Title : Presence of CYP2C9*3 allele increases risk for hypoglycemia in Type 2 diabetic patients treated with sulfonylureas.

Pub. Date : 2009 Nov

PMID : 19891554






9 Functional Relationships(s)
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1 Presence of CYP2C9*3 allele increases risk for hypoglycemia in Type 2 diabetic patients treated with sulfonylureas. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
2 Impaired metabolism of sulfonylureas due to gene polymorphisms in the metabolic enzyme CYP2C9 might lead to hypoglycemia. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
3 In the present study we explored the association of the CYP2C9 variant alleles CYP2C9*2 and CYP2C9*3 with the incidence of hypoglycemic events in diabetic patients receiving the sulfonylureas glimepiride and gliclazide. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
4 In the present study we explored the association of the CYP2C9 variant alleles CYP2C9*2 and CYP2C9*3 with the incidence of hypoglycemic events in diabetic patients receiving the sulfonylureas glimepiride and gliclazide. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
5 In the present study we explored the association of the CYP2C9 variant alleles CYP2C9*2 and CYP2C9*3 with the incidence of hypoglycemic events in diabetic patients receiving the sulfonylureas glimepiride and gliclazide. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
6 In a model adjusted for age, BMI, mean daily dose of sulfonylurea, duration of T2DM and renal function, CYP2C9*1/*3 genotype increased the hypoglycemia risk in response to sulfonylurea (odds ratio: 1.687; p = 0.011). Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
7 In a model adjusted for age, BMI, mean daily dose of sulfonylurea, duration of T2DM and renal function, CYP2C9*1/*3 genotype increased the hypoglycemia risk in response to sulfonylurea (odds ratio: 1.687; p = 0.011). Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
8 Furthermore, in T2DM patients, CYP2C9*3 increases the risk of hypoglycemia when they are treated with sulfonylureas, possibly due to impaired metabolism of these drugs. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens
9 CYP2C9 genotyping might thus be a useful tool for predicting adverse effects caused by sulfonylureas and help clinicians in safer prescribing of oral hypoglycemic agents. Sulfonylurea Compounds cytochrome P450 family 2 subfamily C member 9 Homo sapiens