醋硝香豆素
临床注释ID
1449269868
药物名称(英)
acenocoumarol
变异单倍型
CYP2C9*1, CYP2C9*2, CYP2C9*3
基因
CYP2C9
证据级别
2A
水平覆盖
水平修饰符
Tier 1 VIP
表现型类别(英)
Toxicity
表现型类别
毒性
分数
10.5
PMID计数
11
计数的证据
15
表现型
出血
表现型(英)
Hemorrhage
最新日期
2021/5/18 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1449269868
专业人口(英)
专业人口
临床等位基因
id等位基因注释文本
714 *3 The CYP2C9*3 allele is assigned as a no function allele by CPIC. Patients with CYP2C9*3 in combination with a normal, decreased, or no function allele may have increased risk of bleeding when treated with acenocoumarol as compared to patients with two normal function alleles. However, conflicting evidence has been reported. This drug-variant pair has been assigned a 鈥渘o recommendation鈥?by DPWG, as it was determined to be not clinically actionable.Other genetic and clinical factors may also influence the risk of bleeding when treated with acenocoumarol.
713 *2 The CYP2C9*2 allele is assigned as a decreased function allele by CPIC. Patients with CYP2C9*2 in combination with a normal, decreased, or no function allele may have increased risk of bleeding when treated with acenocoumarol as compared to patients with two normal function alleles. However, conflicting evidence has been reported. This drug-variant pair has been assigned a 鈥渘o recommendation鈥?by DPWG, as it was determined to be not clinically actionable.Other genetic and clinical factors may also influence the risk of bleeding when treated with acenocoumarol.
712 *1 The CYP2C9*1 allele is assigned as a normal function allele by CPIC. Patients carrying CYP2C9*1 allele in combination with another normal function allele may have a decreased risk of bleeding when treated with acenocoumarol as compared to patients carrying at least one copy of a decreased function or no function allele. However, conflicting evidence has been reported. This drug-variant pair has been assigned a 鈥渘o recommendation鈥?by DPWG, as it was determined to be not clinically actionable.Other genetic and clinical factors may also influence the risk of bleeding when treated with acenocoumarol.
临床证据
id证据的ID总结
323 1448602417 CYP2C9 *3 is associated with increased risk of Hemorrhage and Stroke when treated with acenocoumarol or warfarin in people with Atrial Fibrillation and venous thromboembolism as compared to CYP2C9 *1.
322 1448602404 CYP2C9 *2 is associated with increased risk of Hemorrhage and Stroke when treated with acenocoumarol or warfarin in people with Atrial Fibrillation and venous thromboembolism as compared to CYP2C9 *1.
321 1447519366 CYP2C9 *2 + *3 are not associated with increased risk of Hemorrhage when treated with acenocoumarol or warfarin as compared to CYP2C9 *1/*1.
320 1444707481 CYP2C9 *1/*3 + *3/*3 are not associated with increased risk of Hemorrhage when treated with acenocoumarol as compared to CYP2C9 *1/*1.
319 1444707430 CYP2C9 *3/*3 is associated with increased risk of Hemorrhage when treated with acenocoumarol and indomethacin as compared to CYP2C9 *1/*1.
318 1444707240 CYP2C9 *1/*2 + *2/*2 + *3/*3 + *1/*3 + *2/*3 are associated with increased risk of Hemorrhage when treated with acenocoumarol as compared to CYP2C9 *1/*1.
317 1444707161 CYP2C9 *1/*2 + *1/*3 + *2/*2 + *3/*3 are associated with increased likelihood of Hemorrhage when treated with acenocoumarol as compared to CYP2C9 *1/*1.
316 1444706532 CYP2C9 *1/*2 + *3/*3 + *2/*3 + *1/*3 + *2/*2 are not associated with increased risk of Hemorrhage when treated with acenocoumarol in people with Atrial Fibrillation as compared to CYP2C9 *1/*1.
315 1444703983 CYP2C9 *2 + *3 is associated with increased risk of Hemorrhage when treated with warfarin in people with Alcoholism as compared to CYP2C9 *1.
314 1449269136 Allele C is associated with increased risk of Gastrointestinal Hemorrhage and Death when treated with acenocoumarol in people with Cardiovascular Diseases as compared to allele A.
313 1449190803 Allele C is associated with increased likelihood of Hemorrhage when treated with acenocoumarol or warfarin in people with venous thromboembolism as compared to allele A.
312 827814788 Allele C is not associated with bleeding events when treated with acenocoumarol or warfarin.
311 982044597 Genotypes AC + CC are not associated with risk of Gastrointestinal Hemorrhage when treated with acenocoumarol as compared to genotype AA.
310 1449190810 Allele T is not associated with likelihood of Hemorrhage when treated with acenocoumarol or warfarin in people with venous thromboembolism as compared to allele C.
309 982044565 Genotypes CT + TT are associated with increased risk of Gastrointestinal Hemorrhage when treated with acenocoumarol as compared to genotype CC.
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