Skip to main content

Phänotypisierung — Relevanz des genetischen Polymorphismus im Arzneimittelstoffwechsel

  • Conference paper
Pharmakodynamische Modelle für die Arzneimittelentwicklung

Part of the book series: Konzepte in der Humanpharmakologie ((KONZHUMAN))

  • 76 Accesses

Zusammenfassung

Der Arzneimittelstoffwechsel des Menschen weist eine erhebliche inter-individuelle Variabilität auf, wobei neben äußeren Faktoren auch genetisch determinierte Unterschiede in den metabolisierenden Enzymsystemen eine wesentliche Rolle spielen. Die Metabolisierungskapazität von Studienteilnehmern hinsichtlich den drei, bisher beschriebenen und am weitreichensten charakterisierten, genetischen Polymorphismen des Arzneimittelabbaus, dem Spartein/Debrisoquin-, dem Mephenytoin- und dem Acetylierungs-Polymorphismus, kann durch eine “Phänotypisierung” erfaßt werden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Literatur

  1. Vesell ES and Penno MB, Assessment of methods to identify sources of interindividual pharmacokinetic variation. Clin Pharmacokinet 8, 378–409 (1983)

    Article  PubMed  CAS  Google Scholar 

  2. Breimer DD, Potential clinical relevance of the interplay between genetic and environmental factors. European Consensus Conference on Pharmacogenetics, COST B1, 69–81, Publ by Commission of the European communities (1990)

    Google Scholar 

  3. Schellens JHM and Breimer DD, Variability in drug metabolism: importance of genetic constitutions. Pharmac. Weekblad 9, 85–90 (1987)

    Article  CAS  Google Scholar 

  4. Nerbert DW and Gonzalez FJ, P-450 genes: Structure, evolution and regulation. AnnRevBiochem 56, 45–993 (1987)

    Google Scholar 

  5. Guengerich FP, Polymorphism of cytochrome P-450 in humans. TIPS, 10, 107–109 (1989)

    PubMed  CAS  Google Scholar 

  6. Breimer DD, Schellens JHM, Soons PA, Assessment of in vivo oxidative drug metabolizing enzyme activity in man by applying a “coktail” approach, In Microsomes and Drug Oxidations, eds Miners, JO Birkett, Drew DJ et al, 232–240, London: Taylor and Francis

    Google Scholar 

  7. Eichelbaum M, Reetz KP, Schmidt EK, Zekorn C, The genetic polymorphism of sparteine metabolism. Xenobiotica 16, 465–481 (1986)

    Article  PubMed  CAS  Google Scholar 

  8. Harrison PM, Tonkin AM, Dioxin ST and McLean AJ, Determination of debrisoquine and its 4-hydroxy metabolite in urine by high-performance liquid chromatography. J Chromat 374, 204–208 (1986)

    Article  CAS  Google Scholar 

  9. Park YH, Kullberg MP and Hinsvark ON, Quantitative determination of dextrometorphan and three metabolites in urine by reverse-phase high-performance liquid chromatography. J Pharmac Sci 73 (1), 24–29 (1984)

    Article  CAS  Google Scholar 

  10. Wilkinson GR, Guengerich FP and Branch RA, Genetic polymorphism of S-mephenytoin hydroxylation. Pharmac Therap 42, 53–76 (1989)

    Article  Google Scholar 

  11. Wedlund PJ, Aslanian WS, Jacqz E, McAllister CB, Branch RA and Wilkinson GR, Phenotypic differences in mephenytoin pharmacokinetics in normal subjects. J Pharmacol Exp Ther 234, 662–669 (1985)

    PubMed  CAS  Google Scholar 

  12. Price Evans DA, N-Acetyltransferase. Pharmac Therp 42, 157–343 (1989)

    Article  Google Scholar 

  13. Kilbane AJ, Silbart LK, Manis M, Beitins IZ and Wendell WW, Human N-acetylation genotype determination with urinary caffeine metabolites. ClinPharmacolTher 47, 470–477 (1990)

    CAS  Google Scholar 

  14. Eichelbaum M. and Gross AS, The genetic polymorphism of debrisoquine/sparteine metabolism. — Clinical aspects Pharmac Therap 46, 377–394 (1990)

    CAS  Google Scholar 

  15. Eichelbaum M, Zur Problematik genetischer Polymorphismen im oxidativen Arzneistoffwechsel des Menschen. In: Toxikologische und klinische-pharmakologische Prüfungen, Hsg Grosdanoff P, Kraupp O et al, Verlag Walter de Gryter, 555–565 (1990)

    Google Scholar 

  16. Balant LP, Gundert-Remy U, Boobis AR and von Bahr C, Relevance of genetic polymorphism in drug metabolism in the development of new drugs. EurJClinPharmacol 36, 551–554 (1989)

    CAS  Google Scholar 

  17. Brosen K, Recent developments in hepatic drug oxidation- Implications for clinical pharmacokinetics.Clin Pharmacokinet 18 (3), 220–239 (1990)

    Article  PubMed  CAS  Google Scholar 

  18. Lennard MS, Tucker GT and Woods HF, Inborn ‘errors’ of drug metabolism. Pharmacokinetic and Clinical Implications. Clin Pharamcokinet 19 (4), 257–263 (1990)

    Article  CAS  Google Scholar 

  19. Speirs CJ, Murray S, Boobis AR, Seddon CE, Davies DS, Quinidine and the identification of drugs whose elimination is impaired in subjects classified as poor metaboliseres of debrisoquine. BrJClinPharmacol 22, 739–743 (1986)

    CAS  Google Scholar 

  20. Brosen K and Gram LF, Clinical significance of the sparteine/debrisoquine oxidation polymorphism. EurJClin Pharmacol 36, 537–547 (1989)

    CAS  Google Scholar 

  21. Gram LF, Overo KF, Drug Interaction: Inhibitory effect of neuroleptics on metabolism of tricyclic antidepressants in man. Br Med J 1, 463–465 (1972)

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Unseld, E. (1993). Phänotypisierung — Relevanz des genetischen Polymorphismus im Arzneimittelstoffwechsel. In: Lange, L., Seifert, W., Jaeger, H., Klingmann, I. (eds) Pharmakodynamische Modelle für die Arzneimittelentwicklung. Konzepte in der Humanpharmakologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-50229-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-50229-3_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-50230-9

  • Online ISBN: 978-3-642-50229-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics