“…The inter-individual variability in response to tamoxifen is high and many factors play roles in this phenomenon such as gender, age, obesity comorbidity, liver and renal function, pregnancy, drug-drug interactions and genetic polymorphisms in CYP2D6 metabolizing enzyme. [25][26][27][28][29][30][31] The DNA fragments obtained in the present study after application of PCR-RFLP technique on CYP2D6*4 (rs3892097; 1846 G>A) single nucleotide polymorphism (SNP) 32 , gave a pattern in electrophoresis similar to that in other studies on CYP2D6*4. [33][34][35] The distribution of CYP2D6*4 genotypes among the Egyptian patients in the present study was as follows: GG = 67 (65%), GA= 24 (23.3 %), and AA= 12 (11.7 %) and this distribution was deviated from Hardy Weinberg Equilibrium (HWE).…”