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. Author manuscript; available in PMC: 2013 Oct 11.
Published in final edited form as: Clin Chim Acta. 2012 Feb 1;413(0):1318–1325. doi: 10.1016/j.cca.2012.01.031

Table 1.

MPA clinical pharmacogenetic and pharmacokinetic studiesa.

UGT SNP (reference number) Number/transplant population/ethnicity/other immunosuppression Significant association/results
1A9 −275T>A/−2152C>T [16] 95 kidney Lower MPA AUC 0–12 h (day7)with 2 g/day only
Caucasian Lower MPA AUC 6–12 h with 2 g/day only
Tacrolimus and steroids Lower C0 with 2 g/day only
Shorter Tmax with 2 g/day only
Higher Cl/F with 2 g/day only
1A9 −275T>A/−2152C>T [31] 338 kidney Lower MPA AUC/D 0–12 h (day 3 and 1 year) with tacrolimus only
88% Caucasian Lower percent difference in MPA AUC 0–12 h/D (over 1 year) with tacrolimus only
Tacrolimus or cyclosporine
1A9 −275T>A/−2152C>T [32] 117 kidney and/or pancreas Lower C0/D with cyclosporine only
90% Caucasian
Tacrolimus or cyclosporine
1A9 −275T>A/−2152C>T [17] 100 kidneys Lower % of patients within target AUC 0–12 h range
Tacrolimus and steroids
1A9 −275T>A/−2152C>T [30] 30 kidney Lower AUC 0–12 h
Caucasian Lower AUC 0–6 h
Tacrolimus Lower AUC 6–12 h
1A9 −440C>T [38] 185 kidney Shorter Tmax
Tacrolimus or sirolimus or cyclosporine and steroids
1A9 −440C>T [37] 40 kidney Lower AUC 0–12 h/D
Caucasian
Cyclosporine
1A9 −331T>C [37] 40 kidneys Lower AUC 0–12 h/D
Caucasian
Cyclosporine
1A9 −98T>C (*3) [31] 338 kidney Higher AUC 0–12 h
Tacrolimus or cyclosporine Higher % difference in AUC 0–12 h/D (over 1 year) with tacrolimus and cyclosporine
88% Caucasian
1A9 −98T>C (*3) [16] 95 kidney Higher AUC 0–12 h with 1 g/day only
Caucasian Higher AUC 6–12 h
Tacrolimus or steroids
1A9 −98T>C (*3) [38] 185 kidney Higher Cmax/D
Tacrolimus or sirolimus or cyclosporine and steroids With tacrolimus or sirolimus
1A8 −518C>G(*2) [32] 117 kidney Higher C0/D/T (over 1 year) with tacrolimus
90% Caucasian
Tacrolimus or cyclosporine
1A8 −518C>G (*2) [31] 338 kidney Higher AUC 0–12 h (over 1 year) with cyclosporine
88% Caucasian
Tacrolimus or cyclosporine and steroids
1A8 −518C>G (*2) [38] 185 kidney Lower C0/D
Tacrolimus or sirolimus or cyclosporine and steroids Lower Cmax/D
Lower AUC 0–12 h/D
With tacrolimus or sirolimus
2B7 −802C>T [37] 40 kidney Higher Cmax/D
Caucasian
Cyclosporine
2B7 −842G>T [34] 92 kidney Higher AcMPAG AUC 0–9 h/D (1 month) with sirolimus
Tacrolimus or cyclosporine or sirolimus and steroids Higher AcMPAG AUC 0–9 h/D
(3 month) with sirolimus
2B7 −802C>T [49] 68 thoracic Higher AcMPAG AUC 0–12 h
Tacrolimus or cyclosporine Higher AcMPAG/MPA ratio
2B7 − 138A(*2) [49] 68 thoracic Higher AcMPAG AUC 0–12 h
Tacrolimus or cyclosporine Higher AcMPAG/MPA ratio

MPA = mycophenolic acid or mycophenolate; AcMPAG = acyl glucuronide; MPAG = mycophenolic acid glucuronide; AUC = area under the concentration; Cmax = maximum concentration; C0 = trough concentration; Tmax = time to maximum concentration; CL = clearance; F = Bioavailability; D = dose.

a

This table lists only studies that reported a statistically significant association between UGT polymorphisms and pharmacokinetic parameters.