Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)

Aim. To assess the variability of the NAT2 gene and to comparatively analyze the prevalence of NAT2 polymorphisms and acetylation types among Yakut and Russian patients newly diagnosed with pulmonary tuberculosis (TB), permanently residing in the Sakha Republic (Yakutia).Materials and methods. The s...

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Main Authors: N. M. Krasnova, E. N. Efremova, A. A. Egorova, O. I. Filippova, Y. V. Chertovskikh, Z. A. Rudykh, E. A. Alekseeva, T. E. Tatarinova, D. A. Sokorutov, N. S. Val, M. K. Vinokurova, A. F. Karvchenko, A. I. Vengerovskii, D. A. Sychev
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2021-01-01
Series:Бюллетень сибирской медицины
Subjects:
Online Access:https://bulletin.ssmu.ru/jour/article/view/4156
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author N. M. Krasnova
E. N. Efremova
A. A. Egorova
O. I. Filippova
Y. V. Chertovskikh
Z. A. Rudykh
E. A. Alekseeva
T. E. Tatarinova
D. A. Sokorutov
N. S. Val
M. K. Vinokurova
A. F. Karvchenko
A. I. Vengerovskii
D. A. Sychev
author_facet N. M. Krasnova
E. N. Efremova
A. A. Egorova
O. I. Filippova
Y. V. Chertovskikh
Z. A. Rudykh
E. A. Alekseeva
T. E. Tatarinova
D. A. Sokorutov
N. S. Val
M. K. Vinokurova
A. F. Karvchenko
A. I. Vengerovskii
D. A. Sychev
author_sort N. M. Krasnova
collection DOAJ
description Aim. To assess the variability of the NAT2 gene and to comparatively analyze the prevalence of NAT2 polymorphisms and acetylation types among Yakut and Russian patients newly diagnosed with pulmonary tuberculosis (TB), permanently residing in the Sakha Republic (Yakutia).Materials and methods. The study included 197 patients with newly diagnosed pulmonary TB (132 Yakuts and 65 Russians) aged (43.3 ± 14.4). The following single-nucleotide polymorphisms were analyzed, using real-time polymerase chain reaction (PCR): NAT2*5 (rs1801280, Т341С), NAT2*6 (rs1799930, G590A),  NAT2*7 (rs1799931, G857A), NAT2*11 (rs1799929, C481T), NAT2*12 (rs1208, A803G), and NAT2*13 (rs1041983, C282T). Genetically determined basal metabolic rates were calculated using the NATpred online tool.Results. 75% of residents, both of Yakut and Russian ethnicity, were identified as carriers of NAT2 polymorphic variants known to be related to isoniazid biotransformation. NAT2*6 and *13 allelic variants were more frequent in  Yakuts (occurring in 40.9% and 64.4%, respectively); variants NAT2*5, *6, *11, *12, and *13 were more common in Russians (69.2; 55.4; 67.7; 69.2, and 64.6%, respectively). The NAT2*5, *7, *11, and *12 polymorphisms were found to be significantly ethnicity-dependent. The study established substantial prevalence of medium acetylation type (58.3%) in Yakuts and slow acetylation type in Russians (61.5%). Correlations were shown between ethnicity and different prevalence rates of rapid, medium, or slow acetylation types among patients with TB.Conclusion. The observed NAT2 polymorphism distribution patterns and isoniazid acetylation types among Yakut and Russian patients with newly diagnosed pulmonary TB demonstrated that pharmacologic  responses can be significantly different between ethnic groups. Findings of pharmacogenetic studies in Yakut and Russian populations should be incorporated in clinical practice for personalized administration of isoniazid.
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spelling doaj.art-4c8b069261034b5fbc7832841e2d1fde2023-03-13T09:58:26ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842021-01-0119410210910.20538/1682-0363-2020-4-102-1092728Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)N. M. Krasnova0E. N. Efremova1A. A. Egorova2O. I. Filippova3Y. V. Chertovskikh4Z. A. Rudykh5E. A. Alekseeva6T. E. Tatarinova7D. A. Sokorutov8N. S. Val9M. K. Vinokurova10A. F. Karvchenko11A. I. Vengerovskii12D. A. Sychev13Северо-Восточный федеральный университет (СВФУ) им. М.К. АммосоваНаучно-практический центр (НПЦ) «Фтизиатрия»Научно-практический центр (НПЦ) «Фтизиатрия»Научно-практический центр (НПЦ) «Фтизиатрия»Республиканская клиническая больница (РКБ) № 3Республиканская клиническая больница (РКБ) № 3Республиканская клиническая больница (РКБ) № 3Республиканская клиническая больница (РКБ) № 3Северо-Восточный федеральный университет (СВФУ) им. М.К. АммосоваНаучно-практический центр (НПЦ) «Фтизиатрия»Научно-практический центр (НПЦ) «Фтизиатрия»Научно-практический центр (НПЦ) «Фтизиатрия»Сибирский государственный медицинский университет (СибГМУ)Российская медицинская академия непрерывного профессионального образования (РМАНПО)Aim. To assess the variability of the NAT2 gene and to comparatively analyze the prevalence of NAT2 polymorphisms and acetylation types among Yakut and Russian patients newly diagnosed with pulmonary tuberculosis (TB), permanently residing in the Sakha Republic (Yakutia).Materials and methods. The study included 197 patients with newly diagnosed pulmonary TB (132 Yakuts and 65 Russians) aged (43.3 ± 14.4). The following single-nucleotide polymorphisms were analyzed, using real-time polymerase chain reaction (PCR): NAT2*5 (rs1801280, Т341С), NAT2*6 (rs1799930, G590A),  NAT2*7 (rs1799931, G857A), NAT2*11 (rs1799929, C481T), NAT2*12 (rs1208, A803G), and NAT2*13 (rs1041983, C282T). Genetically determined basal metabolic rates were calculated using the NATpred online tool.Results. 75% of residents, both of Yakut and Russian ethnicity, were identified as carriers of NAT2 polymorphic variants known to be related to isoniazid biotransformation. NAT2*6 and *13 allelic variants were more frequent in  Yakuts (occurring in 40.9% and 64.4%, respectively); variants NAT2*5, *6, *11, *12, and *13 were more common in Russians (69.2; 55.4; 67.7; 69.2, and 64.6%, respectively). The NAT2*5, *7, *11, and *12 polymorphisms were found to be significantly ethnicity-dependent. The study established substantial prevalence of medium acetylation type (58.3%) in Yakuts and slow acetylation type in Russians (61.5%). Correlations were shown between ethnicity and different prevalence rates of rapid, medium, or slow acetylation types among patients with TB.Conclusion. The observed NAT2 polymorphism distribution patterns and isoniazid acetylation types among Yakut and Russian patients with newly diagnosed pulmonary TB demonstrated that pharmacologic  responses can be significantly different between ethnic groups. Findings of pharmacogenetic studies in Yakut and Russian populations should be incorporated in clinical practice for personalized administration of isoniazid.https://bulletin.ssmu.ru/jour/article/view/4156якутырусскиетуберкулезизониазидфармакогенетикаполиморфизмnat2медленныйбыстрыйпромежуточныйтип ацетилирования
spellingShingle N. M. Krasnova
E. N. Efremova
A. A. Egorova
O. I. Filippova
Y. V. Chertovskikh
Z. A. Rudykh
E. A. Alekseeva
T. E. Tatarinova
D. A. Sokorutov
N. S. Val
M. K. Vinokurova
A. F. Karvchenko
A. I. Vengerovskii
D. A. Sychev
Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
Бюллетень сибирской медицины
якуты
русские
туберкулез
изониазид
фармакогенетика
полиморфизм
nat2
медленный
быстрый
промежуточный
тип ацетилирования
title Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
title_full Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
title_fullStr Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
title_full_unstemmed Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
title_short Comparative analysis of N-acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the Sakha Republic (Yakutia)
title_sort comparative analysis of n acetyltransferase 2 genotyping results among patients with newly diagnosed pulmonary tuberculosis residing in the sakha republic yakutia
topic якуты
русские
туберкулез
изониазид
фармакогенетика
полиморфизм
nat2
медленный
быстрый
промежуточный
тип ацетилирования
url https://bulletin.ssmu.ru/jour/article/view/4156
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