About: Serum dextromethorphan/dextrorphan metabolic ratio for CYP2D6 phenotyping in clinical practice     Goto   Sponge   NotDistinct   Permalink

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Description
  • What is known and Objective: Accurate prediction of actual CYP2D6 metabolic activity may prevent some adverse drug reactions and improve therapeutic response in patients receiving CYP2D6 substrates. Dextromethorphan-to-dextrorphan metabolic ratio (MRDEM/DOR) is well established as a marker of CYP2D6 metabolizer status. The relationship between urine and plasma or serum MRDEM/DOR is not well established nor is there evidence of antimode for separation of intermediate and especially poor metabolizers (PM) from extensive metabolizers (EM). This study addressed whether CYP2D6 phenotyping using molar metabolic ratio of dextromethorphan to dextrorphan (MRDEM/DOR) in serum is usable and reliable in clinical practice as urinary MRDEM/DOR. Methods: We measured MRDEM/DOR in serum and CYP2D6 genotype in 51 drug-naive patients and 30 volunteers. Receiver-operator characteristic (ROC) analysis was used for the evaluation of optimum cut-off value for discriminating between extensive, intermediate and PM.
  • What is known and Objective: Accurate prediction of actual CYP2D6 metabolic activity may prevent some adverse drug reactions and improve therapeutic response in patients receiving CYP2D6 substrates. Dextromethorphan-to-dextrorphan metabolic ratio (MRDEM/DOR) is well established as a marker of CYP2D6 metabolizer status. The relationship between urine and plasma or serum MRDEM/DOR is not well established nor is there evidence of antimode for separation of intermediate and especially poor metabolizers (PM) from extensive metabolizers (EM). This study addressed whether CYP2D6 phenotyping using molar metabolic ratio of dextromethorphan to dextrorphan (MRDEM/DOR) in serum is usable and reliable in clinical practice as urinary MRDEM/DOR. Methods: We measured MRDEM/DOR in serum and CYP2D6 genotype in 51 drug-naive patients and 30 volunteers. Receiver-operator characteristic (ROC) analysis was used for the evaluation of optimum cut-off value for discriminating between extensive, intermediate and PM. (en)
Title
  • Serum dextromethorphan/dextrorphan metabolic ratio for CYP2D6 phenotyping in clinical practice
  • Serum dextromethorphan/dextrorphan metabolic ratio for CYP2D6 phenotyping in clinical practice (en)
skos:prefLabel
  • Serum dextromethorphan/dextrorphan metabolic ratio for CYP2D6 phenotyping in clinical practice
  • Serum dextromethorphan/dextrorphan metabolic ratio for CYP2D6 phenotyping in clinical practice (en)
skos:notation
  • RIV/00216224:14740/12:00060574!RIV13-MZ0-14740___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • P(ED1.1.00/02.0068), P(NS9676)
http://linked.open...iv/cisloPeriodika
  • 4
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  • 167557
http://linked.open...ai/riv/idVysledku
  • RIV/00216224:14740/12:00060574
http://linked.open...riv/jazykVysledku
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  • CYP2D6; dextromethorphan; genotype; metabolic ratio; phenotype; serum (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [E25E4A36EEAE]
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  • JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS
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  • 37
http://linked.open...iv/tvurceVysledku
  • Barteček, Richard
  • Juřica, Jan
  • Kašpárek, Tomáš
  • Pindurová, Eva
  • Šulcová, Alexandra
  • Žourková, Alexandra
  • Zendulka, Ondřej
http://linked.open...ain/vavai/riv/wos
  • 000305894800020
issn
  • 0269-4727
number of pages
http://bibframe.org/vocab/doi
  • 10.1111/j.1365-2710.2012.01333.x
http://localhost/t...ganizacniJednotka
  • 14740
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