Apremilast Pharmacogenomics in Russian Patients with Moderate-to-Severe and Severe Psoriasis

One of the target drugs for plaque psoriasis treatment is apremilast, which is a selective phosphodiesterase 4 (PDE4) inhibitor. In this study, 34 moderate-to-severe and severe plaque psoriasis patients from Russia were treated with apremilast for 26 weeks. This allowed us to observe the effectivene...

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Veröffentlicht in:Journal of personalized medicine 2020-12, Vol.11 (1), p.20
Hauptverfasser: Verbenko, Dmitry A, Karamova, Arfenya E, Artamonova, Olga G, Deryabin, Dmitry G, Rakitko, Alexander, Chernitsov, Alexandr, Krasnenko, Anna, Elmuratov, Artem, Solomka, Victoria S, Kubanov, Alexey A
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container_start_page 20
container_title Journal of personalized medicine
container_volume 11
creator Verbenko, Dmitry A
Karamova, Arfenya E
Artamonova, Olga G
Deryabin, Dmitry G
Rakitko, Alexander
Chernitsov, Alexandr
Krasnenko, Anna
Elmuratov, Artem
Solomka, Victoria S
Kubanov, Alexey A
description One of the target drugs for plaque psoriasis treatment is apremilast, which is a selective phosphodiesterase 4 (PDE4) inhibitor. In this study, 34 moderate-to-severe and severe plaque psoriasis patients from Russia were treated with apremilast for 26 weeks. This allowed us to observe the effectiveness of splitting patient cohorts based on clinical outcomes, which were assessed using the Psoriasis Area Severity Index (PASI). In total, 14 patients (41%) indicated having an advanced outcome with delta PASI 75 after treatment; 20 patients indicated having moderate or no effects. Genome variability was investigated using the Illumina Infinium Global Screening Array. Genome-wide analysis revealed apremilast therapy clinical outcome associations at three compact genome regions with undefined functions situated on chromosomes 2, 4, and 5, as well as on a single single-nucleotide polymorphism (SNP) on chromosome 23. Pre-selected SNP sets were associated with psoriasis vulgaris analysis, which was used to identify four SNP-associated targeted therapy efficiencies: (rs1143633), ( ) (rs20541), (rs2201841), and (rs1800629) genes. Moreover, we showed that the use of the global polygenic risk score allowed for the prediction of onset psoriasis in Russians. Therefore, these results can serve as a starting point for creating a predictive model of apremilast therapy response in the targeted therapy of patients with psoriasis vulgaris.
doi_str_mv 10.3390/jpm11010020
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Pre-selected SNP sets were associated with psoriasis vulgaris analysis, which was used to identify four SNP-associated targeted therapy efficiencies: (rs1143633), ( ) (rs20541), (rs2201841), and (rs1800629) genes. Moreover, we showed that the use of the global polygenic risk score allowed for the prediction of onset psoriasis in Russians. 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source PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Adenosine
Clinical outcomes
Cytokines
Deoxyribonucleic acid
Disease
DNA
Drug dosages
Erythema
FDA approval
Genomes
Health risk assessment
Interleukin 1
Interleukin 13
Interleukin 4
Pathogenesis
Patients
Pharmacogenomics
Phosphodiesterase
Phosphodiesterase IV
Population
Precision medicine
Prediction models
Pregnancy
Psoriasis
Psoriasis vulgaris
Signal transduction
Single-nucleotide polymorphism
Skin
Tumor necrosis factor-α
title Apremilast Pharmacogenomics in Russian Patients with Moderate-to-Severe and Severe Psoriasis
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