Abstract
Introduction: Esomeprazole (eso) and rabeprazole (rabe) are metabolized in the liver. Genetic polymorphism of the cytochrome P-450 enzyme CYP2C19 determines fast (homozygous extensive metabolizers, wt/wt), intermediate (heterozygous extensive metabolizers, wt/∗2 or wt/∗3) and slow (poor metabolizers, ∗2/∗2, ∗3/∗3 or ∗2/∗3) or rapid (wt/∗17 or ∗17/∗17) metabolism of proton pump inhibitors (PPIs). In the Caucasian population 60% has the wt/ wt genotype, 30-40% is wt/∗2 and 2-5% ∗2/∗2. Aim: To investigate the impact of CYP2C19 genotype on control of gastric acidity (median pH and % of time pH
| Original language | English |
|---|---|
| Pages (from-to) | 496 |
| Number of pages | 1 |
| Journal | Gastroenterology |
| Volume | 136 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 1-May-2009 |
Keywords
- esomeprazole
- rabeprazole
- cytochrome P450
- enzyme
- genomic DNA
- acid
- proton pump inhibitor
- DNA
- oral drug administration
- genotype
- stomach pH
- gastrointestinal disease
- pH
- Caucasian
- genetic polymorphism
- metabolism
- population
- pylorus
- normal human
- analysis of variance
- crossover procedure
- gastric pH monitoring
- model
- male
- stomach acid
- liver
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