Thursday, August 13, 2009

Risk of ischemic vascular disease in 52 000 individuals

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Original Article

The Pharmacogenomics Journal advance online publication 4 August 2009; doi: 10.1038/tpj.2009.34

Common polymorphisms in CYP2C9, subclinical atherosclerosis and risk of ischemic vascular disease in 52 000 individuals

D Kaur-Knudsen1,2,4, S E Bojesen1,2,3,4 and B G Nordestgaard1,2,3,4

1. Department of Clinical Biochemistry, Herlev Hospital, Copenhagen University Hospital, Herlev, Denmark
2. The Copenhagen General Population Study, Herlev Hospital, Copenhagen University Hospital, Herlev, Denmark
3. The Copenhagen City Heart Study, Bispebjerg Hospital, Copenhagen University Hospital, Copenhagen, Denmark
4. Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark

Correspondence: Professor BG Nordestgaard, Department of Clinical Biochemistry, 54M1, Herlev Hospital, Copenhagen University Hospital, Herlev Ringvej 75, DK-2730 Herlev, Denmark. E-mail: brno@heh.regionh.dk

Received 3 April 2009; Accepted 25 June 2009; Published online 4 August 2009.
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Abstract

Cytochrome P450 2C9 (CYP2C9) enzymes metabolize warfarin and arachidonic acid. We hypothesized that the CYP2C9*2 (rs.1799853) and CYP2C9*3 (rs.1057910) polymorphisms with decreased enzyme activity affect risk of subclinical atherosclerosis (reduced ankle brachial index and increased C-reactive protein), ischemic vascular diseases (ischemic heart disease, myocardial infarction, ischemic cerebrovascular disease and ischemic stroke) and death after an ischemic heart disease diagnosis. We genotyped the Copenhagen City Heart Study, a prospective study including 10 398 participants with 30–32 years of follow-up; the Copenhagen General Population Study, a cross-sectional study including 21 629 participants; and the Copenhagen Ischemic Heart Disease Study, a case–control study including 5082 cases and 14 904 controls. CYP2C9 carriers versus noncarriers did not associate with subclinical atherosclerosis. Furthermore, the odds/hazard ratios for ischemic vascular disease did not differ from 1.0 for CYP2C9 carriers versus noncarriers. Finally, we found no altered risk of early death after a diagnosis of ischemic heart disease. For all end points, we could exclude even minor changes in risk of disease with 90% power. In conclusion, in three independent studies totaling more than 52 000 individuals, we found no association between CYP2C9*2 and CYP2C9*3 polymorphisms and risk of subclinical atherosclerosis, ischemic vascular disease or death after ischemic heart disease.

Sunday, August 2, 2009

Adrenomedullin gene (ADM) and response to paroxetine

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Original Article

The Pharmacogenomics Journal advance online publication 28 July 2009; doi: 10.1038/tpj.2009.33

Association of a functional polymorphism in the adrenomedullin gene (ADM) with response to paroxetine

D M Glubb 1, P C McHugh 1, X Deng 1, P R Joyce 2 and M A Kennedy 1

1 Gene Structure & Function Laboratory, Department of Pathology, University of Otago, Christchurch, New Zealand
2 Department of Psychological Medicine, University of Otago, Christchurch, New Zealand

Correspondence: Dr DM Glubb, Department of Pathology, Gene Structure & Function Laboratory, University of Otago, Christchurch P.O. Box 4345, Christchurch 8140, New Zealand. E-mail: dylan.glubb@otago.ac.nz

Received 17 February 2009; Revised 8 May 2009; Accepted 25 June 2009; Published online 28 July 2009.

Abstract

To identify genes that may be relevant to the molecular action of antidepressants, we investigated transcriptional changes induced by the selective serotonin reuptake inhibitor paroxetine in a serotonergic cell line. We examined gene expression changes after acute treatment with paroxetine and sought to validate microarray results by quantitative PCR (qPCR). Concordant transcriptional changes were confirmed for 14 genes by qPCR and five of these, including the adrenomedullin gene (Adm), either approached or reached statistical significance. Reporter gene assays showed that a SNP (rs11042725) in the upstream flanking region of ADMsignificantly altered expression. Association analysis demonstrated rs11042725 to be significantly associated with response to paroxetine (odds ratio=0.075, P<0.001)>ADM is involved with the therapeutic efficacy of paroxetine, which may have pharmacogenetic utility.