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异烟肼、利福平治疗肺结核致肝毒性易感基因的研究 被引量:10

The study on the susceptible gene of isoniazid and rifampicin-induced hepatotoxicity of pulmonary tuberculosis patients
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摘要 目的 :探讨N 乙酰基转移酶 (NAT2 )基因型与异烟肼、利福平治疗肺结核致肝毒性的相关性。方法 :通过聚合酶链反应 限制性片段长度多态性 (PCR RFLP)技术分析 6 7例经利福平、异烟肼治疗后发生或未发生肝功能异常的肺结核患者NAT2基因多态性的部位、性质及发生率。结果 :病例组和对照组 85 7位密码子多态性分别是 2 0 .3%和 7.1% ,两组差异显著。结论 :NAT2基因型与异烟肼和利福平所致肝毒性关系密切 ,其中 85 7位密码子点突变可能是结核患者发生肝毒性的易感基因型之一。 Objective:To investigate the relationship between the susceptibility of isoniazid and rifampicin-induced hepatotoxicity and the N-acetyltransferase 2(NAT2) genotype in the tuberculosis patients.Methods:NAT2 gene was analyzed in 67 pulmonary tuberculosis patients who had normal or abnormal hepatic function by PCR-RFLP.Results:The frequencies of NAT2 gene mutation at codon 857 in patient group and control group were 20.3% and7.1%,respectively,there were significant difference. Conclusion:NAT2 gene mutation at codon 857 might be one of susceptible genotype in the tuberculosis patients whose hepatic functions were abnormal.
机构地区 解放军总医院第
出处 《军医进修学院学报》 CAS 2004年第3期239-240,共2页 Academic Journal of Pla Postgraduate Medical School
关键词 异烟肼 利福平 药物治疗 肺结核 肝毒性 易感基因 rifampin isoniazid hepatitis,toxic transferase tuberculosis,pulmonary
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参考文献3

  • 1Raghupati Sarma G,Chandra I,Rifampin-induced release of hydrazine from Isoniazid[J],Am Rev Respir Dis,1986,133:1072-1075. 被引量:1
  • 2Ohno M,Yamaguchi I,Slow N-acetyltransferase 2 fenotype affects the incidence of isoniazid and rifampicin-induced hepatotoxicity[J],Int J Tuberc Lung Dis,2000,4(3):256-261. 被引量:1
  • 3Cascorbi I,Drakoulis N.Arylamine N-acetyltransferase(NAT2) mutations and their allelic linkage in unrelated caucasian individuals:correlation with phenotypic activity[J],Am J Hum Genet,1995,57:581-592. 被引量:1

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