Drug transporter and metabolizing enzyme gene variants and nonnucleoside reverse-transcriptase inhibitor hepatotoxicity.
@article{Ritchie2006DrugTA,
title={Drug transporter and metabolizing enzyme gene variants and nonnucleoside reverse-transcriptase inhibitor hepatotoxicity.},
author={Marylyn DeRiggi Ritchie and David W. Haas and Alison A. Motsinger and John P. Donahue and Huso Erdem and Stephen P. Raffanti and Peter F. Rebeiro and Alfred L. George and Richard B. Kim and Jonathan L. Haines and Timothy R Sterling},
journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
year={2006},
volume={43 6},
pages={
779-82
}
}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).
Figures and Topics from this paper
101 Citations
Pharmacogenetics of nevirapine-associated hepatotoxicity: an Adult AIDS Clinical Trials Group collaboration.
- Medicine, PsychologyClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2006
This work explored associations between MDR1, CYP2B6, and CYP3A polymorphisms and nevirapine hepatotoxicity and found that among participants in a randomized study in South Africa (FTC-302), MDR 1 3435C-->T was significantly associated with decreased risk of hepatot toxicity.
Effect of Host Genetic Variation on the Pharmacokinetics and Clinical Response of Non-nucleoside Reverse Transcriptase Inhibitors.
- Biology, MedicineFuture HIV therapy
- 2008
CYP2B6 genetic variants are important determinants of efavirenz and nevirapine pharmacokinetics and further studies are needed to identify the associations of CYP2B 6 genetic variants with the development of NNRTI resistant viruses.
Effect of host genetic variation on the pharmacokinetics and clinical response of NNRTIs
- Medicine
- 2007
Cytochrome P450 2B6 (CYP2B6) and constitutive androstane receptor (CAR) polymorphisms are associated with early discontinuation of efavirenz-containing regimens.
- Medicine, BiologyThe Journal of antimicrobial chemotherapy
- 2011
Genetic variability in CYP2B6 and CAR contributes to early treatment discontinuation for efavirenz-based antiretroviral regimens, and further studies are required to define the clinical utility of these associations.
PHARMACOGENETIC BASED DRUG-DRUG INTERACTIONS BETWEEN HIGHLY ACTIVE ANTIRETROVIRAL THERAPY (HAART) AND ANTIBLASTIC CHEMOTHERAPY
- Biology, Medicine
- 2014
The purpose of this review is to summarize existing data on the impact of individual pharmacogenetic profile in order to optimize the clinical management of cancer patients with HIV/AIDS and between antiretrovirals and AC.
Impact of CYP2B6 983T>C polymorphism on non-nucleoside reverse transcriptase inhibitor plasma concentrations in HIV-infected patients.
- Medicine, BiologyThe Journal of antimicrobial chemotherapy
- 2008
This is the first report that the 983T>C genotype (part of the CYP2B6*18 haplotype) impacts on nevirapine plasma concentrations and the first study to assess the impact of 983C homozygosity on efavirenz concentrations.
CYP2B6 genetic variants are associated with nevirapine pharmacokinetics and clinical response in HIV-1-infected children
- Medicine, BiologyAIDS
- 2007
The data suggest that the CYP2B6-G516T is an important genetic variant that alters the pharmacokinetics and response to HAART regimens containing NVP.
Cytochrome P450 2B6 516G→T is associated with plasma concentrations of nevirapine at both 200 mg twice daily and 400 mg once daily in an ethnically diverse population
- Biology, MedicineHIV medicine
- 2009
The aim of the study was to characterize the impact of the cytochrome P450 2B6 (CYP2B6), CYP3A4, CYP3A5 and ATP‐binding cassette sub‐family B member 1 (ABCB1) polymorphisms on nevirapine plasma…
HIV Integrase Inhibitor Pharmacogenetics: An Exploratory Study
- MedicineClinical Drug Investigation
- 2019
There is a need for further assessment, within the population living with HIV, of factors contributing to unfavorable subject outcomes, and several associations between variables and SNPs, when using INSTIs are discovered.
The Pharmacogenetics of HIV Treatment: A Practical Clinical Approach
- Biology, Medicine
- 2013
In this review, the most relevant genetic polymorphisms affecting the activity and/or the expression of key drug-metabolizing enzymes and membrane drug transporters are summarized.
References
SHOWING 1-10 OF 15 REFERENCES
Pharmacogenetics of nevirapine-associated hepatotoxicity: an Adult AIDS Clinical Trials Group collaboration.
- Medicine, PsychologyClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2006
This work explored associations between MDR1, CYP2B6, and CYP3A polymorphisms and nevirapine hepatotoxicity and found that among participants in a randomized study in South Africa (FTC-302), MDR 1 3435C-->T was significantly associated with decreased risk of hepatot toxicity.
Polymorphisms in Human MDR1 (P‐glycoprotein): Recent Advances and Clinical Relevance
- Biology, MedicineClinical pharmacology and therapeutics
- 2004
Influence of CYP2B6 polymorphism on plasma and intracellular concentrations and toxicity of efavirenz and nevirapine in HIV-infected patients
- Medicine, BiologyPharmacogenetics and genomics
- 2005
CYP2B6 genotyping may be useful to complement an individualization strategy based on plasma drug determinations to increase the safety and tolerability of EFV.
Response to antiretroviral treatment in HIV-1-infected individuals with allelic variants of the multidrug resistance transporter 1: a pharmacogenetics study
- Biology, MedicineThe Lancet
- 2002
Differential Modulation of P-Glycoprotein Expression and Activity by Non-Nucleoside HIV-1 Reverse Transcriptase Inhibitors in Cell Culture
- Biology, MedicinePharmaceutical Research
- 2004
NRTIs show differential effects on P-gp activity and expression in vitro, and clinical studies are required to elucidate the clinical importance of potential drug interactions.
Pharmacogenetics of long-term responses to antiretroviral regimens containing Efavirenz and/or Nelfinavir: an Adult Aids Clinical Trials Group Study.
- Medicine, BiologyThe Journal of infectious diseases
- 2005
Genetic variants predict plasma exposure to efavirenz and nelfinavir, and they may predict virologic failure and/or emergence of drug-resistant virus.
Severe hepatotoxicity associated with nevirapine use in HIV-infected subjects.
- Biology, MedicineThe Journal of infectious diseases
- 2005
The use of nevirapine in female patients with a low BMI should be discouraged and the occurrence of early hepatotoxicity was 17% in the ne virapine group and 0% inThe efavirenz group and was balanced between the lamivudine and emtricitabine arms.
Intracellular and plasma pharmacokinetics of nevirapine in human immunodeficiency virus‐infected individuals
- Biology, MedicineClinical pharmacology and therapeutics
- 2005
Predisposition to nevirapine hypersensitivity associated with HLA-DRB1*0101 and abrogated by low CD4 T-cell counts
- Medicine, BiologyAIDS
- 2005
It is suggested that HLA-DRB1*0101 and the CD4 status may determine susceptibility to nevirapine hypersensitivity, consistent with a CD4 T-cell-dependent immune response to ne virapine-specific antigens.
A Comprehensive Hepatic Safety Analysis of Nevirapine in Different Populations of HIV Infected Patients*
- MedicineJournal of acquired immune deficiency syndromes
- 2003
Use of nevirapine was not associated with a significantly increased risk of clinical hepatotoxic events, including liver failure or liver related death, compared to therapy with other antiretroviral drugs.
