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- W2062630004 abstract "We investigated whether polymorphisms in reduced folate carrier (SLC19A1 G80A) and γ-glutamyl-hydrolase (GGH–401C/T) are predictive of methotrexate polyglutamate (MTXPG) levels in patients with rheumatoid arthritis treated with weekly low-dose methotrexate (MTX). Adult patients treated with MTX were enrolled in a multicentred study. Blood was drawn at the time of the visit, DNA was extracted and red blood cell (RBC) MTXPG levels (up to the penta-order of glutamation) were measured by high-performance liquid chromatography-fluorometry. A G80A polymorphism in SLC19A1 and a −401C/T promoter polymorphism in GGH were measured by polymerase chain reaction-restriction fragment length polymorphism. Multivariate linear and logistic regressions were used to predict long-chain RBC MTXPG3–5. In 226 adult patients receiving MTX (median 15 mg range: 5–25 mg) median RBC long-chain MTXPG3–5 was 56 nmol/l (range < 5–224 nmol/l). A total of 35 patients carried the SLC19A1 80AA genotype whereas 36 patients carried the GGH–401TT genotype. Weekly MTX dose, age, presence of the SLC19A1 80AA and GGH–401TT genotypes predicted independently and significantly MTXPG3–5 levels (global r2 = 0.38; P< 0.0001). Patients with the GGH–401TT genotype were 4.8-fold [odds ratio (OR) 95% confidence interval (CI) 1.8–13.0; P = 0.002] more likely to have MTXPG3–5 below the group median compared to patient carriers of the GGH–401CC or CT genotype. Conversely, those with the SLC19A1 80AA genotype were 3.4-fold more likely to have MTXPG3–5 levels above the group median compared to those with the SLC19A1 80GG or 80GA genotype (OR CI 95% 1.4–8.4; P = 0.007). These data demonstrate that polymorphisms in SLC19A1 and GGH affect polyglutamation of MTX." @default.
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- W2062630004 date "2004-11-01" @default.
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- W2062630004 title "Contribution of common polymorphisms in reduced folate carrier and ??-glutamylhydrolase to methotrexate polyglutamate levels in patients with rheumatoid arthritis" @default.
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- W2062630004 doi "https://doi.org/10.1097/00008571-200411000-00004" @default.
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