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University of Helsinki
1. Hirvisaari, Laura. Katekoliestradiolien glukuronidaatio.
Degree: Farmaceutiska fakulteten, 2012, University of Helsinki
URL: http://hdl.handle.net/10138/35742
Subjects/Keywords: UGT; HPLC; Catechol estradiols; glucuronidation; 2-hydroxyestradiol; 4-hydroxyestradiol; UDP-glucuronosyl transferase; separation method development; glukuronidaatio; 2-hydroksiestradioli; 4-hydroksiestradioli; UDP-glukuronosyylitransferaasi; kromatografiamenetelmä; katekoliestradioli; Farmaceutisk kemi; Pharmaceutical Chemistry; Farmaseuttinen kemia
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APA (6th Edition):
Hirvisaari, L. (2012). Katekoliestradiolien glukuronidaatio. (Masters Thesis). University of Helsinki. Retrieved from http://hdl.handle.net/10138/35742
Chicago Manual of Style (16th Edition):
Hirvisaari, Laura. “Katekoliestradiolien glukuronidaatio.” 2012. Masters Thesis, University of Helsinki. Accessed January 23, 2021. http://hdl.handle.net/10138/35742.
MLA Handbook (7th Edition):
Hirvisaari, Laura. “Katekoliestradiolien glukuronidaatio.” 2012. Web. 23 Jan 2021.
Vancouver:
Hirvisaari L. Katekoliestradiolien glukuronidaatio. [Internet] [Masters thesis]. University of Helsinki; 2012. [cited 2021 Jan 23]. Available from: http://hdl.handle.net/10138/35742.
Council of Science Editors:
Hirvisaari L. Katekoliestradiolien glukuronidaatio. [Masters Thesis]. University of Helsinki; 2012. Available from: http://hdl.handle.net/10138/35742
Uppsala University
2. Fredriksson, Lena. IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n.
Degree: Medical Biochemistry and Microbiology, 2009, Uppsala University
URL: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107558
Gilbert’s syndrome (GS) occurs in approximately 10% of the European population. The most common cause is homozygosity for UGT1A1*28, which is a TA repeat expansion in the promoter of UGT1A1. It is characterised by intermittent hyperbilirubinemia due to reduced hepatic activity of the enzyme UDP-glucuronosyl-transferase 1A1(UGT1A1). GS also alteres the pharmacokinetics of some drugs and increases the risk of drug toxicity. Irinotecan (Camptosar®, Campto®) is used in metastatic colorectal cancer and the active metabolite is inactivated by UGT1A1. Studies have shown that GS can be a risk factor for toxicity during irinotecan therapy. Three different methods for genotyping of UGT1A1*28 have been tested. PCR with electrophoresis used for size separation, melting temperature analysis and fluorescent PCR followed by fragment analysis on a capillary sequencer. The last method was found to be superior. This method was used for genotyping of patients with colorectal cancer treated with irinotecan and 5-fluorouracil in the Nordic VI study. A significant association between UGT1A1 genotype and plasma bilirubin level before the start of irinotecan treatment was seen (ANOVA p<0.0001). Patients with GS had an overall increased risk of adverse drug reactions (Fishers Exact test p=0.02). Gilbert’s syndrome can be diagnosed by genotyping UGT1A1*28 with a fragment analysis method. Genotyping of UGT1A1*28 can be used to identify patients with an increased risk of adverse reactions to irinotecan.
Gilberts syndrom (GS) drabbar upp till 10% av befolkningen i Västeuropa. GS beror på nedsatt aktivitet av enzymet UDP-glukuronosyltransferas 1A1 (UGT1A1) i levern. Den vanligaste orsaken är att individen är homozygot för en insertion av två baser i promotorn för genen UGT1A1. Denna genvariant kallas (TA)7TAA eller UGT1A1*28. GS leder till intermittent stegring av bilirubin vid infektioner, men bilirubinstegring kan förekomma även utan utlösande agens. GS kan också leda till bilirubinstegring vid viss läkemedelsbehandling. Irinotekan (Campto®) används vid metastaserande colorektal cancer och dess aktiva metabolit inaktiveras av UGT1A1. Det finns rapporter om att GS ger ökad risk för toxiska biverkningar av irinotekan. Tre metoder för att bestämma UGT1A1 har jämförts: PCR med elfores, PCR med smältpunktsanalys och PCR med fragmentanalys på sekvensator. Den sista metoden var bäst och användes för att genotypa UGT1A1 hos patienter med colorektal cancer från Nordic VI-studien. De behandlades med irinotekan i kombination med bolusinjektion eller infusion av 5-fluorouracil. Vi fann att patienter med GS hade signifikant högre S-bilirubin före behandling jämfört med övriga patienter. De hade även ökad frekvens biverkningar av irinotekan (Fishers exakta test p=0,02). Genotypning av UGT1A1 kan således användas för att diagnostisera Gilberts syndrom hos patienter med oförklarad bilirubinstegring. Det kan även användas för att identifiera patienter med…
Subjects/Keywords: Fragment analysis; genetic analysis; Gilbert´s syndrome; irinotecan; TATA box; UDP Glucuronosyl-transferase 1A1; UGT1A1 *28; Pharmacology and Toxicology; Farmakologi och toxikologi
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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager
APA (6th Edition):
Fredriksson, L. (2009). IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n. (Thesis). Uppsala University. Retrieved from http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107558
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Fredriksson, Lena. “IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n.” 2009. Thesis, Uppsala University. Accessed January 23, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107558.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Fredriksson, Lena. “IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n.” 2009. Web. 23 Jan 2021.
Vancouver:
Fredriksson L. IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n. [Internet] [Thesis]. Uppsala University; 2009. [cited 2021 Jan 23]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107558.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Fredriksson L. IRINOTECANTOXICITY RELATED TO GILBERT´S SYNDROME - COMPARISON OF THREE METHODS FOR GENOTYPING OF UGT1A1 (TA)n. [Thesis]. Uppsala University; 2009. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-107558
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cincinnati
3. Sane, Rucha S. Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications.
Degree: PhD, Pharmacy : Pharmaceutical Sciences, 2006, University of Cincinnati
URL: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1143410615
Subjects/Keywords: Health Sciences, General; Tamoxifen; CYP3A4; Cytochrome P450; Enzyme induction; drug metabolism; human hepatocytes; UDP-glucuronosyl transferase; P-glycoprotein; Pregnane X Receptor; PXR; LS174T
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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager
APA (6th Edition):
Sane, R. S. (2006). Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications. (Doctoral Dissertation). University of Cincinnati. Retrieved from http://rave.ohiolink.edu/etdc/view?acc_num=ucin1143410615
Chicago Manual of Style (16th Edition):
Sane, Rucha S. “Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications.” 2006. Doctoral Dissertation, University of Cincinnati. Accessed January 23, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1143410615.
MLA Handbook (7th Edition):
Sane, Rucha S. “Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications.” 2006. Web. 23 Jan 2021.
Vancouver:
Sane RS. Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications. [Internet] [Doctoral dissertation]. University of Cincinnati; 2006. [cited 2021 Jan 23]. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1143410615.
Council of Science Editors:
Sane RS. Differential Induction of Drug Metabolizing Enzymes and Drug Transporters by Tamoxifen: Molecular Mechanisms and Clinical Implications. [Doctoral Dissertation]. University of Cincinnati; 2006. Available from: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1143410615