摘要
磺酰脲类是目前临床上广泛使用的口服降糖药,在人体内通过具有基因多态性的CYP2C9酶代谢。不同基因型CYP2C9酶代谢活性的差异,是造成患者所需磺酰脲类口服降糖药剂量个体差异大的因素之一。本文综合国内外最新报道,阐述了CYP2C9基因多态性与磺酰脲类口服降糖药药动学、药效学相关性的研究进展,为制定磺酰脲类降糖药的个体化用药方案提供参考。
Sulphonylureas are the initial and most commonly used therapy for type 2 diabetes mellitus. Sulphonylureas are metabolized by CYP2C9, and the CYP2C9 gene has several mutant alleles leading to genetic polymorphisms in humans. The variation of metabolism abilities of different CYP2C9 genotype is one of the reasons why the type 2 diabetes mellitus patients need different doses of sulphonylureas. To offer a guidance for individualizing administration of sulphonylureas, we specify the relationship between genetic polymorphisms in CYP2C9 and the pharmacokinetics and pharmacodynamics of stdphonylureas.
出处
《中国临床药理学与治疗学》
CAS
CSCD
2007年第2期219-223,共5页
Chinese Journal of Clinical Pharmacology and Therapeutics