A combination of genetic variations and various environmental factors define unique human characteristics, including individual responsiveness to drugs, severity of disease and susceptibility to common diseases. Among the genetic differences present in human populations, polymorphisms in genes that encode various enzymes, transporters and receptors involved in the metabolism of drugs are considered to be medically important because some can affect therapeutic efficacy of drugs and risk of adverse reaction.(1,2) For example, it is known that some genetic variations in the thiopurine S-methyltransferase gene cause severe adverse drug reactions to anticancer drugs or immunosuppressants, (3,4) and variations in the dihydropyrimidine dehydrogenase, uridine diphosphate glycosyltransferase 1A1, and glutathione S-transferase genes are correlated with serious toxicities following administration of 5-fluorouracil, irinotecan and cisplatin, respectively. In the year 2000, the Japanese single nucleotide polymorphism (SNP) database (JSNP) project was launched to build the infrastructure for genome-wide association studies of common diseases and drug reactions (efficacy as well as adverse reaction) as a part of the Japanese Millennium Genome project.(6) Simultaneously, we also began to screen genetic variations in the genomic regions corresponding to genes encoding various enzymes, transporters and receptors involved in drug reactions. Consequently, we identified a total of 7552 genetic variations among 267 gene loci, and constructed comprehensive SNP maps. The first phase of the SNP database of representative drug-related genes is now complete. In this review, we introduce the outline of our database with several distinctive features that have been established: 1 Unique database of drug-related genes. As we almost completely screened the genomic regions covering drug-related genes, we were able to find SNP that may influence the quality or quantity of gene products by association studies, if some of them affect the efficacy or adverse reactions of the drugs. 2 Real SNP. A certain proportion of SNP deposited to the dbSNP database at the National Center for Biotechnology Information (NCBI) are not real SNP, but misidentified SNP due to sequencing errors. However, all genetic variations that we identified by means of a combination of polymerase chain reaction (PCR) and direct sequencing are really polymorphic among the Japanese population. 3 Population-based database. This is a specialized database for the Japanese population. The presence or absence of SNP as well as their allelic frequencies are significantly different among different ethnic groups. (29,30) However, as the international HapMap data showed the very high similarity between the Japanese and Han Chinese populations, our data should be useful for other Asian populations, and should also be a good reference for people in other countries.
Subjects and strategySamples of peripheral blood were obtained with written informed consent from 48 Japanese volunteers for the...