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    • 5. 发明申请
    • RISK ASSESSMENT FOR PHENYTOIN-INDUCED ADVERSE DRUG REACTIONS
    • 苯妥英诱导的不良药物反应的风险评估
    • US20170022561A1
    • 2017-01-26
    • US15286238
    • 2016-10-05
    • CHANG GUNG MEDICAL FOUNDATION CHANG GUNG MEMORIAL HOSPITAL AT KEELUNG
    • WEN-HUNG CHUNGSHUEN-IU HUNG
    • C12Q1/68
    • C12Q1/6881C12Q1/6883C12Q2600/106C12Q2600/118C12Q2600/156C12Q2600/172
    • A method of predicting the risk of a patient for developing phenytoin-induced adverse drug reactions (ADRs), including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), or drug reactions with eosinophilia and systemic symptoms (DRESS) is disclosed. Genetic polymorphisms of CYP2C genes (including rs1057910 (CYP2C9*3) and rs3758581 on CYP2C19), and HLA alleles (including HLA-B*1502, HLA-B*1301, and HLA-B*5101) can predict adverse reactions caused by phenytoin or fosphenytoin. Accordingly, the present invention provides a kit to assess the risk of a patient for developing adverse reactions in response to phenytoin-related drugs, which comprises the determination of the presence of a specific allele selected from the group consisting of rs1057910 (CYP2C9*3), rs3758581 on CYP2C19, HLA-B*1502, HLA-B*1301, and HLA-B*5101, wherein the presence of at least one allele is indicative of a risk for the adverse drug reactions.
    • 公开了一种预测患者发生苯妥英诱导的不良药物反应(ADR)(包括史蒂文森 - 约翰逊综合征(SJS)),中毒性表皮坏死松解症(TEN)或与嗜酸性粒细胞增多症和全身症状(DRESS)的药物反应)风险的方法 。 CYP2C基因(包括CYP2C19的rs1057910(CYP2C9 * 3)和rs3758581)和HLA等位基因(包括HLA-B * 1502,HLA-B * 1301和HLA-B * 5101)的遗传多态性可以预测苯妥英引起的不良反应 或fosphenytoin。 因此,本发明提供了一种用于评估患者对苯妥英相关药物产生不良反应的风险的试剂盒,其包括确定选自rs1057910(CYP2C9 * 3)的特异性等位基因的存在, ,CYP2C19上的rs3758581,HLA-B * 1502,HLA-B * 1301和HLA-B * 5101,其中至少一个等位基因的存在表明药物不良反应的风险。