Genome-Wide Pharmacogenomic Study on Methadone Maintenance Treatment Identifies SNP rs17180299 and Multiple Haplotypes on CYP2B6, SPON1, and GSG1L Associated with Plasma Concentrations of Methadone R- and S-enantiomers in Heroin-Dependent Patients

Methadone maintenance treatment (MMT) is commonly used for controlling opioid dependence, preventing withdrawal symptoms, and improving the quality of life of heroin-dependent patients. A steady-state plasma concentration of methadone enantiomers, a measure of methadone metabolism, is an index of tr...

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Veröffentlicht in:PLoS genetics 2016-03, Vol.12 (3), p.e1005910-e1005910
Hauptverfasser: Yang, Hsin-Chou, Chu, Shih-Kai, Huang, Chieh-Liang, Kuo, Hsiang-Wei, Wang, Sheng-Chang, Liu, Sheng-Wen, Ho, Ing-Kang, Liu, Yu-Li
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creator Yang, Hsin-Chou
Chu, Shih-Kai
Huang, Chieh-Liang
Kuo, Hsiang-Wei
Wang, Sheng-Chang
Liu, Sheng-Wen
Ho, Ing-Kang
Liu, Yu-Li
description Methadone maintenance treatment (MMT) is commonly used for controlling opioid dependence, preventing withdrawal symptoms, and improving the quality of life of heroin-dependent patients. A steady-state plasma concentration of methadone enantiomers, a measure of methadone metabolism, is an index of treatment response and efficacy of MMT. Although the methadone metabolism pathway has been partially revealed, no genome-wide pharmacogenomic study has been performed to identify genetic determinants and characterize genetic mechanisms for the plasma concentrations of methadone R- and S-enantiomers. This study was the first genome-wide pharmacogenomic study to identify genes associated with the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites in a methadone maintenance cohort. After data quality control was ensured, a dataset of 344 heroin-dependent patients in the Han Chinese population of Taiwan who underwent MMT was analyzed. Genome-wide single-locus and haplotype-based association tests were performed to analyze four quantitative traits: the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites. A significant single nucleotide polymorphism (SNP), rs17180299 (raw p = 2.24 × 10(-8)), was identified, accounting for 9.541% of the variation in the plasma concentration of the methadone R-enantiomer. In addition, 17 haplotypes were identified on SPON1, GSG1L, and CYP450 genes associated with the plasma concentration of methadone S-enantiomer. These haplotypes accounted for approximately one-fourth of the variation of the overall S-methadone plasma concentration. The association between the S-methadone plasma concentration and CYP2B6, SPON1, and GSG1L were replicated in another independent study. A gene expression experiment revealed that CYP2B6, SPON1, and GSG1L can be activated concomitantly through a constitutive androstane receptor (CAR) activation pathway. In conclusion, this study revealed new genes associated with the plasma concentration of methadone, providing insight into the genetic foundation of methadone metabolism. The results can be applied to predict treatment responses and methadone-related deaths for individualized MMTs.
doi_str_mv 10.1371/journal.pgen.1005910
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A steady-state plasma concentration of methadone enantiomers, a measure of methadone metabolism, is an index of treatment response and efficacy of MMT. Although the methadone metabolism pathway has been partially revealed, no genome-wide pharmacogenomic study has been performed to identify genetic determinants and characterize genetic mechanisms for the plasma concentrations of methadone R- and S-enantiomers. This study was the first genome-wide pharmacogenomic study to identify genes associated with the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites in a methadone maintenance cohort. After data quality control was ensured, a dataset of 344 heroin-dependent patients in the Han Chinese population of Taiwan who underwent MMT was analyzed. Genome-wide single-locus and haplotype-based association tests were performed to analyze four quantitative traits: the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites. A significant single nucleotide polymorphism (SNP), rs17180299 (raw p = 2.24 × 10(-8)), was identified, accounting for 9.541% of the variation in the plasma concentration of the methadone R-enantiomer. In addition, 17 haplotypes were identified on SPON1, GSG1L, and CYP450 genes associated with the plasma concentration of methadone S-enantiomer. These haplotypes accounted for approximately one-fourth of the variation of the overall S-methadone plasma concentration. The association between the S-methadone plasma concentration and CYP2B6, SPON1, and GSG1L were replicated in another independent study. A gene expression experiment revealed that CYP2B6, SPON1, and GSG1L can be activated concomitantly through a constitutive androstane receptor (CAR) activation pathway. In conclusion, this study revealed new genes associated with the plasma concentration of methadone, providing insight into the genetic foundation of methadone metabolism. The results can be applied to predict treatment responses and methadone-related deaths for individualized MMTs.</description><identifier>ISSN: 1553-7404</identifier><identifier>ISSN: 1553-7390</identifier><identifier>EISSN: 1553-7404</identifier><identifier>DOI: 10.1371/journal.pgen.1005910</identifier><identifier>PMID: 27010727</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Androstanes - metabolism ; Biology and Life Sciences ; Care and treatment ; Complications and side effects ; Cytochrome P-450 CYP2B6 - genetics ; Drug abuse ; Engineering and Technology ; Extracellular Matrix Proteins - genetics ; Female ; Genetic aspects ; Genome-wide association studies ; Genome-Wide Association Study ; Haplotypes - genetics ; Health aspects ; Heroin ; Heroin - metabolism ; Heroin - toxicity ; Heroin Dependence - genetics ; Heroin Dependence - metabolism ; Heroin Dependence - pathology ; Humans ; Male ; Medical research ; Medicine and Health Sciences ; Metabolites ; Methadone ; Methadone - administration &amp; dosage ; Methadone - metabolism ; Middle Aged ; Observations ; Opiate Substitution Treatment ; Pharmacogenetics ; Pharmacogenomics ; Plasma ; Polymorphism, Single Nucleotide ; Research and Analysis Methods ; Single nucleotide polymorphisms ; Stereoisomerism</subject><ispartof>PLoS genetics, 2016-03, Vol.12 (3), p.e1005910-e1005910</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: enantiomers in Heroin-Dependent Patients. PLoS Genet 12(3): e1005910. doi:10.1371/journal.pgen.1005910</rights><rights>2016 Yang et al 2016 Yang et al</rights><rights>2016 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: enantiomers in Heroin-Dependent Patients. 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A steady-state plasma concentration of methadone enantiomers, a measure of methadone metabolism, is an index of treatment response and efficacy of MMT. Although the methadone metabolism pathway has been partially revealed, no genome-wide pharmacogenomic study has been performed to identify genetic determinants and characterize genetic mechanisms for the plasma concentrations of methadone R- and S-enantiomers. This study was the first genome-wide pharmacogenomic study to identify genes associated with the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites in a methadone maintenance cohort. After data quality control was ensured, a dataset of 344 heroin-dependent patients in the Han Chinese population of Taiwan who underwent MMT was analyzed. Genome-wide single-locus and haplotype-based association tests were performed to analyze four quantitative traits: the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites. A significant single nucleotide polymorphism (SNP), rs17180299 (raw p = 2.24 × 10(-8)), was identified, accounting for 9.541% of the variation in the plasma concentration of the methadone R-enantiomer. In addition, 17 haplotypes were identified on SPON1, GSG1L, and CYP450 genes associated with the plasma concentration of methadone S-enantiomer. These haplotypes accounted for approximately one-fourth of the variation of the overall S-methadone plasma concentration. The association between the S-methadone plasma concentration and CYP2B6, SPON1, and GSG1L were replicated in another independent study. A gene expression experiment revealed that CYP2B6, SPON1, and GSG1L can be activated concomitantly through a constitutive androstane receptor (CAR) activation pathway. In conclusion, this study revealed new genes associated with the plasma concentration of methadone, providing insight into the genetic foundation of methadone metabolism. The results can be applied to predict treatment responses and methadone-related deaths for individualized MMTs.</description><subject>Adult</subject><subject>Androstanes - metabolism</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Cytochrome P-450 CYP2B6 - genetics</subject><subject>Drug abuse</subject><subject>Engineering and Technology</subject><subject>Extracellular Matrix Proteins - genetics</subject><subject>Female</subject><subject>Genetic aspects</subject><subject>Genome-wide association studies</subject><subject>Genome-Wide Association Study</subject><subject>Haplotypes - genetics</subject><subject>Health aspects</subject><subject>Heroin</subject><subject>Heroin - metabolism</subject><subject>Heroin - toxicity</subject><subject>Heroin Dependence - genetics</subject><subject>Heroin Dependence - metabolism</subject><subject>Heroin Dependence - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Metabolites</subject><subject>Methadone</subject><subject>Methadone - administration &amp; dosage</subject><subject>Methadone - metabolism</subject><subject>Middle Aged</subject><subject>Observations</subject><subject>Opiate Substitution Treatment</subject><subject>Pharmacogenetics</subject><subject>Pharmacogenomics</subject><subject>Plasma</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Research and Analysis Methods</subject><subject>Single nucleotide polymorphisms</subject><subject>Stereoisomerism</subject><issn>1553-7404</issn><issn>1553-7390</issn><issn>1553-7404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqVk11v0zAUhiMEYmPwDxBYQkIgLcVO4ji-QRoFukr7qNYB4spy45PWU2KX2AH2y7nFabupRbsYihRbx895fT58oug5wQOSMvLuynatkfVgOQczIBhTTvCDaJ9QmsYsw9nDrf1e9MS5K4xTWnD2ONpLGCaYJWw_-jMCYxuIv2kFaLKQbSNLO-9tukRT36lrZA06Bb-QyhpAp1IbD0aaEtBlC9I3YDwaq_DXlQaHpmcT1DrCSIETzpE0Cp12tdfLGtCxXNbWXy8DFkSH3yfJh_wQTSfnZ-RwRY6mI3KCjpyzpZYeFPql_QJNaukaiYY2XGp8K722JihUW2FdxCv_adyHFs4baB3SBh1Da7WJP8ISTB8jmgTvsLqn0aNK1g6ebdaD6MvnT5fD4_jkfDQeHp3EJaPcx2kOeVLJLEsymhczSTPIOSZVojBOcqIoVrxiNM_zMslwpdQMMMuykuaJpLScpQfRy7VuyNyJTc-cIKwgKSc8o4EYrwll5ZVYtrqR7bWwUouVwbZzIVuvyxqEmvE0YVDyKoSkCjWTKpnlNJmlwIsCF0Hr_ea2btaAWper3hHdPTF6Ieb2p8gKnBdZL_BmI9DaHx04LxrtSqhracB2q7gZz1mSpvdAWY4LTlmf4qt_0LsLsaHmMuSqTWVDiGUvKo4yxmka6txTgzuo8CkITza8hUoH-47D2x2HwHj47eeyc06Mpxf_wZ7dnz3_usu-3mIXIGu_cLbuVi95F8zWYNla51qobntHsOjH_qZyoh97sRn74PZiu--3Tjdznv4FseZSLA</recordid><startdate>20160324</startdate><enddate>20160324</enddate><creator>Yang, Hsin-Chou</creator><creator>Chu, Shih-Kai</creator><creator>Huang, Chieh-Liang</creator><creator>Kuo, Hsiang-Wei</creator><creator>Wang, Sheng-Chang</creator><creator>Liu, Sheng-Wen</creator><creator>Ho, Ing-Kang</creator><creator>Liu, Yu-Li</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7SS</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160324</creationdate><title>Genome-Wide Pharmacogenomic Study on Methadone Maintenance Treatment Identifies SNP rs17180299 and Multiple Haplotypes on CYP2B6, SPON1, and GSG1L Associated with Plasma Concentrations of Methadone R- and S-enantiomers in Heroin-Dependent Patients</title><author>Yang, Hsin-Chou ; 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A steady-state plasma concentration of methadone enantiomers, a measure of methadone metabolism, is an index of treatment response and efficacy of MMT. Although the methadone metabolism pathway has been partially revealed, no genome-wide pharmacogenomic study has been performed to identify genetic determinants and characterize genetic mechanisms for the plasma concentrations of methadone R- and S-enantiomers. This study was the first genome-wide pharmacogenomic study to identify genes associated with the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites in a methadone maintenance cohort. After data quality control was ensured, a dataset of 344 heroin-dependent patients in the Han Chinese population of Taiwan who underwent MMT was analyzed. Genome-wide single-locus and haplotype-based association tests were performed to analyze four quantitative traits: the plasma concentrations of methadone R- and S-enantiomers and their respective metabolites. A significant single nucleotide polymorphism (SNP), rs17180299 (raw p = 2.24 × 10(-8)), was identified, accounting for 9.541% of the variation in the plasma concentration of the methadone R-enantiomer. In addition, 17 haplotypes were identified on SPON1, GSG1L, and CYP450 genes associated with the plasma concentration of methadone S-enantiomer. These haplotypes accounted for approximately one-fourth of the variation of the overall S-methadone plasma concentration. The association between the S-methadone plasma concentration and CYP2B6, SPON1, and GSG1L were replicated in another independent study. A gene expression experiment revealed that CYP2B6, SPON1, and GSG1L can be activated concomitantly through a constitutive androstane receptor (CAR) activation pathway. In conclusion, this study revealed new genes associated with the plasma concentration of methadone, providing insight into the genetic foundation of methadone metabolism. The results can be applied to predict treatment responses and methadone-related deaths for individualized MMTs.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27010727</pmid><doi>10.1371/journal.pgen.1005910</doi><oa>free_for_read</oa></addata></record>
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issn 1553-7404
1553-7390
1553-7404
language eng
recordid cdi_plos_journals_1781391945
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Public Library of Science (PLoS)
subjects Adult
Androstanes - metabolism
Biology and Life Sciences
Care and treatment
Complications and side effects
Cytochrome P-450 CYP2B6 - genetics
Drug abuse
Engineering and Technology
Extracellular Matrix Proteins - genetics
Female
Genetic aspects
Genome-wide association studies
Genome-Wide Association Study
Haplotypes - genetics
Health aspects
Heroin
Heroin - metabolism
Heroin - toxicity
Heroin Dependence - genetics
Heroin Dependence - metabolism
Heroin Dependence - pathology
Humans
Male
Medical research
Medicine and Health Sciences
Metabolites
Methadone
Methadone - administration & dosage
Methadone - metabolism
Middle Aged
Observations
Opiate Substitution Treatment
Pharmacogenetics
Pharmacogenomics
Plasma
Polymorphism, Single Nucleotide
Research and Analysis Methods
Single nucleotide polymorphisms
Stereoisomerism
title Genome-Wide Pharmacogenomic Study on Methadone Maintenance Treatment Identifies SNP rs17180299 and Multiple Haplotypes on CYP2B6, SPON1, and GSG1L Associated with Plasma Concentrations of Methadone R- and S-enantiomers in Heroin-Dependent Patients
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