Effect of genetic polymorphisms in SREBF–SCAP pathway on therapeutic response to rosuvastatin in Saudi metabolic syndrome patients

Autor: Misbahuddin M Rafeeq, Z.J. Gazzaz, Murad Has, M A Gari, Hamed S. Habib
Rok vydání: 2018
Předmět:
Zdroj: Pharmacogenomics. 19:185-196
ISSN: 1744-8042
1462-2416
Popis: Aim: Genetic variants contribute to statins’ therapeutic variability. SREBF–SCAP pathway is a key player in lipid homeostasis. Hence, effect of SREBF–SCAP polymorphisms on therapeutic response was studied. Patients & methods: Metabolic syndrome patients of either sex were prescribed rosuvastatin 10 mg for 24 weeks. Clinical, anthropometric and lipid measurements were done before and after treatment. Genotyping was done by pyrosequencing. Results & conclusion: No associations of SCAP and SREBF-1a genotypes with baseline lipids but significant associations with lipid reductions were observed. Significant effect of SCAP (GG; B = -8.16, p = 0.001); SREBF-1a (GG; B = -7.47, p = 0.001) and SREBF-1a (-delG; B = -7.42, p = 0.001) was observed on total cholesterol reduction. Additive trend was found between SCAP genotypes and lipid reductions. A total of 88% responders have SCAP ‘G’ allele (p = 0.001). Patients carrying SCAP (GG) and SREBF-1a (GG and -delG) have 9.5-, 8.6- and 14.6-times more likelihood of being responders (p
Databáze: OpenAIRE