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Distribution of a novel CYP2C haplotype in Native American populations.


ABSTRACT: The CYP2C19 gene, located in the CYP2C cluster, encodes the major drug metabolism enzyme CYP2C19. This gene is highly polymorphic and no-function (CYP2C19*2 and CYP2C19*3), reduced function (CYP2C19*9) and increased function (CYP2C19*17) star alleles (haplotypes) are commonly used to predict CYP2C19 metabolic phenotypes. CYP2C19*17 and the genotype-predicted rapid (RM) and ultrarapid (UM) CYP2C19 metabolic phenotypes are absent or rare in several Native American populations. However, discordance between genotype-predicted and pharmacokinetically determined CYP2C19 phenotypes in Native American cohorts have been reported. Recently, a haplotype defined by rs2860840T and rs11188059G alleles in the CYP2C cluster has been shown to encode increased rate of metabolism of the CYP2C19 substrate escitalopram, to a similar extent as CYP2C19*17. We investigated the distribution of the CYP2C:TG haplotype and explored its potential impact on CYP2C19 metabolic activity in Native American populations. The study cohorts included individuals from the One Thousand Genomes Project AMR superpopulation (1 KG_AMR), the Human Genome Diversity Project (HGDP), and from indigenous populations living in Brazil (Kaingang and Guarani). The frequency range of the CYP2C:TG haplotype in the study cohorts, 0.469 to 0.598, is considerably higher than in all 1 KG superpopulations (range: 0.014-to 0.340). We suggest that the high frequency of the CYP2C:TG haplotype might contribute to the reported discordance between CYP2C19-predicted and pharmacokinetically verified CYP2C19 metabolic phenotypes in Native American cohorts. However, functional studies involving genotypic correlations with pharmacokinetic parameters are warranted to ascertain the importance of the CYP2C:TG haplotype.

SUBMITTER: Fernandes VC 

PROVIDER: S-EPMC10071019 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Distribution of a novel <i>CYP2C</i> haplotype in Native American populations.

Fernandes Vanessa Câmara VC   Pretti Marco Antônio M MAM   Tsuneto Luiza Tamie LT   Petzl-Erler Maria Luiza ML   Suarez-Kurtz Guilherme G  

Frontiers in genetics 20230321


The <i>CYP2C19</i> gene, located in the <i>CYP2C</i> cluster, encodes the major drug metabolism enzyme CYP2C19. This gene is highly polymorphic and no-function (<i>CYP2C19*2</i> and <i>CYP2C19</i>*<i>3</i>), reduced function (<i>CYP2C19*9)</i> and increased function (<i>CYP2C19*1</i>7) star alleles (haplotypes) are commonly used to predict CYP2C19 metabolic phenotypes. <i>CYP2C19*17</i> and the genotype-predicted rapid (RM) and ultrarapid (UM) CYP2C19 metabolic phenotypes are absent or rare in s  ...[more]

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