【正文】
4 8 12 16 20 24T ime(h)Plasma metformin concentration(ng/ml)848CC n= 7848CT n= 6848 CT of OCT1 on the PK of metformin P= 101022CC 1022CT 1022TTChange in mean concentration(03h)(mmol/L)10848CC 848CTChange in mean concentration(03h)(mmol/L)P= P= Comparison of changes in mean blood glucose concentration( 03h) among groups with different OCT1 genotypes. Shu? Y et al. J. Clin. ,1422–1431 (2022) The plasma glucoselowering effects of metformin in OGTT were significantly decreased in subjects carrying OCT1 variations than the OCT1 wild genotype. 小 結 1. 藥物轉運體的基因多態(tài)性也是影響藥物代謝動力學和反應性的重要遺傳標志; 2. 除了少數(shù)轉運體,如 OATP1B1基因型和他汀類藥物的藥代和藥效的關系較明確之外,其他多數(shù)轉運體 SNP的功能或多或少存在一定爭議; 3. 大多數(shù)轉運體轉運的藥物十分廣泛,不同轉運體之間的底物多有重疊; 4. 轉運體基因多態(tài)性對藥效的影響與藥物作用的器官有關; 5. 包含代謝酶、轉運體和受體等多基因聯(lián)合網(wǎng)絡分析有助于我們進一步明確藥物反應的個體差異。 謝 謝!