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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
丙咪嗪
临床注释ID
1183617103
药物名称(英)
imipramine
变异单倍型
CYP2C19*1, CYP2C19*2, CYP2C19*3, 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
212
PMID计数
6
计数的证据
11
表现型
抑郁症;抑郁症,重度
表现型(英)
Depressive Disorder;Depressive Disorder, Major
最新日期
2021/5/3 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1183617103
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
727
*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 imipramine 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 imipramine as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and imipramine and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of imipramine.
726
*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 imipramine as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and imipramine and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of imipramine.
725
*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 imipramine as compared to patients with two normal function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and imipramine and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of imipramine.
724
*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 imipramine 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 imipramine as compared to patients with a normal function allele in combination with an increased function allele or two increased function alleles. This annotation only covers the pharmacokinetic relationship between CYP2C19 and imipramine and does not include evidence about clinical outcomes. Other genetic and clinical factors may also influence metabolism of imipramine.
临床证据
id
证据的ID
总结
342
1446902544
CYP2C19 *2/*2 + *2/*3 are associated with increased concentrations of imipramine in people with Depressive Disorder, Major as compared to CYP2C19 *1/*1.
341
1446902041
CYP2C19 *2 is associated with increased concentrations of imipramine in people with Depressive Disorder, Major as compared to CYP2C19 *1/*1.
340
1183622781
CYP2C19 *2/*3 + *2/*2 are associated with decreased metabolism of imipramine in people with Depressive Disorder, Major as compared to CYP2C19 *1/*1.
339
1183622249
CYP2C19 *1/*17 + *17/*17 is associated with decreased dose-corrected plasma concentrations of imipramine in people with Depressive Disorder as compared to CYP2C19 *1/*1.
338
1446905415
CYP2C19 poor metabolizers are associated with decreased metabolism of imipramine in healthy individuals as compared to CYP2C19 normal metabolizers.
337
1446902590
CYP2C19 poor metabolizers are associated with decreased metabolism of imipramine in people with Depressive Disorder, Major as compared to CYP2C19 normal metabolizers.
336
1446902332
CYP2C19 poor metabolizers are associated with increased concentrations of imipramine in people with Depressive Disorder, Major as compared to CYP2C19 normal metabolizers.
335
1183684391
CYP2C19 poor metabolizers are associated with decreased clearance of imipramine in healthy individuals as compared to CYP2C19 normal metabolizers.
334
1183684364
CYP2C19 poor metabolizers is associated with decreased clearance of imipramine in healthy individuals as compared to CYP2C19 normal metabolizers.
333
PA166104954
Annotation of DPWG Guideline for imipramine and CYP2C19
332
PA166104999
Annotation of CPIC Guideline for imipramine and CYP2C19, CYP2D6
临床病史
id
类型
评论
1008
Update
Added DPWG guideline.
1007
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1006
Update
changed to 1A because drug has CPIC recommendation
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