Genetic diversity of variants involved in drug response and metabolism in Sri Lankan populations: implications for clinical implementation of pharmacogenomics

作者：Chan Sze Ling; Samaranayake Nilakshi; Ross Colin J D; Toh Meng Tiak; Carleton Bruce; Hayden Michael R; Teo Yik Ying; Dissanayake Vajira H W; Brunham Liam R^*

来源：Pharmacogenetics and Genomics, 2016, 26(1): 28-39.

DOI：10.1097/FPC.0000000000000182

• ancestry
• diversity
• drug response
• pharmacogenomics

BackgroundInterpopulation differences in drug responses are well documented, and in some cases they correspond to differences in the frequency of associated genetic markers. Understanding the diversity of genetic markers associated with drug response across different global populations is essential to infer population rates of drug response or risk for adverse drug reactions, and to guide implementation of pharmacogenomic testing. Sri Lanka is a culturally and linguistically diverse nation, but little is known about the population genetics of the major Sri Lankan ethnic groups. The objective of this study was to investigate the diversity of pharmacogenomic variants in the major Sri Lankan ethnic groups.MethodsWe examined the allelic diversity of more than 7000 variants in genes involved in drug biotransformation and response in the three major ethnic populations of Sri Lanka (Sinhalese, Sri Lankan Tamils, and Moors), and compared them with other South Asian, South East Asian, and European populations using Wright's Fixation Index, principal component analysis, and STRUCTURE analysis.ResultsWe observed overall high levels of similarity within the Sri Lankan populations (median F-ST=0.0034), and between Sri Lankan and other South Asian populations (median F-ST=0.0064). Notably, we observed substantial differentiation between Sri Lankan and European populations for important pharmacogenomic variants related to warfarin (VKORC1 rs9923231) and clopidogrel (CYP2C19 rs4986893) response.ConclusionThese data expand our understanding of the population structure of Sri Lanka, provide a resource for pharmacogenomic research, and have implications for the clinical use of genetic testing of pharmacogenomic variants in these populations.

• 出版日期2016-1