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Association between Thiopurine S-methyltransferase Polymorphisms and Thiopurine-Induced Adverse Drug Reactions in Patients with Inflammatory Bowel Disease: A Meta-Analysis

机译:炎症性肠病患者硫嘌呤S-甲基转移酶多态性与硫嘌呤诱导的不良药物反应之间的关联:荟萃分析

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摘要

PurposeThiopurine drugs are well established treatments in the management of inflammatory bowel disease (IBD), but their use is limited by significant adverse drug reactions (ADRs). Thiopurine S-methyltransferase (TPMT) is an important enzyme involved in thiopurine metabolism. Several clinical guidelines recommend determining TPMT genotype or phenotype before initiating thiopurine therapy. Although several studies have investigated the association between TPMT polymorphisms and thiopurine-induced ADRs, the results are inconsistent. The purpose of this study is to evaluate whether there is an association between TPMT polymorphisms and thiopurine-induced ADRs using meta-analysis.
机译:目的硫嘌呤类药物是控制炎症性肠病(IBD)的成熟方法,但其使用受到严重的药物不良反应(ADR)的限制。硫嘌呤S-甲基转移酶(TPMT)是参与硫嘌呤代谢的重要酶。一些临床指南建议在开始硫嘌呤治疗之前确定TPMT基因型或表型。尽管有几项研究调查了TPMT多态性与硫嘌呤诱导的ADR之间的关系,但结果并不一致。这项研究的目的是通过荟萃分析评估TPMT多态性与硫嘌呤诱导的ADR之间是否存在关联。

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