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Paraoxonase-1 Q192R Polymorphism and Antiplatelet Effects of Clopidogrel in Patients Undergoing Elective Coronary Stent Placement
Author(s) -
Dietmar Trenk,
Willibald Hochholzer,
Martin F. Fromm,
Oliver Zolk,
Christian Valina,
Christian Stratz,
FranzJosef Neumann
Publication year - 2011
Publication title -
circulation cardiovascular genetics
Language(s) - English
Resource type - Journals
eISSN - 1942-325X
pISSN - 1942-3268
DOI - 10.1161/circgenetics.111.960112
Subject(s) - clopidogrel , medicine , coronary stent , pon1 , paraoxonase , cardiology , polymorphism (computer science) , stent , ticlopidine , myocardial infarction , genotype , biology , genetics , oxidative stress , restenosis , gene
Recently published data indicate that the paraoxonase-1 (PON1) Q192R genotype-and not as previously shown activity of cytochrome P450 (CYP) 2C19-is the major determinant of metabolic bioactivation of clopidogrel and thereby variability of antiplatelet effect of clopidogrel. We sought to investigate whether the PON1 Q192R gene polymorphism affects platelet reactivity in patients undergoing elective coronary stent placement.

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