Article
CYP2C19 but not PON1 genetic variants influence clopidogrel pharmacokinetics, pharmacodynamics, and clinical efficacy in post-myocardial infarction patients.
Circulation. Cardiovascular interventions - 1 Oct 2011
Hulot Jean-Sébastien, Collet Jean-Philippe, Cayla Guillaume, Silvain Johanne, Allanic Frédérick, Bellemain-Appaix Anne, Scott Stuart A, Montalescot Gilles
Abstract excerpt
BACKGROUND: Reduced concentrations of clopidogrel active metabolite have been associated with diminished platelet inhibition and higher rates of adverse cardiovascular events. Paraoxonase-1 (PON1) has recently been proposed as a key enzyme for clopidogrel metabolic activation. We tested the effects of PON1 polymorphisms on clopidogrel pharmacokinetics and pharmacodynamics and the occurrence of cardiovascular...
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