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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-802</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS OF LITERATURE</subject></subj-group></article-categories><title-group><article-title>МОЛЕКУЛЯРНО-ГЕНЕТИЧЕСКИЙ ПОДХОД К ОПТИМИЗАЦИИ СОВРЕМЕННОЙ АНТИАГРЕГАНТНОЙ ТЕРАПИИ</article-title><trans-title-group xml:lang="en"><trans-title>MOLECULAR-GENETIC APPROACH FOR OPTIMIZATION OF MODERN ANTIAGGREGANT THERAPY</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кнауэр</surname><given-names>Н. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Knauer</surname><given-names>N. YU.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лифшиц</surname><given-names>Г. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Lifshits</surname><given-names>G. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВПО «Новосибирский национальный исследовательский государственный университет»</institution></aff><aff xml:lang="en"><institution>Novosibirsk National Research State University</institution></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Институт химической биологии и фундаментальной медицины СО РАН, Новосибирск</institution></aff><aff xml:lang="en"><institution>Institute of Chemical Biology and Fundamental Medicine SB RAS</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>28</day><month>04</month><year>2012</year></pub-date><volume>0</volume><issue>2(1)</issue><fpage>143</fpage><lpage>152</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кнауэр Н.Ю., Лифшиц Г.И., 2012</copyright-statement><copyright-year>2012</copyright-year><copyright-holder xml:lang="ru">Кнауэр Н.Ю., Лифшиц Г.И.</copyright-holder><copyright-holder xml:lang="en">Knauer N.Y., Lifshits G.I.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.actabiomedica.ru/jour/article/view/802">https://www.actabiomedica.ru/jour/article/view/802</self-uri><abstract><p>В обзоре рассмотрены точки приложения антиагрегантной терапии клопидогрелем и факторы, влияющие на ее исход. Особое внимание уделено применению персонализированного подхода для оптимизации терапии клопидогрелем., обсуждены данные клинических исследований.</p></abstract><trans-abstract xml:lang="en"><p>The targets of application of antiaggregant therapy by clopidogrel and the factors that influence its outcome were presented, in this review. Special attention was given to the application of personalized, approach for the optimization of clopidogrel therapy. The data of clinical investigations were discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>клопидогрель</kwd><kwd>персонализированная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>MDR1</kwd><kwd>CYP2C19</kwd><kwd>clopidogrel</kwd><kwd>personalized therapy</kwd><kwd>MDR1</kwd><kwd>CYP2C19</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Грацианский Н.А. Национальные рекомендации по лечению ОКС без стойкого подъема ST на ЭКГ // Кардиоваскулярная терапия и профилактика. - 2006. - Вып. 8, № 5. - С. 411-440.</mixed-citation><mixed-citation xml:lang="en">Грацианский Н.А. Национальные рекомендации по лечению ОКС без стойкого подъема ST на ЭКГ // Кардиоваскулярная терапия и профилактика. - 2006. - Вып. 8, № 5. - С. 411-440.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Диагностика и лечение фибрилляции предсердий / А.Л. Сыркин, В.А. Сулимов, И.Г. Фомина [и др.] // Кардиоваскулярная терапия и профилактика. - 2005. - Вып. 4, № 4. - P. 475-508.</mixed-citation><mixed-citation xml:lang="en">Диагностика и лечение фибрилляции предсердий / А.Л. Сыркин, В.А. Сулимов, И.Г. Фомина [и др.] // Кардиоваскулярная терапия и профилактика. - 2005. - Вып. 4, № 4. - P. 475-508.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Национальные рекомендации по диагностике и лечению стабильной стенокардии / Р.С. Акчурин, Ю.А. Васюк, Ю.А. Карпов [и др.]. - М., 2009.</mixed-citation><mixed-citation xml:lang="en">Национальные рекомендации по диагностике и лечению стабильной стенокардии / Р.С. Акчурин, Ю.А. Васюк, Ю.А. Карпов [и др.]. - М., 2009.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ahmad T., Voora D., Becker R.C. The pharmacogenetics of antiplatelet agents: towards personalized therapy? // Nat. Rev. Cardiol. - 2011. - Vol. 8. -N 10. - P. 560-571.</mixed-citation><mixed-citation xml:lang="en">Ahmad T., Voora D., Becker R.C. The pharmacogenetics of antiplatelet agents: towards personalized therapy? // Nat. Rev. Cardiol. - 2011. - Vol. 8. -N 10. - P. 560-571.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Ambudkar S.V., Kim I.W., Sauna Z.E. The power of the pump: mechanisms of action of P-glycoprotein (ABCB1) // Eur. J. Pharm. Sci. - 2006. - Vol. 27, N 5. - P. 392-400.</mixed-citation><mixed-citation xml:lang="en">Ambudkar S.V., Kim I.W., Sauna Z.E. The power of the pump: mechanisms of action of P-glycoprotein (ABCB1) // Eur. J. Pharm. Sci. - 2006. - Vol. 27, N 5. - P. 392-400.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Angiolillo D.J., Ferreiro J.L. Platelet adenosine diphosphate P2Y12 receptor antagonism: benefits and limitations of current treatment strategies and future directions // Rev. Esp. Cardiol. - 2010. - Vol. 63, N 1. - P. 60-76.</mixed-citation><mixed-citation xml:lang="en">Angiolillo D.J., Ferreiro J.L. Platelet adenosine diphosphate P2Y12 receptor antagonism: benefits and limitations of current treatment strategies and future directions // Rev. Esp. Cardiol. - 2010. - Vol. 63, N 1. - P. 60-76.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Association of cytochrome P450 2C19 genotype with the antiplatelet effect and clinical efficacy of clopidogrel therapy / A.R. Shuldiner, J.R. O'Connell, K.P. Bliden [et al.] // J. Am. Med. Assoc. - 2009. -Vol. 302, N 8. - P. 849-857.</mixed-citation><mixed-citation xml:lang="en">Association of cytochrome P450 2C19 genotype with the antiplatelet effect and clinical efficacy of clopidogrel therapy / A.R. Shuldiner, J.R. O'Connell, K.P. Bliden [et al.] // J. Am. Med. Assoc. - 2009. -Vol. 302, N 8. - P. 849-857.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Chua D., Legal M., Shalansky S.J. Clopidogrel plus aspirin in atrial fibrillation // N. Engl. J. Med. - 2009. - Vol. 361, N 13. - P. 1312-1313.</mixed-citation><mixed-citation xml:lang="en">Chua D., Legal M., Shalansky S.J. Clopidogrel plus aspirin in atrial fibrillation // N. Engl. J. Med. - 2009. - Vol. 361, N 13. - P. 1312-1313.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Clopidogrel, haemorrhage and haematological disorders // WHO Drug Information. - 2004.</mixed-citation><mixed-citation xml:lang="en">Clopidogrel, haemorrhage and haematological disorders // WHO Drug Information. - 2004.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Clopidogrel: new use / Ed. C. Encrenaz // WHO Drug Information. - 2006. - P. 199.</mixed-citation><mixed-citation xml:lang="en">Clopidogrel: new use / Ed. C. Encrenaz // WHO Drug Information. - 2006. - P. 199.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Cytochrome 2C19*17 allelic variant, platelet aggregation, bleeding events, and stent thrombosis in clopidogrel-treated patients with coronary stent placement / D. Sibbing, W. Koch, D. Gebhard, [et al.] // Circulation. - 2010. - Vol. 121, N 4. - P. 512-518.</mixed-citation><mixed-citation xml:lang="en">Cytochrome 2C19*17 allelic variant, platelet aggregation, bleeding events, and stent thrombosis in clopidogrel-treated patients with coronary stent placement / D. Sibbing, W. Koch, D. Gebhard, [et al.] // Circulation. - 2010. - Vol. 121, N 4. - P. 512-518.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Cytochrome P450 2C19 loss-of-function polymorphism and stent thrombosis following percutaneous coronary intervention / D. Sibbing, J. Stegherr, W. Latz [et al.] / Eur. Heart J. - 2009. - Vol. 30, N 8. - P. 916-922.</mixed-citation><mixed-citation xml:lang="en">Cytochrome P450 2C19 loss-of-function polymorphism and stent thrombosis following percutaneous coronary intervention / D. Sibbing, J. Stegherr, W. Latz [et al.] / Eur. Heart J. - 2009. - Vol. 30, N 8. - P. 916-922.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Cytochrome P450 2C19 681G&gt;A polymorphism and high on-clopidogrel platelet reactivity associated with adverse 1-year clinical outcome of elective percutaneous coronary intervention with drug-eluting or bare-metal stents / D. Trenk, W. Hoch-holzer, M.F. Fromm [et al.] // J. Am. Coll. Cardiol. -2008. - Vol. 51, N 20. - P. 1925-1934.</mixed-citation><mixed-citation xml:lang="en">Cytochrome P450 2C19 681G&gt;A polymorphism and high on-clopidogrel platelet reactivity associated with adverse 1-year clinical outcome of elective percutaneous coronary intervention with drug-eluting or bare-metal stents / D. Trenk, W. Hoch-holzer, M.F. Fromm [et al.] // J. Am. Coll. Cardiol. -2008. - Vol. 51, N 20. - P. 1925-1934.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Davi G., Patrono C. Platelet activation and ath-erothrombosis // N. Engl. J. Med. - 2007. - Vol. 357, N 24. - P. 2482-2494.</mixed-citation><mixed-citation xml:lang="en">Davi G., Patrono C. Platelet activation and ath-erothrombosis // N. Engl. J. Med. - 2007. - Vol. 357, N 24. - P. 2482-2494.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Effect of clopidogrel added to aspirin in patients with atrial fibrillation / S.J. Connolly, J. Pogue, R.G. Hart [et al.] // N. Engl. J. Med. - 2009. -Vol. 360, N 20. - P. 2066-2078.</mixed-citation><mixed-citation xml:lang="en">Effect of clopidogrel added to aspirin in patients with atrial fibrillation / S.J. Connolly, J. Pogue, R.G. Hart [et al.] // N. Engl. J. Med. - 2009. -Vol. 360, N 20. - P. 2066-2078.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Fromm M.F. The influence of MDR1 polymorphisms on P-glycoprotein expression and function in humans // Adv. Drug. Deliv. Rev. - 2002. - Vol. 54, N 10. - P. 1295-1310.</mixed-citation><mixed-citation xml:lang="en">Fromm M.F. The influence of MDR1 polymorphisms on P-glycoprotein expression and function in humans // Adv. Drug. Deliv. Rev. - 2002. - Vol. 54, N 10. - P. 1295-1310.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Fuster V. Fine-tuning therapy for acute coronary syndromes // N. Engl. J. Med. - 2010. -Vol. 363, N 10. - P. 976-977.</mixed-citation><mixed-citation xml:lang="en">Fuster V. Fine-tuning therapy for acute coronary syndromes // N. Engl. J. Med. - 2010. -Vol. 363, N 10. - P. 976-977.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Genetic determinants of response to clopidogrel and cardiovascular events / T. Simon, C. Verstuyft, M. Mary-Krause [et al.] // N. Engl. J. Med. - 2009. -Vol. 360, N 4. - P. 363-375.</mixed-citation><mixed-citation xml:lang="en">Genetic determinants of response to clopidogrel and cardiovascular events / T. Simon, C. Verstuyft, M. Mary-Krause [et al.] // N. Engl. J. Med. - 2009. -Vol. 360, N 4. - P. 363-375.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Genetic variants in ABCB1 and CYP2C19 and cardiovascular outcomes after treatment with clopi-dogrel and prasugrel in the TRITON-TIMI 38 trial: a pharmacogenetic analysis / J.L. Mega, S.L. Mega, S.D. Wiviott [et al.] // Lancet. - 2010. - Vol. 376, N 9749. - P. 1312-1319.</mixed-citation><mixed-citation xml:lang="en">Genetic variants in ABCB1 and CYP2C19 and cardiovascular outcomes after treatment with clopi-dogrel and prasugrel in the TRITON-TIMI 38 trial: a pharmacogenetic analysis / J.L. Mega, S.L. Mega, S.D. Wiviott [et al.] // Lancet. - 2010. - Vol. 376, N 9749. - P. 1312-1319.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Pisters R., Dinh T., Crijns H.J. Clopidogrel plus aspirin in atrial fibrillation // N. Engl. J. Med. - 2009. - Vol. 361, N 13. - P. 1312.</mixed-citation><mixed-citation xml:lang="en">Pisters R., Dinh T., Crijns H.J. Clopidogrel plus aspirin in atrial fibrillation // N. Engl. J. Med. - 2009. - Vol. 361, N 13. - P. 1312.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Variability in individual responsiveness to clopidogrel: clinical implications, management, and future perspectives / D.J. Angiolillo, A. Fernandez-Ortiz, E. Bernardo [et al.] // J. Am. Coll. Cardiol. -2007. - Vol. 49, N 14. - P. 1505-1516.</mixed-citation><mixed-citation xml:lang="en">Variability in individual responsiveness to clopidogrel: clinical implications, management, and future perspectives / D.J. Angiolillo, A. Fernandez-Ortiz, E. Bernardo [et al.] // J. Am. Coll. Cardiol. -2007. - Vol. 49, N 14. - P. 1505-1516.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Variability in platelet responsiveness to clopidogrel among 544 individuals / V.L. Serebruany, S.R. Steinhubl, P.B. Berger [et al.] // J. Am. Coll. Cardiol. - 2005. - Vol. 45, N 2. - P. 246-251.</mixed-citation><mixed-citation xml:lang="en">Variability in platelet responsiveness to clopidogrel among 544 individuals / V.L. Serebruany, S.R. Steinhubl, P.B. Berger [et al.] // J. Am. Coll. Cardiol. - 2005. - Vol. 45, N 2. - P. 246-251.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
