今日药学2024,Vol.34Issue(1) :64-66.DOI:10.12048/j.issn.1674-229X.2024.01.012

基因检测指导1例溴鼠灵中毒个体化治疗

Individualized Drug Administration of Brodifacoum Poisoning Under the Guidance of Genetic Detection

许启荣 郭秀彩 陈纠 杨志前 张紫萍
今日药学2024,Vol.34Issue(1) :64-66.DOI:10.12048/j.issn.1674-229X.2024.01.012

基因检测指导1例溴鼠灵中毒个体化治疗

Individualized Drug Administration of Brodifacoum Poisoning Under the Guidance of Genetic Detection

许启荣 1郭秀彩 1陈纠 2杨志前 3张紫萍1
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作者信息

  • 1. 广州市第十二人民医院,临床药学实验基地办公室,广东广州 510620
  • 2. 广州市第十二人民医院,中心实验室,广东广州 510620
  • 3. 广州市第十二人民医院,职业病科,广东广州 510620
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摘要

目的 利用基因检测技术指导溴鼠灵中毒患者个体化用药.方法 采静脉血2mL提取核酸,荧光原位杂交(FISH)测定VKORC1(rs99223231)和CYP2C9*3(rs1057910)基因,根据结果为患者提供个体化用药建议.结果 患者VKORC1基因型为AA,正常代谢型,CYP2C9*3基因型为AA,溴鼠灵敏感型,用药方案调整后,患者的病情稳定,无不良反应发生.结论 基因检测指导患者溴鼠灵中毒时维生素K1个体化给药,可以促进合理用药.

Abstract

OBJECTIVE To guide the individualized administration of brodifacoum poisoning by genetic testing.METHODS DNA was extracted from 2 mL venous blood,Fluorescencein situ hybridization analysis was used for the VKORC1(rs9923231)and CYP2C9*3(rs1057910)genotype,and the individual recommendations were provided for the patients according to genotype.RESULTS The VKORC1 genotype of the patient was AA,indicating normal metabolic type,and the CYP2C9*3 genotype was AA,indicating sensitive type of brodifacoum.After the adjusting of the medication plan to the patient genotype,the patient's condition remained stable and no adverse reactions occurred.CONCLUTION Genetic testing can guide the individualized administration of vitamin K,when patients are poisoned by brodifacoum,which can promote rational drug use.

关键词

VKORC1/CYP2C9/基因检测/溴鼠灵/维生素K1

Key words

VKORC1/CYP2C9/genetic test/brodifacoum/vitamin K1

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出版年

2024
今日药学
广东省药学会 中国药学会

今日药学

影响因子:0.413
ISSN:1674-229X
参考文献量15
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