Combined Effect of CYP2B6 and NAT2 Genotype on Plasma Efavirenz Exposure During Rifampin-based Antituberculosis Therapy in the STRIDE Study
Author(s) -
Annie Luetkemeyer,
S. Rosenkranz,
Darlene Lu,
Beatriz Grinsztejn,
Jorge Sánchez,
M. Ssemmanda,
Ian Sanne,
Helen McIlleron,
Diane V. Havlir,
David W. Haas
Publication year - 2015
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ155
Subject(s) - efavirenz , medicine , cyp2b6 , genotype , pharmacology , calcein , virology , biology , antiretroviral therapy , human immunodeficiency virus (hiv) , genetics , viral load , gene , cyp3a4 , cytochrome p450 , metabolism , membrane
In STRIDE, slow metabolizer CYP2B6 and NAT2 genotypes were each associated with increased plasma efavirenz concentrations during antituberculosis therapy. Concentrations were greater on therapy than off therapy in 58% with CYP2B6 and 93% with NAT2 slow metabolizer genotypes. Individuals with slow metabolizer genotypes in both genes had markedly elevated concentrations.
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