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Predictive Association of C3435T Genetic Polymorphism with the Efficacy or Safety of Lopinavir and Ritonavir in COVID-19 Patients

Overview
Specialties Genetics
Pharmacology
Date 2021 Mar 24
PMID 33759544
Citations 2
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Abstract

Lopinavir and ritonavir are substrates of permeability glycoprotein encoded by  The efficacy and safety of these drugs is unknown in COVID-19 patients affected by genetic variability. Patients carrying one or two copies of the C3435T were predictively considered as risk phenotypes. It was predicted that risk phenotypes due to carrying either one or two copies of C3435T were highly prevalent in Europe (76.8%; 95% CI: 75-78), followed by America (67%; 95% CI: 65-69), Asia (63.5%; 95% CI: 62-65) and Africa (41.4%; 95% CI: 37-46), respectively. It is hypothesized that a considerable proportion of COVID-19 patients treated with lopinavir/ritonavir inheriting C3435T genetic polymorphism may be predisposed to either therapeutic failure or toxicity.

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References
1.
Sills G, Mohanraj R, Butler E, McCrindle S, Collier L, Wilson E . Lack of association between the C3435T polymorphism in the human multidrug resistance (MDR1) gene and response to antiepileptic drug treatment. Epilepsia. 2005; 46(5):643-7. DOI: 10.1111/j.1528-1167.2005.46304.x. View

2.
Park M, Her S, Kim C, SunCho J, Park G, Kim T . Evaluation of the incremental prognostic value of the combination of CYP2C19 poor metabolizer status and ABCB1 3435 TT polymorphism over conventional risk factors for cardiovascular events after drug-eluting stent implantation in East Asians. Genet Med. 2015; 18(8):833-41. DOI: 10.1038/gim.2015.171. View

3.
Su J, Xu J, Li X, Zhang H, Hu J, Fang R . ABCB1 C3435T polymorphism and response to clopidogrel treatment in coronary artery disease (CAD) patients: a meta-analysis. PLoS One. 2012; 7(10):e46366. PMC: 3467260. DOI: 10.1371/journal.pone.0046366. View

4.
Calderon-Cruz B, Rodriguez-Galvan K, Manzo-Francisco L, Vargas-Alarcon G, Fragoso J, Pena-Duque M . C3435T polymorphism of the ABCB1 gene is associated with poor clopidogrel responsiveness in a Mexican population undergoing percutaneous coronary intervention. Thromb Res. 2015; 136(5):894-8. DOI: 10.1016/j.thromres.2015.08.025. View

5.
Viviani Anselmi C, Briguori C, Roncarati R, Papa L, Visconti G, Focaccio A . Routine assessment of on-clopidogrel platelet reactivity and gene polymorphisms in predicting clinical outcome following drug-eluting stent implantation in patients with stable coronary artery disease. JACC Cardiovasc Interv. 2013; 6(11):1166-75. DOI: 10.1016/j.jcin.2013.06.010. View