Suppr超能文献

基因多态性对阿片类镇痛药使用的影响。

Gene polymorphism impact on opioid analgesic usage.

作者信息

Widjaja Sry Suryani, Ichwan Muhammad, Chowbay Balram, Mardani Tengku Helvi, Jayalie Vito Filbert

机构信息

Department of Biochemistry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.

Department of Pharmacology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.

出版信息

J Adv Pharm Technol Res. 2024 Jul-Sep;15(3):135-138. doi: 10.4103/JAPTR.JAPTR_69_24. Epub 2024 Jul 22.

Abstract

Acute pain, moderate-to-severe cancer pain, and persistent malignant pain are all frequently treated with opioids. It is regarded as one of the main tenets of analgesic treatment. The relationship between human opioid sensitivity and genetic polymorphism differences has received little attention up to this point in research. Nonetheless, there is mounting proof that pharmacogenomic diversity could affect how each person reacts to opioids. Finding out how gene polymorphism affects analgesic use is the aim of this investigation, particularly opioids. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards were followed in the preparation of the systematic review approach used in this work. Oxycodone, fentanyl, raclopride, tramadol, ketorolac, morphine, ropivacaine, levobupivacaine, subfentanyl, remifentanil, and nortriptyline were the opioid medications used in the study, which was based on 13 publications. From those articles, we reviewed the impact of gene polymorphism on pain management and drug pharmacokinetics. Based on this systematic review, we concluded that gene polymorphism of gene affects analgesic, specifically opioid mechanisms.

摘要

急性疼痛、中重度癌痛和持续性恶性疼痛通常都用阿片类药物治疗。这被视为镇痛治疗的主要原则之一。到目前为止,人类阿片类药物敏感性与基因多态性差异之间的关系在研究中很少受到关注。然而,越来越多的证据表明,药物基因组多样性可能会影响每个人对阿片类药物的反应。本研究的目的是了解基因多态性如何影响镇痛药物的使用,特别是阿片类药物。本研究采用的系统评价方法是按照系统评价和Meta分析的首选报告项目标准制定的。本研究基于13篇文献,使用的阿片类药物有羟考酮、芬太尼、雷氯必利、曲马多、酮咯酸、吗啡、罗哌卡因、左旋布比卡因、亚芬太尼、瑞芬太尼和去甲替林。从这些文章中,我们综述了基因多态性对疼痛管理和药物药代动力学的影响。基于这项系统评价,我们得出结论,基因的多态性会影响镇痛效果,特别是阿片类药物的作用机制。

相似文献

1
Gene polymorphism impact on opioid analgesic usage.
J Adv Pharm Technol Res. 2024 Jul-Sep;15(3):135-138. doi: 10.4103/JAPTR.JAPTR_69_24. Epub 2024 Jul 22.
2
3
Opioids for cancer pain - an overview of Cochrane reviews.
Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD012592. doi: 10.1002/14651858.CD012592.pub2.
6
Impact of morphine, fentanyl, oxycodone or codeine on patient consciousness, appetite and thirst when used to treat cancer pain.
Cochrane Database Syst Rev. 2014 May 29;2014(5):CD011056. doi: 10.1002/14651858.CD011056.pub2.
8
Impact of a multimodal analgesic protocol modification on opioid consumption after cesarean delivery: a retrospective cohort study.
J Matern Fetal Neonatal Med. 2022 Dec;35(24):4743-4749. doi: 10.1080/14767058.2020.1863364. Epub 2021 Jan 3.
9
Impact of CYP2D6 Pharmacogenomic Status on Pain Control Among Opioid-Treated Oncology Patients.
Oncologist. 2021 Nov;26(11):e2042-e2052. doi: 10.1002/onco.13953. Epub 2021 Sep 19.

引用本文的文献

本文引用的文献

1
Progress, Challenges, and Prospects of Research on the Effect of Gene Polymorphisms on Adverse Reactions to Opioids.
Pain Ther. 2022 Jun;11(2):395-409. doi: 10.1007/s40122-022-00374-0. Epub 2022 Apr 16.
3
Involvement of CYP2D6 and CYP2B6 on tramadol pharmacokinetics.
Pharmacogenomics. 2020 Jul;21(10):663-675. doi: 10.2217/pgs-2020-0026. Epub 2020 Jun 15.
5
A118G Polymorphisms and Its Role in Opioid Addiction: Implication on Severity and Treatment Approaches.
Pharmgenomics Pers Med. 2019 Nov 27;12:361-368. doi: 10.2147/PGPM.S198654. eCollection 2019.
8
Influence of CYP2B6 activity score on the pharmacokinetics and safety of single dose efavirenz in healthy volunteers.
Pharmacogenomics J. 2020 Apr;20(2):235-245. doi: 10.1038/s41397-019-0103-3. Epub 2019 Oct 18.
9
Prevention of Opioid Overdose.
N Engl J Med. 2019 Jun 6;380(23):2246-2255. doi: 10.1056/NEJMra1807054.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验