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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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Updated: May 25, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
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Published on: January 16, 2019

Human genetic variation altering anthrax toxin sensitivity.

Mikhail Martchenko1, Sophie I Candille, Hua Tang

  • 1Department of Genetics and Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.

Proceedings of the National Academy of Sciences of the United States of America
|February 9, 2012
PubMed
Summary
This summary is machine-generated.

Human genetic variation in CMG2 significantly impacts anthrax toxin sensitivity. Differences in capillary morphogenesis gene 2 (CMG2) expression levels explain diverse cellular responses to anthrax toxin.

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Area of Science:

  • Genetics
  • Immunology
  • Microbiology

Background:

  • Host and microbial genes influence infectious disease outcomes.
  • Host genes can either provide defense or aid pathogen functions.
  • Genomic studies link host gene mutations to altered disease susceptibility, but causality is often unclear.

Purpose of the Study:

  • To investigate the causal role of human genetic variation in susceptibility to infectious agents, specifically anthrax toxin.
  • To determine if variations in the CMG2 gene affect sensitivity to anthrax toxin.
  • To explore the relationship between CMG2 expression levels and anthrax toxin sensitivity.

Main Methods:

  • Analyzed lymphoblastoid cells from a diverse HapMap cohort (234 individuals).
  • Measured sensitivity to the protective antigen (PA) moiety of anthrax toxin.
  • Correlated toxin sensitivity with CMG2 mRNA abundance and single-nucleotide polymorphism (SNP) data.
  • Assessed anthrax toxin binding and internalization in transfected cells.

Main Results:

  • Human genetic variation in CMG2 dramatically alters anthrax toxin sensitivity, with a 250-fold range observed across the cohort.
  • Relative toxin sensitivity is an inherited trait strongly correlated with CMG2 mRNA abundance (P = 4 × 10(-11)).
  • CMG2 expression levels directly influenced anthrax toxin binding, internalization, and cellular sensitivity.

Conclusions:

  • Individual differences in CMG2 expression levels are a key determinant of human diversity in anthrax toxin sensitivity.
  • Genetic variation in CMG2 explains significant variability in cellular response to anthrax toxin.
  • Studying genomically characterized human cell populations is a valuable strategy for understanding genetic effects on infectious disease susceptibility.