Caucasian versus African-American Differences in Orosomucoid: Potential Implications for Therapy

We conducted a prospective, nonrandomized study in healthy volunteers to determine if racial differences exist in orosomucoid (ORM) and its variants, and to examine quinidine and lidocaine binding to the protein. Total ORM serum concentrations were measured by Laurell‐Rocket immunoelectrophoresis. A...

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Veröffentlicht in:Pharmacotherapy 1998-05, Vol.18 (3), p.620-626
Hauptverfasser: McCollam, Patrick L., Crouch, Michael A., Arnaud, Philippe
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creator McCollam, Patrick L.
Crouch, Michael A.
Arnaud, Philippe
description We conducted a prospective, nonrandomized study in healthy volunteers to determine if racial differences exist in orosomucoid (ORM) and its variants, and to examine quinidine and lidocaine binding to the protein. Total ORM serum concentrations were measured by Laurell‐Rocket immunoelectrophoresis. Allele types were determined by isoelectric focusing and immunoblotting. Total and unbound quinidine and lidocaine concentrations were measured with standard fluorescence polarization immunoassays after ultrafiltration. The frequency of the common ORM alleles was similar between 38 Caucasians and 67 African‐Americans. Mean total ORM concentration was significantly lower in Caucasians (57.3 ± 25.4 vs 73.2 ± 33.9 mg/dl, p=0.01). However, more Caucasians took oral contraceptives, which may have decreased ORM concentrations. Quinidine unbound fraction (UF) was related to ORM phenotype. The highest UF was found with ORM 1‐S (p=0.009). There were no significant relationships between ORM phenotype and lidocaine UF Overall, African‐Americans had higher ORM concentrations than Caucasians. Quinidine binding showed significant relationships to specific ORM variants.
doi_str_mv 10.1002/j.1875-9114.1998.tb03125.x
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Total ORM serum concentrations were measured by Laurell‐Rocket immunoelectrophoresis. Allele types were determined by isoelectric focusing and immunoblotting. Total and unbound quinidine and lidocaine concentrations were measured with standard fluorescence polarization immunoassays after ultrafiltration. The frequency of the common ORM alleles was similar between 38 Caucasians and 67 African‐Americans. Mean total ORM concentration was significantly lower in Caucasians (57.3 ± 25.4 vs 73.2 ± 33.9 mg/dl, p=0.01). However, more Caucasians took oral contraceptives, which may have decreased ORM concentrations. Quinidine unbound fraction (UF) was related to ORM phenotype. The highest UF was found with ORM 1‐S (p=0.009). There were no significant relationships between ORM phenotype and lidocaine UF Overall, African‐Americans had higher ORM concentrations than Caucasians. Quinidine binding showed significant relationships to specific ORM variants.</description><subject>Adult</subject><subject>Alleles</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People - genetics</subject><subject>Blotting, Western</subject><subject>Female</subject><subject>Fluorescence Polarization Immunoassay</subject><subject>General pharmacology</subject><subject>Humans</subject><subject>Immunoelectrophoresis</subject><subject>Isoelectric Focusing</subject><subject>Lidocaine - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orosomucoid - genetics</subject><subject>Orosomucoid - metabolism</subject><subject>Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions</subject><subject>Pharmacology. Drug treatments</subject><subject>Phenotype</subject><subject>Prospective Studies</subject><subject>Protein Binding</subject><subject>Quinidine - blood</subject><subject>White People - genetics</subject><issn>0277-0008</issn><issn>1875-9114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkF1v0zAUhi0EGmXwE5AshLhL8Gcc74qqwDZUbdM0Pu6M4x4Ll3wUO4H235PQqPdc-UjneV_bD0KvKMkpIeztNqelkpmmVORU6zLvK8Ipk_n-EVqcVo_RgjClMkJI-RQ9S2k7Zmkh2Bk60wUjlPIF-r6yg7Mp2Bb_hpiGhJc-BmfbbNnAvwG_D95DhNZBwqHFt7FLXTO4Lmwu8F3XQ9sHW-PrZlePeB-6NmHfRfzwA6LdHZ6jJ97WCV7M5zn6_PHDw-oqW99eXq-W68wJXspMWlDC200lVFFxSRmnmmrpBVNSVlqDtKracA3AJSNCKcWZU0BKDoUTjPNz9ObYu4vdrwFSb5qQHNS1baEbklFaM6rJBF4cQTd-JEXwZhdDY-PBUGImvWZrJodmcmgmvWbWa_Zj-OV8y1A1sDlFZ5_j_vW8t8nZ2kfbupBOGOOsIKUYsXdH7E-o4fAfDzB3V8v7aRwrsmNFSD3sTxU2_jSF4mP6682luf8iebH-9snc8L_XVaas</recordid><startdate>199805</startdate><enddate>199805</enddate><creator>McCollam, Patrick L.</creator><creator>Crouch, Michael A.</creator><creator>Arnaud, Philippe</creator><general>Blackwell Publishing Ltd</general><general>Pharmacotherapy</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>199805</creationdate><title>Caucasian versus African-American Differences in Orosomucoid: Potential Implications for Therapy</title><author>McCollam, Patrick L. ; Crouch, Michael A. ; Arnaud, Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4385-5ae74fadb476b3512319195f42755b99e5a7bd39ee3520477732c7e083e6c4233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Alleles</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People - genetics</topic><topic>Blotting, Western</topic><topic>Female</topic><topic>Fluorescence Polarization Immunoassay</topic><topic>General pharmacology</topic><topic>Humans</topic><topic>Immunoelectrophoresis</topic><topic>Isoelectric Focusing</topic><topic>Lidocaine - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orosomucoid - genetics</topic><topic>Orosomucoid - metabolism</topic><topic>Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions</topic><topic>Pharmacology. Drug treatments</topic><topic>Phenotype</topic><topic>Prospective Studies</topic><topic>Protein Binding</topic><topic>Quinidine - blood</topic><topic>White People - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCollam, Patrick L.</creatorcontrib><creatorcontrib>Crouch, Michael A.</creatorcontrib><creatorcontrib>Arnaud, Philippe</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pharmacotherapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCollam, Patrick L.</au><au>Crouch, Michael A.</au><au>Arnaud, Philippe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caucasian versus African-American Differences in Orosomucoid: Potential Implications for Therapy</atitle><jtitle>Pharmacotherapy</jtitle><addtitle>Pharmacotherapy</addtitle><date>1998-05</date><risdate>1998</risdate><volume>18</volume><issue>3</issue><spage>620</spage><epage>626</epage><pages>620-626</pages><issn>0277-0008</issn><eissn>1875-9114</eissn><coden>PHPYDQ</coden><abstract>We conducted a prospective, nonrandomized study in healthy volunteers to determine if racial differences exist in orosomucoid (ORM) and its variants, and to examine quinidine and lidocaine binding to the protein. Total ORM serum concentrations were measured by Laurell‐Rocket immunoelectrophoresis. Allele types were determined by isoelectric focusing and immunoblotting. Total and unbound quinidine and lidocaine concentrations were measured with standard fluorescence polarization immunoassays after ultrafiltration. The frequency of the common ORM alleles was similar between 38 Caucasians and 67 African‐Americans. Mean total ORM concentration was significantly lower in Caucasians (57.3 ± 25.4 vs 73.2 ± 33.9 mg/dl, p=0.01). However, more Caucasians took oral contraceptives, which may have decreased ORM concentrations. Quinidine unbound fraction (UF) was related to ORM phenotype. The highest UF was found with ORM 1‐S (p=0.009). There were no significant relationships between ORM phenotype and lidocaine UF Overall, African‐Americans had higher ORM concentrations than Caucasians. Quinidine binding showed significant relationships to specific ORM variants.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9620113</pmid><doi>10.1002/j.1875-9114.1998.tb03125.x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Alleles
Biological and medical sciences
Black or African American
Black People - genetics
Blotting, Western
Female
Fluorescence Polarization Immunoassay
General pharmacology
Humans
Immunoelectrophoresis
Isoelectric Focusing
Lidocaine - blood
Male
Medical sciences
Middle Aged
Orosomucoid - genetics
Orosomucoid - metabolism
Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions
Pharmacology. Drug treatments
Phenotype
Prospective Studies
Protein Binding
Quinidine - blood
White People - genetics
title Caucasian versus African-American Differences in Orosomucoid: Potential Implications for Therapy
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