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Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

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Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
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A single nucleotide polymorphism or SNP is a single nucleotide variation at a specific genomic position in a large population. It is the most prevalent type of sequence variation found in the human genome. Point mutations that occur in more than 1% of the population qualify as SNPs. These are present once every 1000 nucleotides on an average in the human genome. Replacement of a purine with another purine (A/G) or a pyrimidine with another pyrimidine (C/T) is known as a transition. In contrast,...
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Nondisjunction

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Is apolipoprotien E codon 112 polymorphisms associated with recurrent pregnancy loss?

Hakan Ozornek1, Elif Ergin, Rajasingam S Jeyendran

  • 1EUROFERTIL Reproductive Health Center, Istanbul, Turkey.

American Journal of Reproductive Immunology (New York, N.Y. : 1989)
|February 24, 2010
PubMed
Summary

The 112C point mutation in Apolipoprotein E (Apo E) is not linked to recurrent pregnancy loss (RPL) alone. However, this mutation combined with the 158C variant is a significant risk factor for RPL.

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Area of Science:

  • Genetics
  • Reproductive Medicine
  • Thrombosis

Background:

  • Recurrent pregnancy loss (RPL) affects a significant number of women.
  • Apolipoprotein E (Apo E) gene polymorphisms have been investigated for their role in various conditions, including pregnancy complications.

Purpose of the Study:

  • To investigate the association between the 112T>C point mutation in the Apo E gene and recurrent pregnancy loss (RPL).
  • To compare the prevalence of this mutation in women with RPL, fertile controls, and individuals with a history of deep vein thrombosis (DVT).

Main Methods:

  • Genotyping of 232 individuals (136 with RPL, 37 fertile controls, 59 with DVT history) using buccal swabs.
  • DNA extraction and Polymerase Chain Reaction (PCR) amplification of Apo E codons.

Main Results:

  • The allelic frequency of cytosine at position 112 was higher in RPL patients (11.4%) and DVT patients (19.5%) compared to fertile controls (5.4%).
  • Significantly higher frequencies of E3/E4 and E4/E4 genotypes were observed in women with RPL and DVT compared to fertile controls (P < 0.05).

Conclusions:

  • The Apo E 112C point mutation alone is not associated with an increased risk of RPL.
  • The combination of the 112C and 158C variants of the Apo E gene is identified as a risk factor for recurrent pregnancy loss.