Table 1.
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.
This table lists only studies that reported a statistically significant association between UGT polymorphisms and pharmacokinetic parameters.