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A Study on the Correlation Between MDR1 Polymorphism and Clopidogrel Resistance in Hui Patients Treated with Percutaneous Coronary Intervention

Overview
Journal Int J Gen Med
Publisher Dove Medical Press
Specialty General Medicine
Date 2021 Mar 4
PMID 33658839
Citations 2
Authors
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Abstract

Objective: This study assesses the correlation between MDR1 gene polymorphism and clopidogrel resistance (CR) in Hui patients with coronary heart disease (CHD) who were treated with percutaneous coronary intervention (PCI).

Methods: The study includes 204 Ningxia Hui patients with CHD who were treated with PCI. These patients were divided into two groups: those who with CR and others were non-clopidogrel resistant (NCR), according to the results of the patients' platelet aggregation rate, which was tested by adenosine diphosphate-induced turbidimetry on the second postoperative day. C3435T and C1236T genotypes and alleles were tested by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).

Results: The CR rate was 24.0%, and there were 3 genotypes of C3435T and C1236T. For C3435T, the distribution frequency of the 3435TT genotype and T allele was significantly higher in the CR group than in the NCR group. For C1236T, no significant difference was found between the two groups.

Conclusion: Hui patients who had CHD were treated with PCI. CR was most likely to occur in those who had the T allele of MDR1 in gene C3435T.

Citing Articles

The association between abcb1 gene polymorphism and clopidogrel response variability in stroke ischemic: a cross sectional study.

Hidayat R, Nabilah R, Fisher M, Aninditha T, Kurniawan M, Estiasari R BMC Neurol. 2024; 24(1):216.

PMID: 38914966 PMC: 11194867. DOI: 10.1186/s12883-024-03723-y.


The Role of Genetic Polymorphism and Other Factors on Clopidogrel Resistance (CR) in an Asian Population with Coronary Heart Disease (CHD).

Akkaif M, Daud N, Shaaban A, Ng M, Kader M, Mohamed Noor D Molecules. 2021; 26(7).

PMID: 33915807 PMC: 8036376. DOI: 10.3390/molecules26071987.

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