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首页> 外文期刊>Pharmacogenomics >Pharmacogenetic interactions between ABCB1 and SLCO1B1 tagging SNPs and the effectiveness of statins in the prevention of myocardial infarction.
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Pharmacogenetic interactions between ABCB1 and SLCO1B1 tagging SNPs and the effectiveness of statins in the prevention of myocardial infarction.

机译:ABCB1和SLCO1B1标签SNP之间的药理相互作用以及他汀类药物在预防心肌梗塞中的作用。

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摘要

AIMS: Genetic variability within the SLCO1B1 and ABCB1 transporter genes has been associated with modification of statin effectiveness in cholesterol management. MATERIALS & METHODS: We conducted a case-control study using a population-based registry of pharmacy records linked to the hospital discharge records. Within a hypercholesterolemic cohort, we included 668 myocardial infarction cases and 1217 controls. RESULTS: We tested 24 tagging SNPs and found two SNPs within ABCB1 (rs3789244, p = 0.01; rs1922242, p = 0.01) to interact with statin treatment. In addition, we found a nonsignificant haplotype-treatment interaction (p = 0.054). The odds ratio for subjects homozygous for SLCO1B1*1A was 0.49 (95% CI: 0.34-0.71) compared with 0.31 (95% CI: 0.24-0.41) for heterozygous or noncarriers of the *1A allele. CONCLUSION: This is the first study to demonstrate that common genetic variability within the SLCO1B1 and ABCB1 genes is associated with the modification of the effectiveness of statins in the prevention of the clinical outcome, myocardial infarction.
机译:目的:SLCO1B1和ABCB1转运蛋白基因的遗传变异性与他汀类药物在胆固醇管理中的有效性改变有关。材料与方法:我们进行了一项病例对照研究,使用了基于人群的药房记录注册表,该记录与医院出院记录相关联。在高胆固醇血症队列中,我们纳入了668例心肌梗塞病例和1217例对照。结果:我们测试了24个标记SNP,发现ABCB1中有两个SNP(rs3789244,p = 0.01; rs1922242,p = 0.01)与他汀类药物治疗相互作用。此外,我们发现单倍型与治疗的相互作用不显着(p = 0.054)。 SLCO1B1 * 1A纯合的受试者的优势比为0.49(95%CI:0.34-0.71),而* 1A等位基因的杂合子或非携带者为0.31(95%CI:0.24-0.41)。结论:这是第一项证明SLCO1B1和ABCB1基因内常见遗传变异与他汀类药物在预防心肌梗死临床疗效方面的有效性相关的研究。

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