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Unveiling the Mysteries of Clopidogrel Metabolism and Efficacy
Ist Teil von
Clinical pharmacology and therapeutics, 2011-12, Vol.90 (6), p.774-776
Ort / Verlag
United States
Erscheinungsjahr
2011
Quelle
Wiley Blackwell Single Titles
Beschreibungen/Notizen
Clopidogrel is an important antiplatelet agent, but a considerable variability in the biological effect of the drug has been observed. Additionally, patients with insufficient platelet reactivity inhibition following a loading dose (LD) of clopidogrel have a poor outcome. The mechanisms of variability are dependent on genetic polymorphisms of enzymes involved in clopidogrel metabolism. Paraoxonase 1 has been identified as the main determinant of the biological and clinical efficacy of clopidogrel. This finding could enable the use of pharmacogenomics to tailor antiplatelet agents.
Clinical Pharmacology & Therapeutics (2011); 90 6, 774–776. doi:10.1038/clpt.2011.222