Article
Clinical Pharmacogenetics Implementation Consortium guidelines for CYP2C19 genotype and clopidogrel therapy: 2013 update.
Clinical pharmacology and therapeutics - 1 Sept 2013
Scott S A, Sangkuhl K, Stein C M, Hulot J-S, Mega J L, Roden D M, Klein T E, Sabatine M S, Johnson J A, Shuldiner A R
Abstract excerpt
Cytochrome P450 (CYP)2C19 catalyzes the bioactivation of the antiplatelet prodrug clopidogrel, and CYP2C19 loss-of-function alleles impair formation of active metabolites, resulting in reduced platelet inhibition. In addition, CYP2C19 loss-of-function alleles confer increased risks for serious adverse cardiovascular (CV) events among clopidogrel-treated patients with acute coronary syndromes (ACSs) undergoing...
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