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Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
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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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Mismatch Repair

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Overview
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase01:27

Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase

Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
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The human genome is over 99.9% identical between individuals, yet genetic differences exist at millions of bases. The human genome contains approximately 3 million variant positions per individual, many of which are heterozygous, contributing to genetic diversity and individual traits. Genetic variations include single-nucleotide polymorphisms (SNPs), insertions, deletions, and copy number variations (CNVs).SNPs, the most common variation, involve single-base changes in DNA. These can be...

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Related Experiment Video

Updated: May 25, 2026

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
06:21

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform

Published on: May 10, 2024

MTHFR polymorphisms and breast cancer risk.

Mojgan Hosseini1, Massoud Houshmand, Ahmad Ebrahimi

  • 1Department of Science, Islamshahr Branch, Islamic Azad University, Islamshahr, Tehran, Iran.

Archives of Medical Science : AMS
|February 1, 2012
PubMed
Summary

Investigating the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene, this study found specific MTHFR polymorphisms (C677T and A1298C) are significant risk factors for breast cancer in an Iranian population.

Keywords:
MTHFR genePCR-RFLPbreast cancerpolymorphismsusceptibility factor

Related Experiment Videos

Last Updated: May 25, 2026

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform
06:21

Multi-Gene Single Nucleotide Polymorphism Detection in Gastric Cancer Based on Ion Semiconductor Sequencing Platform

Published on: May 10, 2024

Area of Science:

  • Genetics and Molecular Biology
  • Oncology
  • Population Health

Background:

  • The 5,10-methylenetetrahydrofolate reductase (MTHFR) gene plays a crucial role in folate metabolism.
  • Functional single nucleotide polymorphisms (SNPs), specifically C677T and A1298C in the MTHFR gene, are associated with reduced enzyme activity.
  • Altered MTHFR enzyme activity can impact tumor cell chemosensitivity.

Purpose of the Study:

  • To investigate the association between two common MTHFR gene polymorphisms (C677T and A1298C) and the risk of sporadic breast cancer.
  • To evaluate the prevalence of these MTHFR polymorphisms in an Iranian population.

Main Methods:

  • A population-based case-control study was conducted.
  • The study included 294 breast cancer cases and 306 controls from Iran.
  • Genotyping for MTHFR C677T and A1298C polymorphisms was performed using a PCR-RFLP assay.

Main Results:

  • The MTHFR 677CC genotype was the most frequent in both cases (28.3%) and controls (25.3%).
  • The MTHFR 677CT genotype was identified as a statistically significant risk factor for breast cancer (OR: 1.6, 95% CI: 1.019-2.513, p=0.041).
  • The MTHFR 1298AC genotype also emerged as a significant risk factor (OR: 2.575, 95% CI: 1.590-4.158, p=0.001).

Conclusions:

  • A significant association exists between MTHFR gene polymorphisms (C677T and A1298C) and breast cancer risk in the studied Iranian population.
  • These findings highlight the potential role of MTHFR gene variants in breast cancer susceptibility.