SLCO1B3 polymorphisms and clinical outcomes in kidney transplant recipients receiving mycophenolate

Author:

Schumacher Lauren1ORCID,Fang Fang2ORCID,Kidwell Kelley M2ORCID,Shakeel Faisal3ORCID,Hertz Daniel L3ORCID,Park Jeong M13ORCID,Pasternak Amy L13ORCID

Affiliation:

1. Department of Pharmacy, Michigan Medicine, Ann Arbor, MI 48109, USA

2. Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA

3. Department of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI 48109, USA

Abstract

Aim: Determine the influence of SLCO1B3 polymorphisms on outcomes in kidney transplant recipients. Materials & methods: We retrospectively evaluated 181 adult kidney transplant recipients receiving mycophenolate. Outcomes included treated biopsy-proven acute rejection (tBPAR), de novo donor-specific antibody (dnDSA) formation, graft survival, patient survival and mycophenolate-related adverse effects among SLCO1B3 genotypes. Results: The presence of SLCO1B3 variants was not associated with increased risk of tBPAR (HR: 1.45, 95% CI: 0.76–2.74), dnDSA (HR: 0.46, 95% CI: 0.16–1.36) or composite of tBPAR or dnDSA (HR: 1.14, 95% CI: 0.64–2.03). Graft and patient survival were reduced among variant carriers; however, inconsistent findings with the primary analysis suggest these associations were not due to genotype. Adverse effects were similar between groups. Conclusion: Presence of SLCO1B3 polymorphisms were not predictive of rejection or dnDSA in kidney transplant recipients.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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