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临床相关 CYP2C 基因型和单倍型的多种族分布。

Multi-ethnic distribution of clinically relevant CYP2C genotypes and haplotypes.

机构信息

Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine, New York, NY 10029, USA.

出版信息

Pharmacogenomics J. 2013 Aug;13(4):369-77. doi: 10.1038/tpj.2012.10. Epub 2012 Apr 10.

DOI:10.1038/tpj.2012.10
PMID:22491019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3396745/
Abstract

To determine CYP2C19 and CYP2C8 allele frequencies, 28 coding and/or functional variants were genotyped in 1250 African-American, Asian, Caucasian, Hispanic and Ashkenazi Jewish (AJ) individuals. The combined CYP2C19 variant allele frequencies ranged from ∼0.30 to 0.41; however, the CYP2C8 frequencies were much lower (∼0.04-0.13). After incorporating previously reported CYP2C9 genotyping results from these populations (36 total CYP2C variants), 16 multi-ethnic CYP2C haplotypes were inferred with frequencies >0.5%. Notably, the 2C1917-2C91-2C82 haplotype was identified among African-Americans (8%) and Hispanics (2%), indicating that CYP2C1917 does not always tag a CYP2C haplotype that encodes efficient CYP2C-substrate metabolism. The 2C191-2C92-2C83 haplotype was identified in all populations except African-Americans and additional novel haplotypes were identified in selected populations (for example, 2C192-2C91-2C84 and 2C194B-2C91-2C81), together indicating that both CYP2C1917 and *2 can be linked with other CYP2C loss-of-function alleles. These results have important implications for pharmacogenomic association studies involving the CYP2C locus and are clinically relevant when administering CYP2C-substrate medications.

摘要

为了确定 CYP2C19 和 CYP2C8 等位基因频率,在 1250 名非裔美国人、亚洲人、白种人、西班牙裔和阿什肯纳兹犹太人(AJ)个体中对 28 个编码和/或功能变体进行了基因分型。合并的 CYP2C19 变体等位基因频率范围为∼0.30 至 0.41;然而,CYP2C8 频率要低得多(∼0.04-0.13)。在纳入这些人群之前报道的 CYP2C9 基因分型结果(总共 36 个 CYP2C 变体)后,推断出 16 个多民族 CYP2C 单倍型,其频率>0.5%。值得注意的是,在非裔美国人(8%)和西班牙裔(2%)中发现了 2C1917-2C91-2C82 单倍型,表明 CYP2C1917 并不总是标记编码高效 CYP2C-底物代谢的 CYP2C 单倍型。除了非裔美国人和在选定人群中发现了其他新型单倍型(例如 2C192-2C91-2C83 和 2C194B-2C91-2C81)之外,在所有人群中都发现了 2C191-2C92-2C83 单倍型,这表明 CYP2C1917 和*2 都可以与其他 CYP2C 失活等位基因相关联。这些结果对涉及 CYP2C 基因座的药物基因组学关联研究具有重要意义,并且在给予 CYP2C 底物药物时具有临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2e/3396745/944e09367f21/nihms-361673-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2e/3396745/944e09367f21/nihms-361673-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad2e/3396745/944e09367f21/nihms-361673-f0001.jpg

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