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Frequency of CYP2D6 Alleles Including Structural Variants in the United States
Andria L Del Tredici1, Alka Malhotra1, Matthew Dedek1
1Millennium Health, LLC, San Diego, CA, United States.
Frontiers in Pharmacology
|April 21, 2018
Summary
Genetic variations in the CYP2D6 gene impact drug metabolism. This study reveals that CYP2D6 structural variants significantly affect drug response, particularly in poor metabolizers.
Area of Science:
- Pharmacogenomics
- Clinical Chemistry
Background:
- The CYP2D6 gene is crucial for metabolizing numerous medications.
- Inter-individual variability in CYP2D6 activity influences drug response.
- Genetic testing for CYP2D6 aids in personalized medication therapy.
Purpose of the Study:
- To determine CYP2D6 allele frequencies, including structural variants, in a large US population.
- To assess the contribution of CYP2D6 structural variants to overall genetic variation.
- To evaluate the impact of structural variants on CYP2D6 function and poor metabolizer status.
Main Methods:
- Retrospective analysis of 104,509 de-identified patient samples from the US.
- Comprehensive identification of CYP2D6 alleles, encompassing single copy and structural variants.
- Consistent methodology applied across all samples for variant detection.
Main Results:
- Thirty-seven unique CYP2D6 alleles were identified, with eight novel frequencies.
- CYP2D6 structural variants were present in 13.1% of individuals, comprising 7% of all variants.
- Structural variants, predominantly decreased- or no-function alleles, were found in 30% of poor metabolizers.
Conclusions:
- CYP2D6 structural variants are a significant factor in the genetic landscape of CYP2D6 function.
- These variants substantially impact the determination of CYP2D6 poor metabolizer status.
- The findings underscore the importance of including structural variants in CYP2D6 genetic testing for accurate pharmacogenomic assessment.
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