Linked Life Data

14659971

Source:http://linkedlifedata.com/resource/pubmed/id/14659971

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2003-12-8
pubmed:abstractText
Previous studies suggested that the onset of phenytoin-induced gingival overgrowth depended on serum phenytoin concentration. Cytochrome P450 2C (CYP2C) plays an important role in phenytoin metabolism. Recently, single nucleotide polymorphisms in the coding region of CYP 2C influencing phenytoin metabolism were identified. The purpose of the present study was to see if CYP 2C polymorphisms might relate to the onset and severity of phenytoin-induced gingival overgrowth. Twenty-eight epileptic patients taking phenytoin aged 15 to 75 (mean age: 42.2 years old, 20 males and 8 females) and 56 unrelated healthy subjects aged 30 to 48 (mean age: 36.8 years old, 48 males and 8 females) were examined for CYP 2C polymorphisms. All epileptic subjects were examined for the degree of gingival overgrowth, daily phenytoin dose and serum phenytoin concentration. The results indicated about 7% of the subjects including epileptic and healthy subjects examined were positive for CYP 2C9*3. However, the degree of gingival overgrowth did not directly correlate with CYP 2C polymorphisms. Nevertheless, the subjects with severer gingival overgrowth exhibited significantly higher serum phenytoin concentration, indicating that phenytoin metabolism is an important determinant for the severity of the disease. Additionally, CYP 2C9*3 carriers exhibited significantly higher serum drug concentration to drug dose. Therefore, we concluded although the gene analysis is not directly related to diagnose the disease itself, it can be utilized in estimating serum phenytoin concentration from drug dose, which in turn serves to predict the future development and clinical course of the disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0024-3205
pubmed:author
pubmed:issnType
Print
pubmed:day
2
pubmed:volume
74
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
827-34
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14659971-Adolescent, pubmed-meshheading:14659971-Adult, pubmed-meshheading:14659971-Aged, pubmed-meshheading:14659971-Anticonvulsants, pubmed-meshheading:14659971-Aryl Hydrocarbon Hydroxylases, pubmed-meshheading:14659971-Cytochrome P-450 Enzyme System, pubmed-meshheading:14659971-Epilepsy, pubmed-meshheading:14659971-Female, pubmed-meshheading:14659971-Genetic Predisposition to Disease, pubmed-meshheading:14659971-Genotype, pubmed-meshheading:14659971-Gingiva, pubmed-meshheading:14659971-Gingival Hypertrophy, pubmed-meshheading:14659971-Humans, pubmed-meshheading:14659971-Male, pubmed-meshheading:14659971-Middle Aged, pubmed-meshheading:14659971-Mixed Function Oxygenases, pubmed-meshheading:14659971-Phenytoin, pubmed-meshheading:14659971-Polymorphism, Single Nucleotide
pubmed:year
2004
pubmed:articleTitle
CYP2C polymorphisms, phenytoin metabolism and gingival overgrowth in epileptic subjects.
pubmed:affiliation
Department of Patho-physiology/Periodontal Science, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama 700-8525, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't