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Pharmacogenetic aspects of the efficacy and safety profile of H1-histamine receptor blockers in the treatment of allergic diseases

https://doi.org/ 10.24411/2588-0527-2018-10003

Abstract

Today it is known that the second-generation Hl-antihistamines are substrates for the P-glycoprotein, that is encoded by the multiple drug resistance gene. The metabolism of the second-generation Hl-antihistamines involves a number of cytochrome P450 isoenzymes that encoded by the corresponding genes. All these noted genes are polymorphic, that can affect the activity of encoded proteins. Efflux alteration of second-generation Hl-antihistamines, as well as modifications in their biotransformation, can affect their efficacy and safety. The purpose of this review was to generalize current available information about pharmacogenetic characteristics of second-generation Hl-antihistamines and to suspect interindividual variability mechanisms of their efficacy and safety for allergic diseases.

About the Authors

A. K. Zastrozhina
Children’s state polyclinic No. 42 of the Moscow Department of health
Russian Federation


D. A. Suchev
Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare
Russian Federation


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Review

For citations:


Zastrozhina A.K., Suchev D.A. Pharmacogenetic aspects of the efficacy and safety profile of H1-histamine receptor blockers in the treatment of allergic diseases. Pharmacogenetics and Pharmacogenomics. 2018;(1):15-20. (In Russ.) https://doi.org/ 10.24411/2588-0527-2018-10003

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