The effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of glipizide in Chinese subjects.

To study the effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of glipizide. Eighteen healthy male subjects were divided into three groups according to their genotypes: group I, CYP2C9*1/*1 and CYP2C19 extensive metabolizers (EMs); group II, CYP2C9*1/*1...

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Publicado en:European Journal of Clinical Pharmacology Vol. 66; no. 2; pp. 145 - 152
Autores principales: Tan B, Zhang Y, Chen X, Zhao X, Li G, Zhong D
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2010
      vid: 66
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      pub: Springer Nature
      place: New York, New York
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        105292080
        2010536082
        10.1007/s00228-009-0736-2
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        atl: The effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of glipizide in Chinese subjects.
      aug:
        au:
          Tan B
          Zhang Y
          Chen X
          Zhao X
          Li G
          Zhong D
        affil: Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203 China
      sug:
        subj:
          Genes Physiology
          Glipizide Pharmacodynamics
          Polymorphism, Genetic
          Analysis of Variance
          China
          Chromatography Methods
          Data Analysis Software
          Funding Source
          Glipizide Blood
          Glipizide Pharmacokinetics
          Glipizide Therapeutic Use
          Human
          Patient Care Methods
          Pharmacy and Pharmacology
      ab: To study the effects of CYP2C9 and CYP2C19 genetic polymorphisms on the pharmacokinetics and pharmacodynamics of glipizide. Eighteen healthy male subjects were divided into three groups according to their genotypes: group I, CYP2C9*1/*1 and CYP2C19 extensive metabolizers (EMs); group II, CYP2C9*1/*1 and CYP2C19 poor metabolizers (PMs); and group III, CYP2C9*1/*3 and CYP2C19 EMs. After a single dose of a 5-mg glipizide tablet, plasma concentrations of glipizide for a 36-h period were determined. Meanwhile, plasma glucose levels and plasma insulin levels were determined from 0 to 4 h after dosing. The area under the plasma concentration-time curve ( $$ AU{C_{0 - \infty }} $$) was 2.0-fold higher and the oral clearance was 51.1% lower in group III than in group I. The change in fasting insulin level within 1 h ([Delta]AUECinsulin0-1h) in group III was 3.8-fold higher than that in group I. The glipizide parameters in group II exhibited similar tendencies to those in group III. These results suggest that CYP2C9 polymorphism significantly influences the pharmacokinetics and pharmacodynamics of glipizide, which needs to be considered in clinical practice. CYP2C19 polymorphism exhibits a tendency to influence the effects of glipizide, to a certain extent similarly to CYP2C9 polymorphism.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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