Polimorfisme P2Y12 Terhadap Agregasi Platelet Pada Pasien Penyakit Jantung Koroner

oktaviarika dewi hermawatiningsih

Abstract


Genetic polymorphism of P2Y12 receptor is one of the factors responsible for the variation in response to antiplatelet therapy. Variations in response to P2Y12 receptors can cause Coronary Artheri Disease (CAD) in CHD patients. This research was conducted in RSUD Sidoarjo East Java  from  November  to December 2017 which aims to determine the effect of P2Y12 polymorphism on platelet aggregation in CHD patients. The research method used is Polymerase Chain Reaction (PCR) for P2Y12 genetic polymorphism and Light Transmittance Aggregometry (LTA) method for platelet aggregation measurement. From 30 samples, it was found that all samples had homozygot (wild type) type P2Y12 polymorphism with bp value of about 156 bp. Inferential analysis  was conducted  to determine the relationship between polymorphism of P2Y12 with platelet aggregation obtained p value = 0,130. From these results it can be said  that  between the genetic polymorphism of P2Y12 and platelet aggregation has no significant relationship.

 

Keywords : antiplatelet; clopidogrel; platelet aggregation; polymorphism P2Y12.


Full Text:

References


Saraf S, Bensalha I, Gorog DA. Antiplatelet Resistance — Does it Exist and How to Measure it ?. Clinical Medicine : Cardiology 2009 : 3 77–91.

Ba C, Ma A, Moldovan V, Scridon A, Maier S, Mariana T. The Impact of CYP2C19 Loss-of-Function Polymorphisms , Clinical , and Demographic Variables on Platelet Response to Clopidogrel Evaluated Using Impedance Aggregometry. Clinical and Applied Thrombosis/Hemostasis. 2016.

Lampa M, Brooks JK, Barnard MR, Michelson AD. Clopidogrel Pharmacokinetics and Pharmacodynamics Vary Widely Despite Exclusion or Noncompliance , Diet , Smoking , Co-Medications ( Including Proton Pump Inhibitors ), and Pre-Existent Variability in Platelet Function. 2013;61(8).

Yi X, Zhou Q, Wang C, Lin J, Liu P, Fu C. Platelet receptor Gene ( P2Y12 , P2Y1 ) and platelet glycoprotein Gene ( GPIIIa ) polymorphisms are associated with antiplatelet drug responsiveness and clinical outcomes after acute minor ischemic stroke. Eur J Clin Pharmacol. 2017.

Priyadharsini R, Umamaheswaran G, Raja TAR, Kumar ASA. Frequency of single nucleotide platelet receptor gene polymorphism ( P2Y12-i744T > C ) in coronary artery disease patients among Tamilian population. J Community Genet. 2017;3–8.

Zoheir N, Abd S, Abulata N, El M. P2Y12 receptor gene polymorphism and antiplatelet effect of clopidogrel in patients with coronary artery disease after coronary stenting. Blood Coagulation and Fibrinolysis. 2013. Vol 24 No 5. 525–31.

Li M, Wang H, Xuan L, Shi X, Zhou T, Zhang N, et al. Associations between P2RY12 gene polymorphisms and risks of clopidogrel resistance and adverse cardiovascular events after PCI in patients with acute coronary syndrome. Medicine. 2017. 96:14.

Wisman PP, Roest M, Asselbergs FW, de Groot PG, Moll FL, van der Graaf Y, et al. Platelet-reactivity tests identify patients at risk of secondary cardiovascular events: A systematic review and meta- analysis. J Thromb Haemost. 2014;12(5):736–47.

Corporation P. Wizard ® Genomic DNA Purification Kit Wizard ® Genomic DNA. Solutions. 2009;1123–6.

Disease I, Sansanayudh N, Numthavaj P, Muntham D, Yamwong S, Mcevoy M, et al. Prognostic effect of mean platelet volume in patients with coronary artery disease. 2015;i:1299–309.




DOI: https://doi.org/10.30591/pjif.v8i2.1446

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

===============================================================

Parapemikir : Jurnal Ilmiah Farmasi

Program Studi D-3 Farmasi
Politeknik Harapan Bersama Tegal
Jl. Mataram No.09 Pesurungan Lor Kota Tegal

Telp. +62283 - 352000

Email :[email protected]

 

Copyright: Parapemikir : Jurnal Ilmiah Farmasi p-ISSN:2089-5313 e-ISSN:2549-5062

 

===============================================================

 

Parapemikir Indexed By : 

 

 

Flag Counter

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

View My Stats