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霉酚酸在肝移植受者的药代动力学与药效学相关性研究
引用本文:张贵阳,施敏敏,张伟霞,顾志冬,茅华荣,陈皓. 霉酚酸在肝移植受者的药代动力学与药效学相关性研究[J]. 中国临床药理学杂志, 2010, 26(2)
作者姓名:张贵阳  施敏敏  张伟霞  顾志冬  茅华荣  陈皓
作者单位:1. 上海交通大学医学院附属瑞金医院,器官移植中心,上海,200025
2. 上海交通大学医学院附属瑞金医院,药剂科,上海,200025
3. 上海交通大学医学院附属瑞金医院,检验科,上海,200025
基金项目:上海自然科学基金资助项目(08ZR1414200)
摘    要:目的研究肝移植受者早期口服霉酚酸(免疫抑制剂)药代动力学与药效学的相关性。方法20例肝移植受者口服霉酚酸酯前、后,用酶增强免疫法测定患者血浆霉酚酸浓度。服药前(0h)及服药后1,2h,用患者血清处理人急性淋巴细胞白血病T淋巴(CEM)细胞,检测CEM细胞的增殖情况。结果口服霉酚酸酯前,CEM细胞增殖率显著高于服药后1,2h(P<0.05);服药后1,2h霉酚酸浓度与相应的CEM细胞增殖率呈负相关(P<0.05)。结论肝移植受者口服霉酚酸酯后,血清对CEM细胞的增殖产生显著抑制作用,其作用和霉酚酸浓度呈显著负相关。

关 键 词:霉酚酸酯  霉酚酸  药代动力学  药效学  肝移植  

Relationship between pharmacokinetics and pharmadynamics of mycophenolic acid in liver transplant recipients
ZHANG Gui-yang,SHI Min-min,ZHANG Wei-xia,GU Zhi-dong,MAO Hua-rong,CHEN Hao. Relationship between pharmacokinetics and pharmadynamics of mycophenolic acid in liver transplant recipients[J]. The Chinese Journal of Clinical Pharmacology, 2010, 26(2)
Authors:ZHANG Gui-yang  SHI Min-min  ZHANG Wei-xia  GU Zhi-dong  MAO Hua-rong  CHEN Hao
Affiliation:1.a. Center of Organ Transplantation;b. Institute of Clinical Pharmacology;c. Department of Laboratory Medicine;Ruijin Hospital;Affiliated to Shanghai Jiaoton University School of Medicine;Shanghai 200025;China
Abstract:Objective To investigate the relationship between pharmacokinetics and pharmadynamics of mycophenolic acid(MPA)in liver transplant recipients.Methods Plasma MPA concentration were determined EMIT method before MMF dose and after dosing in 20 liver transplant patients received mycophenolate mofetil(MMF).The inhibitory capacity of serum MPA on proliferation of CEM cells was also monitored at 0,1 h and 2 h.Results The rate of proliferation of CEM cells before MMF administration was higher significantly than th...
Keywords:mycophenolate mofetil  mycophenolic acid  pharmacokinetics  pharmadynamics  liver transplantation  
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