Methods for predicting methotrexate polyglutamate levels...

C - Chemistry – Metallurgy – 12 – Q

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C12Q 1/68 (2006.01)

Patent

CA 2591610

The present invention provides methods for determining a level of methotrexate polyglutamates (MTXPGs) in an individual undergoing methotrexate (MTX) therapy and for optimizing dose efficacy of MTX therapy in an individual by genotyping the individual at a polymorphic site in at least one folate pathway gene (e.g., a reduced folate carrier (RFC-1) gene, a gamma glutamyl hydrolase (GGH) gene, etc.). Methods are also provided for determining a level of MTXPGs in an individual undergoing MTX therapy and for optimizing dose efficacy of MTX therapy in an individual by generating a pharmacogenetic index based upon the genotype of the individual at a polymorphic site in an RFC-1 gene and/or a GGH gene.

L'invention porte sur des procédés de détermination du niveau de polyglutamates de méthotréxate (MTXPGs) chez un patient soumis à une thérapie par le méthotréxate (MTX) et d'optimisation de l'efficacité des doses de MTX par génotypage du patient en un site polymorphe, dans au moins: un gène du mécanisme du folate (par exemple un gène réduit de folate (<i>RFC-1</i>), ou un gène de glutamyl hydrolase gamma (<i>GGH</i>), <i>etc</i>.). L'invention porte également sur des procédés de détermination du niveau de (MTXPGs) chez un patient soumis à une thérapie par le méthotréxate (MTX) et d'optimisation de l'efficacité des doses de MTX par création d'un index pharmacogénétique basé sur le génotype du patient en un site polymorphe, dans un gène <i>RFC-1</i> et/ou un gène <i>GGH</i>.

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