2008
DOI: 10.1159/000184709
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CNVs of human genes and their implication in pharmacogenetics

Abstract: Pharmacogenetics encompasses genetic variation with importance for drug response and adverse drug reactions with emphasis on drug transporters, drug metabolizing enzymes, and drug receptors. The highest penetrance with respect to drug action is generally observed for variability in genes encoding drug metabolizing enzymes, and gene copy number variations play a very important role in this respect. Alleles containing 0–13 active gene copies have been described, and this variation affects the clinical outcome of… Show more

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Cited by 31 publications
(25 citation statements)
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“…When we used this approach to genotype DNA samples from 761 randomly selected Caucasian women for the three common SULT1A1 functional SNPs (two in the gene promoter and the SULT1A1 * 2 non-synonymous SNP), we observed every possible combination of SNP genotypes for the duplicated alleles ( Table 2 ). This observation contrasts with the situation for the functionally and clinically relevant cytochrome P450 gene CYP2D6, a gene that has also undergone deletion and duplication in the course of evolution (Johansson et al, 1993;Dalen et al, 1998;Johansson and Ingelman-Sundberg, 2008). When multiple copies of CY-P2D6 are present, they generally involve only a single duplicated allele, not the variety of combinations that we observed for SULT1A1 ( Table 2 ).…”
Section: Sult1a1 Cnvscontrasting
confidence: 84%
See 1 more Smart Citation
“…When we used this approach to genotype DNA samples from 761 randomly selected Caucasian women for the three common SULT1A1 functional SNPs (two in the gene promoter and the SULT1A1 * 2 non-synonymous SNP), we observed every possible combination of SNP genotypes for the duplicated alleles ( Table 2 ). This observation contrasts with the situation for the functionally and clinically relevant cytochrome P450 gene CYP2D6, a gene that has also undergone deletion and duplication in the course of evolution (Johansson et al, 1993;Dalen et al, 1998;Johansson and Ingelman-Sundberg, 2008). When multiple copies of CY-P2D6 are present, they generally involve only a single duplicated allele, not the variety of combinations that we observed for SULT1A1 ( Table 2 ).…”
Section: Sult1a1 Cnvscontrasting
confidence: 84%
“…The initial focus of pharmacogenetics has understandably been on SNPs. However, the examples provided by SULT1A1 and CYP2D6 (Johansson and Ingelman-Sundberg, 2008) make it clear that both SNPs and CNVs may need to be taken into account to successfully link genotypic variation to variation in drug response phenotypes. Once techniques are developed that make this process efficient, accurate, and cost effective, there can be little doubt that both the 'discovery phase' of pharmacogenetics and pharmacogenetic clinical assays will -when appropriate -routinely obtain both CNV data and SNP genotyping, as described here for SULT1A1, to help make it possible to better individualize drug therapy.…”
Section: Resultsmentioning
confidence: 99%
“…Many groups have addressed the presence of CNV in the human genome and their associations with common human diseases including neuropsychiatric, autoimmune, infectious and cardiovascular diseases[15, 16], while others found evidence that CNVs are not associated with common diseases [17]. While the contribution of CNVs to the pathogenesis of common diseases is questionable, CNVs in some pharmacogenetic genes play a clear role in drug efficacy and toxicity [18]. Inspired by the increasing interest in CNVs, here we review our current knowledge of CNVs in relation to drug efficacy and toxicity, their prevalence in ethnically diverse populations, and the potential utilization of CNV knowledge in the clinical setting.…”
Section: What Is a Copy Number Variant?mentioning
confidence: 99%
“…Some of the strongest evidence that this is the case comes from the observation that an increase in amylase gene copy number is associated with an increased enzymatic activity and starch digestion [77]. Some have proposed that copy number may account for about 25% individual variation in response [78]. …”
Section: Nutrigenetics/nutrigenomics In Cancer Control and Managementmentioning
confidence: 99%