Effects of cytochrome P450 oxidoreductase genotypes on the pharmacokinetics of amlodipine in healthy Korean subjectsopen access
- Authors
- Han, Ji Min; Yee, Jeong; Chung, Jee Eun; Lee, Kyung Eun; Park, Kyungsoo; Gwak, Hye Sun
- Issue Date
- May-2020
- Publisher
- WILEY
- Keywords
- amlodipine; CYP3A; pharmacokinetics; POR polymorphism
- Citation
- MOLECULAR GENETICS & GENOMIC MEDICINE, v.8, no.5, pp.1 - 10
- Indexed
- SCIE
SCOPUS
- Journal Title
- MOLECULAR GENETICS & GENOMIC MEDICINE
- Volume
- 8
- Number
- 5
- Start Page
- 1
- End Page
- 10
- URI
- https://scholarworks.bwise.kr/erica/handle/2021.sw.erica/1126
- DOI
- 10.1002/mgg3.1201
- ISSN
- 2324-9269
- Abstract
- Background The aim of this study was to investigate the effects of P450 oxidoreductase (POR) genetic polymorphisms on the pharmacokinetic parameters of amlodipine. Methods After a single 10-mg dose of amlodipine administration, 25 healthy male subjects completed genotyping for 12 single nucleotide polymorphisms (SNPs) of the POR genes, cytochrome P450 (CYP)3A4 g.25343G>A (CYP3A4*1G), and CYP3A5 g.12083G>A (CYP3A5*3). Stratified analysis and in silico analysis to predict the possible effects of given variants on splicing were performed. Results The maximum blood concentration (C-max) of amlodipine in carriers of g.57332T>C and g.56551G>A SNPs of the POR gene was statistically significantly different. In addition, T-allele carriers of g.57332T>C had a 21% higher C-max than those with the CC genotype (p = .007). Subjects who carried the wild-type g.56551G>A allele also had a 1.12-fold significantly higher C-max than subjects with mutant-type homozygous carriers (p = .033). In stratified analyses, g.57332T>C was significantly associated with a 1.3-fold increase in C-max value in T-allele carriers compared with subjects with the CC genotype in CYP3A4 and CYP3A5 expressers. POR g.57332T>C increased the score above the threshold in both ESEfinder 3.0 and HSF 3.1. Conclusion This study identified a novel SNP of the POR gene, which affected amlodipine metabolism and may reduce interindividual variation in responses to amlodipine.
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