CYP3A5 and ABCB1 polymorphisms in living donors do not impact clinical outcome after kidney transplantation

Author:

Yang Lin1,de Winter Brenda CM2,van Schaik Ron HN3,Xie Rui-Xiang1,Li Yi4,Andrews Louise M2,Shuker Nauras2,Bahmany Soma2,Koch Birgit2,van Gelder Teun25,Hesselink Dennis A5

Affiliation:

1. Department of Pharmacy, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fuzhou, PR China

2. Department of Hospital Pharmacy, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

3. Department of Clinical Chemistry, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

4. Department of Laboratory Medicine, West China Hospital of Sichuan University, Chengdu, PR China

5. Department of Internal Medicine, Division of Nephrology & Transplantation, Rotterdam Transplant Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands

Abstract

Aim: To investigate the association between donor CYP3A5 and ABCB1 polymorphisms and tacrolimus (Tac)-induced nephrotoxicity and renal function in kidney transplant recipients. Methods: The CYP3A5 6986A>G and ABCB1 3435C>T polymorphisms were determined in 237 recipients and donors. Results: There was no significant association between Tac-related nephrotoxicity and donor CYP3A5 and ABCB1 genotype. The donor ABCB1 3435C>T polymorphism was associated with estimated glomerular filtration rate on day 7 and month 1. The combined donor–recipient ABCB1 genotype (3435C>T polymorphism) was significantly related with estimated glomerular filtration rate on day 3 and 7 in univariate analysis. However, these differences were no longer statistically significant in multivariate analysis. Conclusion: A genetic analysis of ABCB1 and CYP3A5 of kidney transplant donors is not helpful to improve renal transplant outcomes.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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