Genotype & phenotype
gliptins
GLP-1 receptor agonists
Glucagon-Like Peptide-1 Receptor - agonists
Glucose
Humans
Hypoglycemic Agents - pharmacokinetics
Hypoglycemic Agents - therapeutic use
incretin effect
Incretins - agonists
Insulin resistance
KCNQ1 Potassium Channel - genetics
KCNQ1 Potassium Channel - metabolism
Metabolism
Peptidase
Pharmacogenomic Testing
Pharmacogenomic Variants
Polymorphism, Single Nucleotide
Potassium
Proteins
Studies
Transcription Factor 7-Like 2 Protein - genetics
Transcription Factor 7-Like 2 Protein - metabolism
Type 2 diabetes mellitus
title Pharmacogenetic aspects of the treatment of Type 2 diabetes with the incretin effect enhancers
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