Currently, pharmacogenetic studies are at an impasse as the low prevalence (<2%) of most variants hinder their pharmacogenetic analysis with population sizes often inadequate for sufficiently powered studies. Grouping rare mutations by functional phenotype rather than mutation site can potentially increase sample size. Using human population-based studies (n ؍ 1,761) to search for dysfunctional human prostacyclin receptor (hIP) variants, we recently discovered 18 non-synonymous mutations, all with frequencies less than 2% in our study cohort. Eight of the 18 had defects in binding, activation, and/or protein stability/folding. Mutations (M113T, L104R, and R279C) in three highly conserved positions demonstrated severe misfolding manifested by impaired binding and activation of cell surface receptors. To assess for association with coronary artery disease, we performed a case-control study comparing coronary angiographic results from patients with reduced cAMP production arising from the non-synonymous mutations (n ؍ 23) with patients with non-synonymous mutations that had no reduction in cAMP (n ؍ 17). Major coronary artery obstruction was significantly increased in the dysfunctional mutation group in comparison with the silent mutations. We then compared the 23 dysfunctional receptor patients with 69 age-and risk factor-matched controls (1:3). This verified the significantly increased coronary disease in the non-synonymous dysfunctional variant cohort. This study demonstrates the potential utility of in vitro functional characterization in predicting clinical phenotypes and represents the most comprehensive characterization of human prostacyclin receptor genetic variants to date.
Single nucleotide polymorphisms (SNPs)3 occurring in DNA coding regions are sequence changes that result in either synonymous (i.e. no change in amino acid sequence) or non-synonymous (change in amino acid sequence) mutations. They are implicated in the pathogenesis of diseases (1), in the efficacy of drugs, and in drug-to-drug interactions (2-4). It is now generally believed that greater than 80% of the observed variability between individuals is the result of genetic variants (5). Numerous databases, including the National Center for Biotechnology Information SNP database, have accumulated millions of SNPs, and a growing list of clinical trials seeks to address the role of SNPs in pathophysiology and treatment response (6 -8). Despite the rapid accumulation of data, surprisingly little has entered clinical practice. This may be in part due to the requirement for very large cohorts to perform an adequately powered study for the rarer mutations. Detailed genetic variant functional analysis in biochemical systems may provide a possible solution.The human prostacyclin receptor gene (PTGIR) spans ϳ7,000 bases along chromosome 19 (locus 19q13.3) and comprises three exons separated by two introns: one intron lies upstream from the ATG start codon, and the other lies at the end of the sixth transmembrane helix (9). The human prostacycli...