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Genetic susceptibility to adverse drug effects - Epidemiology ...

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Contents<br />

1. General introduction 11<br />

2. Quantifying the risk of <strong>adverse</strong> <strong>drug</strong> reactions <strong>to</strong> digoxin<br />

2. Age- and gender specific incidence of hospitalization for digoxin in<strong>to</strong>xication 19<br />

3. Common variants in the ABCB1 gene<br />

3.1 Common ABCB1 variants are associated with increased digoxin serum concentration<br />

3.2 Common ABCB1 variants increase QTc shortening and risk of SCD in digoxin<br />

users<br />

3.3 ABCB1 (MDR1) gene polymorphisms are associated with neuropsychiatric <strong>adverse</strong><br />

<strong>effects</strong> of mefloquine<br />

31<br />

45<br />

59<br />

4 Common variants in the NOS1AP gene<br />

4.1 Common NOS1AP variants are associated with a prolonged QTc interval in the<br />

75<br />

Rotterdam Study<br />

4.2 Common NOS1AP variants potentiate digoxin induced QT-shortening and risk<br />

89<br />

of sudden cardiac death<br />

4.3 Cardiovascular <strong>drug</strong>s, NOS1AP and QTc prolongation 103<br />

4.4 Common variation in the NOS1AP gene is associated with reduced glucose lowering<br />

effect and with increased mortality in users of sulfonylurea<br />

119<br />

5. Effect of ABCB1 and NOS1AP genotypes on cardiac function<br />

5. Effect of ABCB1 and NOS1AP genotypes on cardiac function in digoxin users 135<br />

6. General discussion 153<br />

7. Summary<br />

7.1 Summary 173<br />

7.2 Samenvatting 177<br />

8. Dankwoord 181<br />

9. About the author 185<br />

10. Bibliography 187

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