Genotypic screening of the main opiate-related polymorphisms in a cohort of 139 sickle cell disease patients

Because no frequency data are available for the main opiate-related polymorphisms in sickle-cell disease (SCD) populations, we decided to perform such a genotyping in a cohort of 139 individuals. For pharmacodynamics,the OPRM1 A118G and the COMT G322A single nucleotide polymorphisms (SNPs) were chos...

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Veröffentlicht in:American journal of hematology 2012-05, Vol.87 (5), p.534-536
Hauptverfasser: Joly, Philippe, Gagnieu, Marie-Claude, Bardel, Claire, Francina, Alain, Pondarre, Corinne, Martin, Cyril
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container_end_page 536
container_issue 5
container_start_page 534
container_title American journal of hematology
container_volume 87
creator Joly, Philippe
Gagnieu, Marie-Claude
Bardel, Claire
Francina, Alain
Pondarre, Corinne
Martin, Cyril
description Because no frequency data are available for the main opiate-related polymorphisms in sickle-cell disease (SCD) populations, we decided to perform such a genotyping in a cohort of 139 individuals. For pharmacodynamics,the OPRM1 A118G and the COMT G322A single nucleotide polymorphisms (SNPs) were chosen for their negative effects on the m receptors [1,2]. For pharmacokinetics [3], important SNPs for the CYP2D6 gene (codeine to morphine conversion) and for three genes involved in morphine elimination (namely CYP3A, UGT2B7, and ABCB1) were genotyped. The allelic frequencies of the OPRM1 and COMT SNPs appeared very low (0.01 to 0.05-no double mutant homozygous),as well as the proportion of CYP2D6 poor metabolizers (1.4%)and CYP3A wild-type (17.9%) which are associated with a low morphine exposure. On the contrary, up to 35% of SCD patients may have unfavorable ABCB1 and UGT2B7 genotypes for a good morphine exposure.Obviously, pharmacokinetic studies with precise phenotype/genotype correlations are required to draw definitive conclusions.
doi_str_mv 10.1002/ajh.23137
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J. Hematol</addtitle><description>Because no frequency data are available for the main opiate-related polymorphisms in sickle-cell disease (SCD) populations, we decided to perform such a genotyping in a cohort of 139 individuals. For pharmacodynamics,the OPRM1 A118G and the COMT G322A single nucleotide polymorphisms (SNPs) were chosen for their negative effects on the m receptors [1,2]. For pharmacokinetics [3], important SNPs for the CYP2D6 gene (codeine to morphine conversion) and for three genes involved in morphine elimination (namely CYP3A, UGT2B7, and ABCB1) were genotyped. The allelic frequencies of the OPRM1 and COMT SNPs appeared very low (0.01 to 0.05-no double mutant homozygous),as well as the proportion of CYP2D6 poor metabolizers (1.4%)and CYP3A wild-type (17.9%) which are associated with a low morphine exposure. 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subjects African Continental Ancestry Group - genetics
Anemia, Sickle Cell - epidemiology
Anemia, Sickle Cell - genetics
Anemias. Hemoglobinopathies
ATP Binding Cassette Transporter, Sub-Family B
ATP-Binding Cassette, Sub-Family B, Member 1 - genetics
Biological and medical sciences
Biological Availability
Biotransformation - genetics
Catechol O-Methyltransferase - genetics
Codeine - pharmacokinetics
Cohort Studies
Cytochrome P-450 CYP2D6 - genetics
Cytochrome P-450 CYP3A - genetics
Diseases of red blood cells
Drug Resistance - genetics
European Continental Ancestry Group - genetics
Genetic Testing
Genotype
Glucuronosyltransferase - genetics
Hematologic and hematopoietic diseases
Hematology
Humans
Life Sciences
Medical sciences
Morphine - pharmacokinetics
Narcotics - pharmacokinetics
Polymorphism, Single Nucleotide
Receptors, Opioid, mu - genetics
title Genotypic screening of the main opiate-related polymorphisms in a cohort of 139 sickle cell disease patients
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