Drug Transporter and Metabolizing Enzyme Gene Variants and Nonnucleoside Reverse-Transcriptase Inhibitor Hepatotoxicity

This nested case-control study examined relationships between MDR1, CYP2B6, and CYP3A4 variants and hepatotoxicity during antiretroviral therapy with either efavirenz- or nevirapine-containing regimens. Decreased risk of hepatotoxicity was associated with MDR1 3435C→;T (odds ratio, 0.254; P = .021)....

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Veröffentlicht in:Clinical infectious diseases 2006-09, Vol.43 (6), p.779-782
Hauptverfasser: Ritchie, Marylyn D., Haas, David W., Motsinger, Alison A., Donahue, John P., Erdem, Huso, Raffanti, Stephen, Rebeiro, Peter, George, Alfred L., Kim, Richard B., Haines, Jonathan L., Sterling, Timothy R.
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container_issue 6
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container_title Clinical infectious diseases
container_volume 43
creator Ritchie, Marylyn D.
Haas, David W.
Motsinger, Alison A.
Donahue, John P.
Erdem, Huso
Raffanti, Stephen
Rebeiro, Peter
George, Alfred L.
Kim, Richard B.
Haines, Jonathan L.
Sterling, Timothy R.
description This nested case-control study examined relationships between MDR1, CYP2B6, and CYP3A4 variants and hepatotoxicity during antiretroviral therapy with either efavirenz- or nevirapine-containing regimens. Decreased risk of hepatotoxicity was associated with MDR1 3435C→;T (odds ratio, 0.254; P = .021). An interaction between MDR1 and hepatitis B surface antigen status predicted risk with 82% accuracy (P < .001).
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subjects Adult
Anti-HIV Agents - adverse effects
Anti-HIV Agents - metabolism
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Antiretrovirals
Aryl Hydrocarbon Hydroxylases - genetics
Benzoxazines
Biological and medical sciences
Biological variation
Case-Control Studies
Chemical and Drug Induced Liver Injury
Cytochrome P-450 CYP2B6
Cytochrome P-450 CYP3A
Cytochrome P-450 Enzyme System - genetics
Dimensionality reduction
Drug therapy
Drug toxicity and drugs side effects treatment
Exanthema
Female
Fever
Genes
Genes, MDR
Genetic Variation
Genotype
Hepatitis
Hepatitis antigens
Hepatotoxicity
HIV Infections - drug therapy
HIV-1
HIV/AIDS
Human genetics
Humans
Infectious diseases
Liver - drug effects
Liver Diseases - genetics
Liver Diseases - virology
Male
Medical genetics
Medical sciences
Nevirapine - adverse effects
Nevirapine - metabolism
Nevirapine - therapeutic use
Oxazines - adverse effects
Oxazines - metabolism
Oxazines - therapeutic use
Oxidoreductases, N-Demethylating - genetics
Pharmacology. Drug treatments
Reverse transcriptase inhibitors
Reverse Transcriptase Inhibitors - adverse effects
Reverse Transcriptase Inhibitors - metabolism
Reverse Transcriptase Inhibitors - therapeutic use
Toxicity
Toxicity: digestive system
title Drug Transporter and Metabolizing Enzyme Gene Variants and Nonnucleoside Reverse-Transcriptase Inhibitor Hepatotoxicity
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