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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002803naa a2200301 4500
001oai:DiVA.org:liu-14489
003SwePub
008070521s2007 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-144892 URI
024a https://doi.org/10.1097/MBC.0b013e3280444bfd2 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Osman, Abdimajidu Östergötlands Läns Landsting,Linköpings universitet,Klinisk kemi,Hälsouniversitetet4 aut0 (Swepub:liu)majos21
2451 0a Plasma S/R ratio of warfarin co-varies with VKORC1 haplotype
264 1c 2007
338 a print2 rdacarrier
520 a We recently reported that the low-dose VKORC1*2 haplotype is an important genetic determinant for warfarin dose requirement and is associated with difficulties to attain stable therapeutic prothrombin time-International Normalized Ratio in patients undergoing anticoagulation therapy. The aim of this study was to investigate whether patients with VKORC1*2 compared with patients carrying high-dose haplotypes VKORC1*3 or VKORC1*4 had different warfarin S/R ratios in their plasma, and whether that was related to CYP2C9 variants CYP2C9*2 and CYP2C9*3 or other factors. Samples from patients previously haplotyped for VKORC1 and measured for plasma warfarin concentration were genotyped for the CYP2C9 variants CYP2C9*2 and CYP2C9*3. Nonparametric statistical analysis was performed to elucidate whether there was any significant difference in the warfarin S/R ratio between the two patient groups. Our result shows that there is a significant difference (P < 0.01) in warfarin S/R ratios between VKORC1*2 and VKORC1*3 or VKORC1*4 patients. This difference did not originate from CYP2C9 variants CYP2C9*2 and CYP2C9*3. We speculate that VKORC1 haplotypes possibly are linked to some unidentified factors involved in the metabolic clearance of warfarin enantiomers. Dose-dependent variations in (S)-warfarin and (R)-warfarin clearance in these patients can also be a probable explanation for the difference in warfarin S/R ratios.
653 a MEDICINE
653 a MEDICIN
700a Enström, Camillau Linköpings universitet,Institutionen för biomedicin och kirurgi,Hälsouniversitetet4 aut0 (Swepub:liu)camen30
700a Lindahl, Tomasu Östergötlands Läns Landsting,Linköpings universitet,Klinisk kemi,Hälsouniversitetet4 aut0 (Swepub:liu)tomli13
710a Linköpings universitetb Klinisk kemi4 org
773t Blood Coagulation and Fibrinolysisg 18:3, s. 293-296q 18:3<293-296x 0957-5235x 1473-5733
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-14489
8564 8u https://doi.org/10.1097/MBC.0b013e3280444bfd

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Osman, Abdimajid
Enström, Camilla
Lindahl, Tomas
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