RYR1 and CACNA1S genetic variants identified with statin-associated muscle symptoms

To examine the genetic differences between subjects with statin-associated muscle symptoms and statin-tolerant controls. Next-generation sequencing was used to characterize the exomes of 76 subjects with severe statin-associated muscle symptoms and 50 statin-tolerant controls. 12 probably pathogenic...

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Veröffentlicht in:Pharmacogenomics 2018-11, Vol.19 (16), p.1235-1249
Hauptverfasser: Isackson, Paul J, Wang, Jianxin, Zia, Mohammad, Spurgeon, Paul, Levesque, Adrian, Bard, Jonathan, James, Smitha, Nowak, Norma, Lee, Tae Keun, Vladutiu, Georgirene D
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container_end_page 1249
container_issue 16
container_start_page 1235
container_title Pharmacogenomics
container_volume 19
creator Isackson, Paul J
Wang, Jianxin
Zia, Mohammad
Spurgeon, Paul
Levesque, Adrian
Bard, Jonathan
James, Smitha
Nowak, Norma
Lee, Tae Keun
Vladutiu, Georgirene D
description To examine the genetic differences between subjects with statin-associated muscle symptoms and statin-tolerant controls. Next-generation sequencing was used to characterize the exomes of 76 subjects with severe statin-associated muscle symptoms and 50 statin-tolerant controls. 12 probably pathogenic variants were found within the RYR1 and CACNA1S genes in 16% of cases with severe statin-induced myopathy representing a fourfold increase over variants found in statin-tolerant controls. Subjects with probably pathogenic RYR1 or CACNA1S variants had plasma CK 5X to more than 400X the upper limit of normal in addition to having muscle symptoms. Genetic variants within the RYR1 and CACNA1S genes are likely to be a major contributor to the susceptibility to statin-associated muscle symptoms.
doi_str_mv 10.2217/pgs-2018-0106
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Next-generation sequencing was used to characterize the exomes of 76 subjects with severe statin-associated muscle symptoms and 50 statin-tolerant controls. 12 probably pathogenic variants were found within the RYR1 and CACNA1S genes in 16% of cases with severe statin-induced myopathy representing a fourfold increase over variants found in statin-tolerant controls. Subjects with probably pathogenic RYR1 or CACNA1S variants had plasma CK 5X to more than 400X the upper limit of normal in addition to having muscle symptoms. Genetic variants within the RYR1 and CACNA1S genes are likely to be a major contributor to the susceptibility to statin-associated muscle symptoms.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>30325262</pmid><doi>10.2217/pgs-2018-0106</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1462-2416
ispartof Pharmacogenomics, 2018-11, Vol.19 (16), p.1235-1249
issn 1462-2416
1744-8042
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6563124
source MEDLINE; PubMed Central
subjects Adult
Aged
Aged, 80 and over
Calcium Channels - genetics
Calcium Channels, L-Type
Case-Control Studies
Congenital diseases
Female
Fever
Genes
Genetic diversity
Genetic Predisposition to Disease - genetics
Genetic Variation - genetics
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - adverse effects
Hyperthermia
Male
Metabolism
Middle Aged
Muscular Diseases - chemically induced
Muscular Diseases - genetics
Musculoskeletal system
Mutation
Myopathy
Next-generation sequencing
Pain
Patients
Plasma
Questionnaires
Retrospective Studies
Ryanodine Receptor Calcium Release Channel - genetics
Ryanodine receptors
Statins
Studies
title RYR1 and CACNA1S genetic variants identified with statin-associated muscle symptoms
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