General Information of the Disease (ID: DIS00342)
Name
Nephrotic syndrome
ICD
ICD-11: GB41
Resistance Map
Type(s) of Resistant Mechanism of This Disease
  IDUE: Irregularity in Drug Uptake and Drug Efflux
Drug Resistance Data Categorized by Drug
Approved Drug(s)
2 drug(s) in total
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Prednisolone
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Drug Resistance Data Categorized by Their Corresponding Mechanisms
       Irregularity in Drug Uptake and Drug Efflux (IDUE) Click to Show/Hide
Key Molecule: Multidrug resistance protein 1 (ABCB1) [1]
Resistant Disease Nephrotic syndrome [ICD-11: GB41.0]
Molecule Alteration SNP
c.G2677T/A
Resistant Drug Prednisolone
Experimental Note Identified from the Human Clinical Data
In Vitro Model Blood sample .
Experiment for
Molecule Alteration
PCR-RFLP
Mechanism Description MDR1 G2677T/A polymorphism was significantly associated with steroid resistance.
Key Molecule: Multidrug resistance protein 1 (ABCB1) [1]
Resistant Disease Nephrotic syndrome [ICD-11: GB41.0]
Molecule Alteration SNP
c.G2677T/A
Resistant Drug Prednisolone
Experimental Note Identified from the Human Clinical Data
In Vitro Model Blood sample .
Experiment for
Molecule Alteration
PCR-RFLP
Mechanism Description MDR1 G2677T/A polymorphism was significantly associated with steroid resistance.
Steroid
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Drug Resistance Data Categorized by Their Corresponding Mechanisms
       Irregularity in Drug Uptake and Drug Efflux (IDUE) Click to Show/Hide
Key Molecule: Multidrug resistance protein 1 (ABCB1) [2]
Resistant Disease Idiopathic nephrotic syndrome [ICD-11: GB41.1]
Molecule Alteration Expression
Up-regulation
Resistant Drug Steroid
Experimental Note Identified from the Human Clinical Data
Mechanism Description The up-regualtion of mdr1 led to steroid resistance in the idiopathic nephrotic syndrome.
Key Molecule: Multidrug resistance protein 1 (ABCB1) [2]
Resistant Disease Idiopathic nephrotic syndrome [ICD-11: GB41.1]
Molecule Alteration Expression
Up-regulation
Resistant Drug Steroid
Experimental Note Identified from the Human Clinical Data
Mechanism Description The up-regualtion of mdr1 led to steroid resistance in the idiopathic nephrotic syndrome.
References
Ref 1 Multi-drug resistance-1 gene polymorphisms in nephrotic syndrome: impact on susceptibility and response to steroids .Gene. 2013 Nov 10;530(2):201-7. doi: 10.1016/j.gene.2013.08.045. Epub 2013 Aug 27. 10.1016/j.gene.2013.08.045
Ref 2 Association of ACE and MDR1 Gene Polymorphisms with Steroid Resistance in Children with Idiopathic Nephrotic Syndrome .Genet Test Mol Biomarkers. 2015 Aug;19(8):454-6. doi: 10.1089/gtmb.2015.0077. Epub 2015 Jul 8. 10.1089/gtmb.2015.0077

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