Two patients with COMT inhibitor–induced hepatic dysfunction and UGT1A9 genetic polymorphism
Two patients with COMT inhibitor–induced hepatic dysfunction and UGT1A9 genetic polymorphism
The authors report two cases of catechol-O-methyltransferase (COMT) inhibitor-induced asymptomatic hepatic dysfunction in women with Parkinson disease. The patients were genotyped for the UDP-glucuronosyltransferase (UGT) 1A9 gene (which encodes the main COMT inhibitor-metabolizing enzyme), and found to carry mutations leading to defective glucuronidation activity. This suggests that UGT1A9 poor metabolizer genotype(s) may be a predisposing factor for COMT inhibitor-induced hepatotoxicity.
Adult, Genotype, Liver Diseases, DNA Mutational Analysis, Catechols, Catechol O-Methyltransferase Inhibitors, Glucuronates, Middle Aged, Catechol O-Methyltransferase, Antiparkinson Agents, Benzophenones, Liver, Mutation, Nitriles, Humans, Female, Chemical and Drug Induced Liver Injury, Enzyme Inhibitors, Glucuronosyltransferase, Aged
Adult, Genotype, Liver Diseases, DNA Mutational Analysis, Catechols, Catechol O-Methyltransferase Inhibitors, Glucuronates, Middle Aged, Catechol O-Methyltransferase, Antiparkinson Agents, Benzophenones, Liver, Mutation, Nitriles, Humans, Female, Chemical and Drug Induced Liver Injury, Enzyme Inhibitors, Glucuronosyltransferase, Aged
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