Genetic Determinants of Response to Warfarin during Initial Anticoagulation
Author(s) -
Ute I. Schwarz,
Marylyn D. Ritchie,
Yuki Bradford,
Chun Li,
Scott Dudek,
Amy Frye-Anderson,
Richard B. Kim,
Dan M. Roden,
C. Michael Stein
Publication year - 2008
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa0708078
Subject(s) - vkorc1 , warfarin , cyp2c9 , vitamin k epoxide reductase , medicine , therapeutic index , haplotype , pharmacogenetics , genotype , pharmacology , biology , cytochrome p450 , atrial fibrillation , genetics , drug , metabolism , gene
Genetic variants of the enzyme that metabolizes warfarin, cytochrome P-450 2C9 (CYP2C9), and of a key pharmacologic target of warfarin, vitamin K epoxide reductase (VKORC1), contribute to differences in patients' responses to various warfarin doses, but the role of these variants during initial anticoagulation is not clear.
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