化学療法に伴う非抱合型高ビリルビン血症の遺伝的背景について

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  • Genetic Background of Chemotherapy-Induced Unconjugated Hyperbilirubinemia.

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Chemotherapy for malignant neoplasms sometimes causes unconjugated hyperbilirubinemia without liver dysfunction. We examined the bilirubin UDP-glucuronosyltransferase gene (UGT1A1) from three leukemic patients in whom chemotherapy evoked a hyperbilirubinemic response. The gene of three patients revealed an identical heterozygous missense mutation in exon 1 (G71R). Thus mutation of UGT1A1 may be the genetic cause of chemotherapy-induced unconjugated hyperbilirubinemia.

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