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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
阿米替林
临床注释ID
1451259580
药物名称(英)
amitriptyline
变异单倍型
CYP2D6*1, CYP2D6*1xN, CYP2D6*2, CYP2D6*3, CYP2D6*4, CYP2D6*5, CYP2D6*6, CYP2D6*10, CYP2D6*41
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)
Toxicity
表现型类别
毒性
分数
211.375
PMID计数
6
计数的证据
9
表现型
抑郁症
表现型(英)
Depressive Disorder
最新日期
2021/4/23 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1451259580
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
1137
*41
The CYP2D6*41 allele is assigned as a decreased function allele with an activity value of 0.5 by CPIC. Patients carrying the CYP2D6*41 allele in combination with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1136
*10
The CYP2D6*10 allele is assigned as a decreased function allele with an activity value of 0.25 by CPIC. Patients carrying the CYP2D6*10 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1135
*6
The CYP2D6*6 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*6 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1134
*5
The CYP2D6*5 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*5 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1133
*4
The CYP2D6*4 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*4 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1132
*3
The CYP2D6*3 allele is assigned as a no function allele by CPIC. Patients carrying the CYP2D6*3 allele in combination with with alleles that result in intermediate or poor metabolizer phenotype who are treated with amitriptyline may have increased likelihood of side effects as compared to patients with alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1131
*2
The CYP2D6*2 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2D6*2 allele in combination with alleles that result in a normal metabolizer phenotype who are treated with amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1130
*1xN
The CYP2D6*1xN alleles (*1x2 and *1x鈮?) have been assigned as increased function alleles by CPIC. Patients carrying the CYP2D6*1xN allele in combination with alleles that result in a normal metabolizer phenotype who are treated with amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
1129
*1
The CYP2D6*1 allele is assigned as a normal function allele by CPIC. Patients carrying the CYP2D6*1 allele in combination with alleles that result in a normal metabolizer phenotype who are treated with amitriptyline may have decreased likelihood of side effects as compared to patients with a combination of alleles that result in intermediate or poor metabolizer phenotype. Other genetic and clinical factors may also influence response to amitriptyline.
临床证据
id
证据的ID
总结
265
1184467243
CYP2D6 *3 + *4 + *5 + *6 is associated with increased risk of Drug Toxicity when treated with amitriptyline, antidepressants, clomipramine, desipramine, fluoxetine, imipramine, nortriptyline, paroxetine or venlafaxine in people with Depression.
264
1183619031
CYP2D6 *4/*4 is associated with side effects when treated with amitriptyline.
263
1183617442
CYP2D6 *1/*4 + *2/*4 + *2/*5 + *4/*41 + *4/*10 are associated with increased risk of Drug Toxicity when treated with amitriptyline in people with Depressive Disorder, Major as compared to CYP2D6 *1/*1 + *1/*2 + *2/*1xN + *2/*2 + *1/*41 + *1/*10 + *2/*41.
262
1183617418
CYP2D6 *4/*4 is associated with increased risk of Side Effects when treated with amitriptyline, clomipramine, doxepin, imipramine, maprotiline, nortriptyline or Opipramol in people with Depression as compared to CYP2D6 *1/*1.
261
1183615533
CYP2D6 *4/*4 is associated with toxicity when exposed to amitriptyline.
260
981476405
Genotype TT is associated with increased risk of Side Effects when treated with amitriptyline, clomipramine, doxepin, imipramine, maprotiline, nortriptyline or opipramol in people with Depression as compared to genotype CC.
259
1448612606
CYP2D6 normal metabolizer and ultra-metabolizer genotypes is associated with decreased likelihood of Constipation, dry mouth, Fatigue, Urinary Retention and Vision Disorders when treated with amitriptyline in people with Diabetic Neuropathies as compared to CYP2D6 poor metabolizer and intermediate metabolizer genotypes.
258
PA166104982
Annotation of DPWG Guideline for amitriptyline and CYP2D6
257
PA166105006
Annotation of CPIC Guideline for amitriptyline and CYP2C19, CYP2D6
临床病史
id
类型
评论
1623
Update
Added DPWG guideline as evidence
1622
Update
CA score added as part of scoring system release. LOE assigned following curator review.
1621
Update
Updated text to include CPIC function assignments and match template. Added *2.
1620
Update
Attached CPIC guideline and removed override.
1619
Create
Created
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