Relationship Between CYP2C19 Loss-of-Function Polymorphism and Platelet Reactivities With Clopidogrel Treatment in Japanese Patients Undergoing Coronary Stent Implantation
スポンサーリンク
概要
- 論文の詳細を見る
Background: CYP2C19 loss-of-function genotype (*2 and/or *3 alleles) is related to low responsiveness to clopidogrel, which is a risk factor for ischemic cardiac events. The contribution of these genotypes to platelet reactivity in Japanese patients in a steady state receiving dual antiplatelet therapy after coronary stenting was evaluated. Methods and Results: A total of 155 Japanese patients were classified according to their CYP2C19 loss-of-function genotype. Platelet reactivity was assayed by plasma levels of soluble P-selectin and platelet-derived microparticles, light transmittance aggregometry induced by ADP (ADP-LTA), shear stress-induced platelet aggregometry, vasodilator-stimulated phosphoprotein phosphorylation (VASP) index and the VerifyNow-P2Y12 assay. Linear and logistic regression models were used to assess the associations between CYP2C19 loss-of-function genotype and high on-treatment platelet reactivity. In total, 62 patients (40.0%) were extensive metabolizers (EMs), 70 (45.2%) were intermediate metabolizers (IMs) and 23 (14.8%) were poor metabolizers (PMs). ADP-specific assays (ADP-LTA, the VASP index and VerifyNow-P2Y12) differed according to CYP2C19 genotype, with a significant gene-dose effect (PMs>IMs>EMs). CYP2C19 loss-of-function carrier status was associated with more frequent high platelet reactivity. CYP2C19 loss-of-function genotype alone could explain 12.2%, 14.3%, and 14.7% of the variability in the ADP-LTA, VASP and VerifyNow-P2Y12 assays, respectively. Conclusions: CYP2C19 loss-of-function genotype is associated with more frequent high platelet reactivity, as assessed by ADP-specific platelet function tests, in Japanese patients.
著者
-
Miyahara Masatoshi
Department Of Cardiology Mie University Graduate School Of Medicine
-
Aoki Toshikazu
Department Of Biomolecular Science Tokyo University
-
Nakata Tomoyuki
Department Of Cardiology Matsusaka Central General Hospital
-
Ito Masaaki
Department Of Agricultural Chemistry Yamagata University
-
Wada Hideo
Molecular And Laboratory Medicine Mie University Graduate School Of Medicine
-
Tanigawa Takashi
Department Of Applied Physics Hokkaido University
-
Ito Masaaki
Department of Cardiology, Mie University Faculty of Medicine
-
Nakata Tomoyuki
Department of Cardiology, Mie University Faculty of Medicine
-
Hoshino Kozo
Department of Cardiology, Nagai Hospital
-
Nakatani Kaname
Molecular and Laboratory Medicine, Mie University Faculty of Medicine
-
Komada Fumihiko
Department of Internal Medicine, Matsusaka Municipal Hospital
-
Nishimura Yuki
Clinical Research Support Center, Mie University Hospital
-
Tamaru Satoshi
Clinical Research Support Center, Mie University Hospital
-
Nishikawa Masakatsu
Clinical Research Support Center, Mie University Hospital
-
Tanigawa Takashi
Department of Cardiology, Matsusaka Chuo General Hospital
-
Wada Hideo
Molecular and Laboratory Medicine, Mie University Faculty of Medicine
-
Aoki Toshikazu
Department of Internal Medicine, Tohyama Hospital
関連論文
- Overexpression of Myosin Phosphatase Reduces Ca2+ Sensitivity of Contraction and Impairs Cardiac Function
- Correlation Between Late Gadolinium Enhancement and Diastolic Function in Hypertrophic Cardiomyopathy Assessed by Magnetic Resonance Imaging
- Vegetation With Ventricular Septal Defect Detected by Cardiac Magnetic Resonance Imaging
- PE-152 Quantification of Left Ventricular Mechanical Dyssynchrony in Normal, Hypertrophied, and Dilated Myocardium Quantified by Speckle-Tracking Strain Echocardiography(PE026,Cardiac Function (Clinical) 1 (M),Poster Session (English),The 73rd Annual Scie
- DPJ-028 Impaired Right Ventricular Contraction and Relaxation in Patients with Aortic Stenosis Quantified by Echocardiography Speckle-Tracking Strain and Strain Rate Imaging(DPJ05,Echo/Doppler (Myocardium) (I),Digital Poster Session (Japanese),The 73rd An
- OE-379 Quantification of Left Ventricular Contraction and Relaxation in Patients with Diastolic Heart Failure by Speckle-Tracking Strain and Strain Rate Echocardiography(OE64,Heart Failure (Diagnosis) (M),Oral Presentation (English),The 73rd Annual Scient
- 4 Cardiac Function and Hemodynamics in Diastolic Heart Failure by Using Left Ventricular Pressure-volume Analysis(Pathophysiology and Therapeutic Strategy of Diastolic Dysfunction in Heart Failure,Plenary Session 4 (PL-4) (IHD),The 73rd Annual Scientific
- Hemodynamic Characteristics of Patients with Diastolic Heart Failure and Hypertension
- PJ-497 Three-Directional Quantification of Left Ventricular Relaxation Abnormalities in Hypertensive Left Ventricular Hypertrophy with Preserved Systolic Function by Speckle-Tracking Echocardiography(Echo/Doppler(16)(I),Poster Session(Japanese),The 72nd A
- PE-277 Coupling of Left and Right Ventricular Function Stratified by Plasma Brain Natriuretic Peptide Level in Patients with Previous Myocardial Infarction(Cardiac function, basic/clinical(03)(M),Poster Session(English),The 72nd Annual Scientific Meeting
- 2 Utility of Yu-Index to Quantify Left Ventricular Systolic and Diastolic Dyssynchrony(Recent Development of Ultrasound Myocardial Imaging,Topic 3 (TP-3) (I),Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Prevention of venous thromboembolism according to the guidelines of a domestic manual
- 2 Long-term Clinical Outcome after Intramuscular Implantation of Bone Marrow Mononuclear Cells (TACT Trial) in Patients with Chronic Limb Ischemia(Regenerative Therapy for Peripheral Artery Disease,Symposium 12 (SY-12) (I),The 73rd Annual Scientific Meeti
- High throughput comparative genomic hybridization array analysis of multifocal urothelial cancers
- Management of concomitant ureteral carcinoma in situ at radical cystectomy
- PJ-743 Incidence and Clinical Characteristics of Venous Thromboembolism(Pulmonary circulation(04)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OE-114 Incidence of Pulmonary Embolism in Psychiatric Wards in Japan(Thromboembolism/Antithrombotic therapy/Thrombolysis(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Pulmonary embolism is an important cause of death in young adults
- Incidence and Clinical Predictors of Deep Vein Thrombosis in Patients Hospitalized With Heart Failure in Japan
- PJ-680 Comparison of Sirolimus-Eluting Stents (SES) and Paclitaxel-Eluting Stents (PES) in Diabetic Patients(PJ114,Coronary Revascularization, PCI (DES) 4 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Socie
- PJ-472 Elevated cGMP Plays Important Role in Acute Vasodilatory Effect of Sildenafil(PJ080,Pulmonary Circulation 1 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-054 Paclitaxel-Eluting Stent Midterm Outcome Analysis : Investigation of Predictive Factors of Restenosis and Analysis of Stent Neointimal Proliferation with IB-IVUS(PE009,Coronary Revascularization, PCI (DES) 2 (IHD),Poster Session (English),The 73rd
- OJ-119 Hybrid Therapy with Catheter Ablation and Antiarrhythmic Drug for Chronic Atrial Fibrillation(OJ20,Arrhythmia, Others (Clinical/Diagnosis/Treatment) 2 (A),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation S
- 2 Current Efficacy and Future Direction of Sildenafil in the Management for Pulmonary Arterial Hypertension(The Drug of Choice for Idiopathic Pulmonary Arterial Hypertension,Roundtable Discussion 5 (RT-5) (H),The 73rd Annual Scientific Meeting of The Japa
- Cut-off values of D-dimer and soluble fibrin for prediction of deep vein thrombosis after orthopaedic surgery
- Elevated levels of soluble fibrin in patients with venous thromboembolism
- Exaggerated Hypertensive Response to Exercise in Patients with Diastolic Heart Failure
- OE-112 Association of Vitamin K Epoxide Reductase Complex 1 (VKORC1) Variants with Warfarin Dose Requirements in VTE Patients(Thromboembolism/Antithrombotic therapy/Thrombolysis(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting of the J
- PJ-827 High Plasma Level of Factor VIII : Important Risk Factor for Venous Thromboembolism(Pulmonary circulation-3, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-089 Age- and Gender-Related RV function in Normal Population Quantified by Speckle-Tracking Global Strain and Strain Rate Imaging(Echo/Doppler(12)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-584 The Effect of Thrombolysis is Predictable by the Initial Response of D-dimer Test for the Treatment of Deep Vein Thrombosis(Thromboembolism/Antithrombotic therapy/Thrombolysis(03)(H),Poster Session(English),The 72nd Annual Scientific Meeting of the
- PE-454 Impact of Chronic Kidney Disease on Myocardial Perfusion Reserve determined by Quantitative Analysis of Myocardial Perfusion MRI(MRI/MRA(02)(I),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-313 Altered Myocardial Perfusion Reserve in Patients with Metabolic Syndrome Determined by Quantitative Analysis of Myocardial Perfusion MRI(Diabetes/Obesity/Metabolic syndrome(06)(H),Poster Session(English),The 72nd Annual Scientific Meeting of the Ja
- 3 Oral Sildenafil Therapy for Pulmonary Arterial Hypertension(Current Therapeutic Strategy for Pulmonary Hypertension,Roundtable Discussion 6 (RT-06) (H),Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- The Gunther-Tulip Retrievable IVC Filter : Clinical Experience in 118 Consecutive Patients
- OJ-077 Quantification of Global Right Ventricular Contraction-Relaxation Coupling in Previous Myocardial Infarction by Speckle-Tracking Global Strain and Strain Rate Imaging(Cardiac function, basic/clinical(02)(M),Oral Presentation(Japanese),The 72nd Annu
- Identification of Cyclophilin B-derived Peptides Capable of Inducing Histocompatibility Leukocyte Antigen-A2-restricted and Tumor-specific Cytotoxic T Lymphocytes
- PJ-798 Randomized Comparison of Ticlopidine versus Cilostazol for Antiplatelet Therapy after Sirolimus-Eluting Stent Implantation(Thromboembolism/Antithrombotic therapy/Thrombolysis-5 (H) PJ141,Poster Session (Japanese),The 70th Anniversary Annual Scienti
- 4 Current Status and Future of Japanese Guidelines for the Prevention of Pulmonary Thromboembolism(Pulmonary Thromboembolism in Japan: Present and Future,Roundtable Discussion 9 (RT9) (H),The 70th Anniversary Annual Scientific Meeting of the Japanese Circ
- Aorto-Coronary Dissection During Angioplasty in a Patient With Myxedema
- Unique Myocardial Fibrosis Pattern by Late Gadolinium Enhanced Magnetic Resonance Imaging in a Patient With Isolated Noncompaction of the Ventricular Myocardium
- PJ-066 Cardiac Magnetic Resonance Imaging can Reveal a Variety of Myocardial Damage in Patients with Takotsubo Cardiomyopathy(PJ011,CT/MRI (Myocardium) 4 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- OJ-087 Incremental Prognostic Values of Serum Tenascin-C Levels to Late Gadolinium Enhancement by Cardiac Magnetic Resonance in Patients with Dilated Cardiomyopathy(OJ15,Cardiomyopathy/Hypertrophy (Clinical) (M),Oral Presentation (Japanese),The 73rd Annua
- 5 Assessment of Cardiac Function and Perfusion with Pharmacological Stress MDCT(A New Horizon of Cardiac CT-Beyond Lumen Visualization-,Symposium 13 (SY-13) (IHD),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Response to : Study of Left Ventricular Long Axis Function in Patients with Hypertensive Response to Exercise
- 2 Long Term Prognostic Value of Stress Perfusion CMR and Late Gadolinium Enhanced CMR for Prediction of Major Adverse Cardiac Events(Symposium 14 (SY-14) (I) New Horizon of CT, MR and PET in Diagnostic Cardiac Imaging,Special Program,The 72nd Annual Scien
- Patients with a Hypertensive Response to Exercise Have Impaired Left Ventricular Diastolic Function
- PJ-147 Preprocedural TIMI Flow and Myocardial Blood Flow After Primary Angioplasty in Patients with Acute Myocardial Infarction(Acute coronary syndrome, basic/clinical-8, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-143 Patients with a Hypertensive Response to Light Exercise Have Impaired Left Ventricular Diastolic Function in the Absence of Resting Hypertension(Cardiac function, basic/clinical-2, The 71st Annual Scientific Meeting of the Japanese Circulation Soci
- OE-303 Characterization of Longitudinal and Circumferential Early Diastolic Expansion and Its Relation to Systolic Contraction in Patients with Left Ventricular Hypertrophy(Echo/Doppler-03, The 71st Annual Scientific Meeting of the Japanese Circulation So
- OE-200 Serum Tenascin-C Levels Predict Hospitalization for Heart Failure in Patients with Dilated Cardiomyopathy(Heart failure, clinical-02, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-582 An Investigation into Sirolimus-eluting Stent Proximal Edge Restenosis(Coronary revascularization, PCI-12, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Atypical Cases of Acute Ballooning Cardiomyopathy
- The association of protein S Tokushima-K196E with a risk of deep vein thrombosis
- PJ-550 Pulse Wave Velocity and Upstroke Time as a Predictor of the Presence of Peripheral Arterial Disease(Peripheral circulation/Vascular disease(08)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Expression of functional Toll-like receptor 2 on human epidermal keratinocytes
- Homogeneous epithelial γδ T cell repertoire of the skin is shaped through peripheral selection
- OJ-142 Serum Intact Parathyroid Hormone levels can predict hospitalization for heart failure(Heart failure, clinical(05)(M),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OE-097 Quantification of Arterial Blood Pressure Fluctuation by Spectral Analysis in Patients with Sleep Apnea Syndrome(Hypertension, clinical-01, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-246 Diagnosis of Pulmonary Embolism with Multi-Detector Helical CT : Comparison with Pulmonary Angiography(Pulmonary circulation-1 (H) OE42,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Overexpression of Myosin Phosphatase Reduces Ca^ Sensitivity of Contraction and Impairs Cardiac Function
- Changes in Vertebral Wedging Rate Between Supine and Standing Position and its Association With Back Pain : A Prospective Study in Patients With Osteoporotic Vertebral Compression Fractures
- Adenosine Triphosphate-sensitive Micro-reentrant Atrial Tachycardia Originating from the Crista Terminalis in a Patient with Chronic Renal Failure due to Thrombotic Thrombocytopenic Purpura
- Identification of Carboxyl Residues in Pepstatin-Insensitive Carboxyl Proteinase from Pseudomonas sp. 101 that Participate in Catalysis and Substrate Binding
- Cloining and Expression of an Isovaleryl Pepstatin-Insensitive Carboxyl Proteinase Gene from Xanthomonas sp. T-22
- PJ-415 Cardiac Resynchronization is Kept Going Immediately after Interrupting Bi-ventricular Pacing Only in the Responders(Heart failure, clinical-13 (M) PJ70,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circula
- Nasal Continuous Positive Airway Pressure Prevents Atrial Fibrillation from Becoming Permanent in Patients with Obstructive Sleep Apnea (Arrhythmia, Non-pharmacological Therapy 9 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Bachman Bundle Pacing Preference for Prevention of Atrial Fibrillation(Arrhythmia, Non-pharmacological Therapy 2 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Infection-induced urethral defect treated by urethral reconstruction with a radial forearm flap
- Substrate Specificities of Pepstatin-Insensitive Carboxyl Proteinases from Gram-Negative Bacteria
- Purpura with Cold Urticaria in a Patient with Hepatitis C Virus Infection-Associated Mixed Cryoglobulinemia Type III : Successful Treatment with Interferon-β
- Papuloerythroderma of Ofuji Associated with Strongyloidiasis
- Efficacy of linear block at the left atrial roof in atrial fibrillation
- Catheter Ablation of a Complex Atrial Tachycardia after Surgical Repair of Tetralogy of Fallot Guided by Combined Noncontact and Contact Mapping
- How long is strict bed rest necessary after renal biopsy?
- PJ-707 Advantages and Issues of the Retrievable IVC Filter : From the Clinical Experiences with Gunther Tulip Filter in 145 Consecutive Patients(Pulmonary circulation-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Beneficial Acute Effects of Rho-Kinase Inhibitor in Patients With Pulmonary Arterial Hypertension
- Big Mitogen-Activated Protein Kinase : A New Player in Vascular Remodeling
- Two-Dimensional Toda Lattice Equations
- Relationship between the ^C-NMR Chemical Shift and the Carcinogenic Activity of Benz[α]anthracenes
- Gene expression of Sh3d19, a novel adaptor protein with five Src homology 3 domains, in anagen mouse hair follicles
- The activity of fatty acid synthase of epidermal keratinocytes is regulated in the lower stratum spinousum and the stratum basale by local inflammation rather than by circulating hormones
- High transepidermal water loss induces fatty acid synthesis and cutaneous fatty acid-binding protein expression in rat skin
- Immunohistochemical distribution of cutaneous fatty acid-binding protein in human skin
- Ultrasonography as a predictor of overt bleeding after renal biopsy
- Hypertension impairs myocardial blood perfusion reserve in subjects without regional myocardial ischemia
- Elevated serum levels of bromine do not always indicate pseudohyperchloremia
- High Plasma Level of Factor VIII : An Important Risk Factor for Venous Thromboembolism
- The Utility of Transtelephonic Electrocardiograms for Detecting Arrhythmia Recurrences after Radiofrequency Catheter Ablation for Atrial Fibrillation
- Early Results of Rheolytic Thrombectomy in Patients With Proximal Deep Vein Thrombosis
- Association Between Incisional Surgical Site Infection and the Type of Skin Closure After Stoma Closure
- Purification and Properties of Laccase Excreted by Pycnoporus coccineus(Biological Chemistry)
- Mutations in the LIPH gene in three Japanese families with autosomal recessive woolly hair/hypotrichosis
- Topical Spironolactone Reduces Sebum Secretion Rates in Young Adults
- Resonance of Solitons in One Dimension
- Further Immunocytochemical Characterization of Cultured Hair Apparatus Cells
- Collagenolytic activities with differentiation of the cultured cells from the murine hair apparatus
- Elevated Von Willebrand factor propeptide for the diagnosis of thrombotic microangiopathy and for predicting a poor outcome
- Vibration of a One-Dimensional Vortex Lattice in the Type II Superconductor
- Relationship Between CYP2C19 Loss-of-Function Polymorphism and Platelet Reactivities With Clopidogrel Treatment in Japanese Patients Undergoing Coronary Stent Implantation