[The role of CYP2C19 polymorphism in the development of adverse effects to drugs and the risk for diseases].

Abstract:

:There are a great number of polymorphic genes in the human genome. Many of them codify enzymes that metabolizes drugs and xenobiotic agents, including carcinogens. Among the better known of them, there are a number of isozymes of the microsomal oxidative system (CYP3A4, CYP2C9, CYP2C19 y CYP2D6). This article reviews the following issues: a) frequency of presentation of the "poor metabolizer" genotype and/or phenotype for substrates of CYP2C19; b) role of CYP2C19 polymorphism on the metabolism of some drugs (mephenytoine and other antiepileptic drugs, proton pump inhibitors, several antidepressants and anxyolitics, the antimalaria aggent proguanyl, and propranolol, among others, use this metabolic pathway), and c) possible role of CYP2C19 polymorphism in the risk for development of neoplasia and other diseases (systemic lupus erythematosus, psoriasis, hip osteonecrosis, Alzheimer's disease, amyotrophic lateral sclerosis, essential tremor).

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Alonso-Navarro H,Jiménez-Jiménez FJ,García-Agúndez JA

doi

10.1157/13088772

subject

Has Abstract

pub_date

2006-05-13 00:00:00

pages

697-706

issue

18

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(06)72065-6

journal_volume

126

pub_type

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