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CYP2C19 genotyping; CYP2C19 allele testing

Indications: - predicting efficacy of clopidogrel (maybe) Specimen: - buccal swabs - blood: 5-10 cc whole blood lavender-top EDTA or Yellow-top ACD-A tubes Interpretation: - turnaround time: 10 days (5 days for STAT tests)

Specific

CYP2C19 gene mutation

General

genotyping (allele testing)

References

  1. Cytochrome P450 2C19 Genotyping Genelex http://www.healthanddna.com/healthcare-professional/p450-2c19-genotyping.html
  2. Bauer T et al. Impact of CYP2C19 variant genotypes on clinical efficacy of antiplatelet treatment with clopidogrel: Systematic review and meta-analysis. BMJ 2011 Aug 4; 343:d4588 PMID: 21816733
  3. Holmes MV et al. CYP2C19 genotype, clopidogrel metabolism, platelet function, and cardiovascular events: A systematic review and meta-analysis. JAMA 2011 Dec 28; 306:2704. PMID: 22203539 - Nissen SE. Pharmacogenomics and clopidogrel: Irrational exuberance? JAMA 2011 Dec 28; 306:2727. PMID: 22203545
  4. CYP2C19 Allele 2 Laboratory Test Directory ARUP: 51104

Component-of

CYP2D6 & CYP2C19 genotyping panel