Nefic Hilada
Department of Biology, Faculty of Science, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Med Arch. 2018 Dec;72(6):396-400. doi: 10.5455/medarh.2018.72.396-400.
Genetic polymorphism is associated with individual responses to medication and susceptibility to diseases, and it represents the basis for individualized medical treatment and drug genomics studies. Genetic variation at is high, both among populations and among individuals in the same population.
The aim of the study was to investigate the gene duplication and the non-synonymous single-nucleotide polymorphisms (SNP) in the gene in members of the Bosnian population.
The blood samples were collected from 151 unrelated and healthy donors from Bosnian populations consisted of 94 females and 57 males. Duplex long-range PCR was used to determine whether individuals carrying gene duplication. The resulting PCR product of 5.1 kb, containing all nine exons, was used as template for detection of the allele by nested PCR.
The gene duplication frequency found in the Bosnian population (2.73%) was related to the frequencies of this allele in other Caucasians. The gene duplication is the result of inheritance of more than two copies of the fully functional alleles. In contrast, the frequency of the variant, with possibly damaging function, in the Bosnian population (15.56%) was significantly higher when compared with the other Caucasians but significantly lower when compared with Asians.
CYP2D6 metabolizes many commonly prescribed drugs. Variations in the gene encoding this enzyme have been associated with individual differences in drug metabolism rates. The individuals with multiple gene copies metabolize drugs more rapidly and therapeutic plasma levels will not be achieved at ordinary drug dosages. The non-synonymous coding SNP () were predicted to have damaging effects on the protein function.
基因多态性与个体对药物的反应及疾病易感性相关,是个体化医疗和药物基因组学研究的基础。基因变异在不同人群以及同一人群的个体之间都很高。
本研究旨在调查波斯尼亚人群中CYP2D6基因重复以及该基因中的非同义单核苷酸多态性(SNP)。
从151名来自波斯尼亚人群的无亲缘关系健康献血者中采集血样,其中包括94名女性和57名男性。采用双重长程PCR确定个体是否携带CYP2D6基因重复。得到的包含所有9个CYP2D6外显子的5.1 kb PCR产物用作巢式PCR检测CYP2D6等位基因的模板。
在波斯尼亚人群中发现的CYP2D6基因重复频率(2.73%)与其他高加索人群中该等位基因的频率相关。基因重复是功能性CYP2D6等位基因两个以上拷贝遗传的结果。相比之下,具有可能损害功能的CYP2D6变体在波斯尼亚人群中的频率(15.56%)与其他高加索人群相比显著更高,但与亚洲人群相比显著更低。
CYP2D6代谢许多常用处方药。编码该酶的基因变异与药物代谢率的个体差异有关。具有多个CYP2D6基因拷贝的个体药物代谢更快,普通药物剂量无法达到治疗性血浆水平。非同义编码SNP()预计会对蛋白质功能产生损害作用。