Seventeen years of statin pharmacogenetics: a systematic review

We evaluated the evidence of pharmacogenetic associations with statins in a systematic review. Two separate outcomes were considered of interest: modification of low-density lipoprotein cholesterol (LDL-C) response and modification of risk for cardiovascular events. In candidate gene studies, 141 lo...

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Veröffentlicht in:Pharmacogenomics 2016-01, Vol.17 (2), p.163-180
Hauptverfasser: Leusink, Maarten, Onland-Moret, N Charlotte, de Bakker, Paul IW, de Boer, Anthonius, Maitland-van der Zee, Anke H
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container_end_page 180
container_issue 2
container_start_page 163
container_title Pharmacogenomics
container_volume 17
creator Leusink, Maarten
Onland-Moret, N Charlotte
de Bakker, Paul IW
de Boer, Anthonius
Maitland-van der Zee, Anke H
description We evaluated the evidence of pharmacogenetic associations with statins in a systematic review. Two separate outcomes were considered of interest: modification of low-density lipoprotein cholesterol (LDL-C) response and modification of risk for cardiovascular events. In candidate gene studies, 141 loci were claimed to be associated with LDL-C response. Only 5% of these associations were positively replicated. In addition, six genome-wide association studies of LDL-C response identified common SNPs in , , , and at genome-wide significance. None of the investigated SNPs consistently affected the risk reduction for cardiovascular events. Only five genetic loci were consistently associated with LDL-C response. However, as effect sizes are modest, there is no evidence for the value of genetic testing in clinical practice.
doi_str_mv 10.2217/pgs.15.158
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subjects Adaptor Proteins, Vesicular Transport - genetics
Alzheimer's disease
Apolipoprotein E
Apolipoproteins E - genetics
Atherosclerosis
ATP Binding Cassette Transporter, Sub-Family G, Member 2
ATP-Binding Cassette Transporters - genetics
candidate gene studies
Cardiovascular diseases
Cardiovascular Diseases - prevention & control
Cholesterol
Cholesterol, LDL - blood
Ethnicity
Genes
Genetic Loci
Genetic screening
Genome-wide association studies
Genome-Wide Association Study
Genomes
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacokinetics
LDL cholesterol
Lipid Metabolism - genetics
Lipids
Lipoprotein(a) - genetics
Lipoproteins
Low density lipoprotein
Neoplasm Proteins - genetics
Organic Anion Transporters - genetics
Pharmacogenetics
Polymorphism, Single Nucleotide
Principal components analysis
Quality
review
Single-nucleotide polymorphism
Solute Carrier Organic Anion Transporter Family Member 1b1
Statins
Stroke
Studies
title Seventeen years of statin pharmacogenetics: a systematic review
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