Monday, October 23, 2017

Drug Response Alleles

Our genes can affect the way our bodies metabolize certain drugs and environmental toxins.  Various SNPs have been identified that affect the metabolism of various pharmaceuticals.
rs3892097 = T (The risk of developing Parkinson's disease as a result of pesticide exposure can go up as much as 3 to 8 times).  If that is not bad enough, according to SNPedia, "If two copies of this (or similar) changes are inherited, poor metabolism ('PM') of debrisoquine [PMID 2211621] is observed. Many other drugs are typically first metabolized by CYP2D6 including dextromorphan, sparteine, metoprolol, nortriptyline and many other antidepressants and codeine. Of course, sometimes the active form of a drug is the one post-CYP2D6 metabolism; an example of this is tamoxifen, where the active form (endoxifen) is formed primarily via CYP2D6 metabolism; less functioning CYP2D6 can mean less benefit from taking the drug."

rs1065852 = A (poor metabolism of Debrisoquine)
rs130060 = C "The encoded protein may be involved in several neuropsychiatric disorders and therefore is often a target of antidepressant and other psychotherapeutic drugs."
rs12248560 = T (Ultra fast metabolizer of estrogen, tamoxifen, proton pump inhibitors, antidepressants, etc)
rs4244285 = A (Poor metabolizer of several popular drugs including Plavix)
rs16947 = A (Ultrarapid metabolizer of Debrisoquine)

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