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当前位置:药药网 / 数据中心 / 临床注释-2,变异和临床注释数据
兰索拉唑
临床注释ID
1450806874
药物名称(英)
lansoprazole
变异单倍型
CYP2C19*1, CYP2C19*2, CYP2C19*3, CYP2C19*8, CYP2C19*9, CYP2C19*17
基因
CYP2C19
证据级别
1A
水平覆盖
水平修饰符
Tier 1 VIP
表现型类别(英)
Metabolism/PK
表现型类别
代谢/PK
分数
214.9375
PMID计数
9
计数的证据
16
表现型
胃食管反流
表现型(英)
Gastroesophageal Reflux
最新日期
2021/4/26 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1450806874
专业人口(英)
Pediatric
专业人口
儿科
临床等位基因
id
等位基因
注释文本
994
*17
The CYP2C19*17 allele is assigned as an increased function allele by CPIC. Patients carrying the CYP2C19*17 allele in combination with a normal or increased function allele may have increased metabolism of lansoprazole as compared to patients with two normal function alleles. Patients carrying the CYP2C19*17 allele in combination with a no or decreased function allele may have decreased metabolism of lansoprazole as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
993
*9
The CYP2C19*9 allele is assigned as a decreased function allele by CPIC. Patients carrying the CYP2C19*9 allele in combination with a no, decreased, normal, or increased function allele may have decreased metabolism of lansoprazole as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
992
*8
The CYP2C19*8 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*8 allele in combination with a no, decreased, normal, or increased function allele may have decreased metabolism of lansoprazole as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
991
*3
The CYP2C19*3 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*3 allele in combination with a no, decreased, normal, or increased function allele may have decreased metabolism of lansoprazole as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
990
*2
The CYP2C19*2 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2C19*2 allele in combination with a no, decreased, normal, or increased function allele may have decreased metabolism of lansoprazole as compared to patients with two normal function alleles. However, conflicting evidence has been reported. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
989
*1
The CYP2C19*1 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2C19*1 allele in combination with another normal function allele may have increased metabolism of lansoprazole as compared to patients with a no or decreased function allele in combination with a normal or increased function allele or with two no or decreased function alleles. Patients carrying the CYP2C19*1 allele in combination with another normal function allele may have decreased metabolism of lansoprazole as compared to patients with a normal function allele in combination with an increased function allele or two increased function alleles. However, conflicting evidence has been reported. This annotation only covers the pharmacokinetic relationship between CYP2C19 and lansoprazole and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of lansoprazole.
临床证据
id
证据的ID
总结
1676
1450809629
CYP2C19 *1/*1 + *1/*2 + *1/*3 are associated with increased metabolism of lansoprazole in healthy individuals as compared to CYP2C19 *2/*2 + *2/*3 + *3/*3.
1675
1450806845
CYP2C19 *2/*2 + *2/*3 are associated with decreased metabolism of lansoprazole in healthy individuals as compared to CYP2C19 *1/*1 + *1/*2 + *1/*3.
1674
1183629846
CYP2C19 *2/*2 is associated with decreased metabolism of lansoprazole in children as compared to CYP2C19 *1/*2.
1673
1183629838
CYP2C19 *1/*2 is associated with decreased metabolism of lansoprazole in children as compared to CYP2C19 *1/*1.
1672
1183623395
CYP2C19 *1/*1 is not associated with metabolism of lansoprazole or omeprazole in healthy individuals as compared to CYP2C19 *1/*2.
1671
1183618830
CYP2C19 *1/*2 + *1/*3 is associated with increased metabolism of lansoprazole in people with Gastroesophageal Reflux as compared to CYP2C19 *2/*2 + *2/*3.
1670
1183618805
CYP2C19 *1/*1 is associated with increased metabolism of lansoprazole in people with Gastroesophageal Reflux as compared to CYP2C19 *2/*2 + *2/*3.
1669
1183618564
CYP2C19 *1/*2 + *1/*3 is associated with increased clearance of lansoprazole in healthy individuals as compared to CYP2C19 *2/*2 + *2/*3.
1668
1183618547
CYP2C19 *1/*1 is associated with increased clearance of lansoprazole in healthy individuals as compared to CYP2C19 *2/*2 + *2/*3.
1667
982047769
CYP2C19 *2 + *3 + *8 + *9 (assigned as poor metabolizer phenotype) is associated with decreased metabolism of lansoprazole in children with Asthma as compared to CYP2C19 *1/*1 (assigned as normal metabolizer phenotype) .
1666
982047065
CYP2C19 *2/*2 is associated with decreased metabolism of lansoprazole in children as compared to CYP2C19 *1/*1.
1665
982047056
CYP2C19 *17/*17 is associated with increased metabolism of lansoprazole in children as compared to CYP2C19 *1/*1.
1664
1450807240
CYP2C19 poor metabolizers are associated with decreased metabolism of lansoprazole, omeprazole or pantoprazole in healthy individuals as compared to CYP2C19 normal metabolizers.
1663
1450806823
CYP2C19 poor metabolizers are associated with decreased metabolism of lansoprazole in healthy individuals as compared to CYP2C19 normal metabolizers.
1662
PA166104987
Annotation of DPWG Guideline for lansoprazole and CYP2C19
1661
PA166219103
Annotation of CPIC Guideline for lansoprazole, omeprazole, pantoprazole and CYP2C19
临床病史
id
类型
评论
747
Update
Added DPWG guideline.
746
Update
CA score added as part of scoring system release. LOE assigned following curator review.
745
Update
Change LOE to 1A due to CPIC guideline
744
Update
Updated 'extensive metabolizer' term to 'normal metabolizer' following CPIC Term Standardization Project.
743
Create
Created
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