Influence of leukotriene pathway polymorphisms on clinical responses to montelukast in Japanese patients with asthma

H. Kotani, R. Kishi, A. Mouri, T. Sashio, J. Shindo, A. Shiraki, T. Hiramatsu, S. Iwata, H. Taniguchi, O. Nishiyama, M. Iwata, R. Suzuki, H. Gonda, T. Niwa, M. Kondo, Y. Hasegawa, H. Kume, Y. Noda

研究成果: ジャーナルへの寄稿学術論文査読

14 被引用数 (Scopus)

抄録

What is known and Objective: Montelukast, a cysteinyl leukotriene receptor 1 antagonist, is safe and efficacious in patients with asthma. The mechanisms underlying the significant interpatient variability in response to montelukast are not clear but are believed to be, in part, because of genetic variability. Methods: To examine the associations between polymorphisms in candidate genes in the leukotriene pathway and outcomes in patients with asthma on montelukast for 4-8 weeks, we evaluated the changes in peak expiratory flow (PEF), forced expiratory volume in 1 s (FEV 1·0) and patients' subjective symptom before and after montelukast treatment. DNA was collected from 252 Japanese participants. Results and Discussion: Two single-nucleotide polymorphisms (SNPs) in the ALOX5 (rs2115819) and LTA4H (rs2660845) genes were successfully typed. There was no difference between members of the general population (n = 200) and patients (n = 52) in each genotype frequency. Significant associations were found between SNP genotypes in the LTA4H gene and changes in PEF and FEV 1·0. The PEF and FEV 1·0 responses to montelukast in the A/A genotypes (n = 4) for the LTA4H SNP were significantly higher than those in the G allele carriers (A/G+G/G) (n = 17). What is new and Conclusion: Despite the small sample size, our results suggest that genetic variation in leukotriene pathway candidate genes contributes to variability in clinical responses to montelukast in Japanese patients with asthma.

本文言語英語
ページ(範囲)112-116
ページ数5
ジャーナルJournal of Clinical Pharmacy and Therapeutics
37
1
DOI
出版ステータス出版済み - 02-2012
外部発表はい

All Science Journal Classification (ASJC) codes

  • 薬理学
  • 薬理学(医学)

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