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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
普罗帕酮
临床注释ID
1183620575
药物名称(英)
propafenone
变异单倍型
CYP2D6*1, CYP2D6*2, CYP2D6*5, CYP2D6*10, CYP2D6*36
基因
CYP2D6
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
103.5
PMID计数
3
计数的证据
4
表现型
心律失常,心脏;心动过速
表现型(英)
Arrhythmias, Cardiac;Tachycardia
最新日期
2021/5/3 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1183620575
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1055
*36
The CYP2D6*36 allele has been assigned as a no function allele by CPIC. Patients carrying the *36 allele in combination with a decreased, normal or no function allele may have decreased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. Patients carrying the *36 allele in combination with an increased function allele with an activity value of 2 may have similar metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype, while patients carrying the *36 allele in combination with an increased function allele with an activity value of 3 or greater may have increased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. This annotation only covers the pharmacokinetic relationship between CYP2D6 and propafenone and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence propafenone metabolism.
1054
*10
The CYP2D6*10 allele has been assigned as a decreased function allele with an activity value of 0.25 by CPIC. Patients carrying the *10 allele in combination with a decreased or no function allele may have decreased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype, while patients carrying the *10 allele in combination with an increased function allele with an activity value of 2 may have similar metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. Patients carrying the *10 allele in combination with an increased function allele with an activity value of 3 or greater may have increased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. This annotation only covers the pharmacokinetic relationship between CYP2D6 and propafenone and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence propafenone metabolism.
1053
*5
The CYP2D6*5 allele has been assigned as a no function allele by CPIC. Patients carrying the *5 allele in combination with a decreased, normal or no function allele may have decreased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. Patients carrying the *5 allele in combination with an increased function allele with an activity value of 2 may have similar metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype, while patients carrying the *5 allele in combination with an increased function allele with an activity value of 3 or greater may have increased metabolism of propafenone as compared to patients with alleles that result in a normal metabolizer phenotype. This annotation only covers the pharmacokinetic relationship between CYP2D6 and propafenone and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence propafenone metabolism.
1052
*2
The CYP2D6*2 allele is assigned as a normal function allele by CPIC. Patients carrying the *2 allele in combination with alleles that result in a normal metabolizer phenotype may have decreased metabolism of propafenone as compared to patients carrying two increased function alleles or an increased function allele in combination with a normal function allele. Patients carrying the *2 allele in combination with alleles that result in a normal metabolizer phenotype may also have decreased metabolism of propafenone as compared to patients carrying an increased function allele with an activity value of 3 or greater in combination with a decreased or no function allele but increased metabolism of propafenone as compared to patients with a no function allele in combination with a decreased or normal function allele or two decreased or no function alleles. This annotation only covers the pharmacokinetic relationship between CYP2D6 and propafenone and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence propafenone metabolism.
1051
*1
The CYP2D6*1 allele is assigned as a normal function allele by CPIC. Patients carrying the *1 allele in combination with alleles that result in a normal metabolizer phenotype may have decreased metabolism of propafenone as compared to patients carrying two increased function alleles or an increased function allele in combination with a normal function allele. Patients carrying the *1 allele in combination with alleles that result in a normal metabolizer phenotype may also have decreased metabolism of propafenone as compared to patients carrying an increased function allele with an activity value of 3 or greater in combination with a decreased or no function allele but increased metabolism of propafenone as compared to patients with a no function allele in combination with a decreased or normal function allele or two decreased or no function alleles. This annotation only covers the pharmacokinetic relationship between CYP2D6 and propafenone and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence propafenone metabolism.
临床证据
id
证据的ID
总结
3934
1451330400
CYP2D6 *10/*10 is associated with increased concentrations of propafenone in people with Arrhythmias, Cardiac as compared to CYP2D6 *1/*1.
3933
1451294540
CYP2D6 *1/*5 + *2/*36 + *5/*10 + *5/*5 (assigned as poor metabolizers phenotype) is associated with increased concentrations of propafenone in people with Tachycardia as compared to CYP2D6 *1/*1 + *1/*2 + *2/*2 + *1/*10 + *2/*10 + *10/*10 (assigned as intermediate metabolizer and normal metabolizer phenotype) .
3932
1450417472
CYP2D6 *10/*10 is associated with decreased metabolism of propafenone in healthy individuals as compared to CYP2D6 *1/*10 + *1/*1.
3931
PA166104962
Annotation of DPWG Guideline for propafenone and CYP2D6
临床病史
id
类型
评论
828
Note
Checked
827
Update
Added DPWG guideline and PMID 33203295 to evidence. Added *2, *5 and *36 alleles and rewrote phenotype descriptions to fit LOE 1A template. Independent curator check required before approval.
826
Update
CA score added as part of scoring system release. LOE may have automatically changed based on new score but may be subject to further changes upon curator review.
825
Update
Split VA 1183620540 into one VA on PK and one on efficacy. This CA is now solely on PK. Rewrote phenotype descriptions to be on alleles rather than diplotypes.
824
Update
Updated OMB race to appropriate biogeographical group
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