Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula

Background: Environmental conditions and past migratory events may have shaped genetic heterogeneity of clinically relevant enzymes involved in the phase I metabolism of the most common therapeutic drugs. Aim: To investigate the genetic variability of CYP2D6, CYP2B6, CYP2C19 and CYP2C9 across the It...

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Main Authors: Francesco Carano, Stefania Sarno, Sara De Fanti, Patrizia Serventi, Carla Bini, Donata Luiselli, Susi Pelotti
Format: Article
Language:English
Published: Taylor & Francis Group 2018-01-01
Series:Annals of Human Biology
Subjects:
Online Access:http://dx.doi.org/10.1080/03014460.2017.1378368
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author Francesco Carano
Stefania Sarno
Sara De Fanti
Patrizia Serventi
Carla Bini
Donata Luiselli
Susi Pelotti
author_facet Francesco Carano
Stefania Sarno
Sara De Fanti
Patrizia Serventi
Carla Bini
Donata Luiselli
Susi Pelotti
author_sort Francesco Carano
collection DOAJ
description Background: Environmental conditions and past migratory events may have shaped genetic heterogeneity of clinically relevant enzymes involved in the phase I metabolism of the most common therapeutic drugs. Aim: To investigate the genetic variability of CYP2D6, CYP2B6, CYP2C19 and CYP2C9 across the Italian Peninsula, by sampling only ancestrally and geographically homogeneous individuals from northern, central and southern Italy. Subjects and methods: A total of 25 SNPs were genotyped in 174 unrelated Italian individuals by means of multiplex PCR and minisequencing reactions. CYP2D6 genotypic data were used to predict phenotypes and the phylogenetic relationships among reconstructed haplotypes were represented by means of a Median Joining Network. Results: Pairwise Fisher Exact tests revealed significant differences between northern and southern Italy in the distribution of CYP2C19 genotypes, with the CYP2C19*2 allele appearing over-represented in northern Italy. Likewise, significant differences in the distribution of CYP2D6 genotypes (*4/*3, *4/*4 and *6/*4) responsible for the poor metabolizer phenotype were observed in northern with respect to both central and southern Italy. Conclusions: The north–south structuring pattern showed by CYP2D6 and CYP2C19 underline how a deeper knowledge of the geographic distribution of alleles may improve clinical practice and help to avoid hypothetical bias in drug trials.
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spelling doaj.art-64849b98a9464e059ee41e86435042752023-09-14T15:36:09ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332018-01-01451667110.1080/03014460.2017.13783681378368Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian PeninsulaFrancesco Carano0Stefania Sarno1Sara De Fanti2Patrizia Serventi3Carla Bini4Donata Luiselli5Susi Pelotti6University of Bologna. Institute of Legal MedicineUniversity of Bologna, Molecular Anthropology laboratoryUniversity of Bologna, Molecular Anthropology laboratoryUniversity of Bologna, Molecular Anthropology laboratoryUniversity of Bologna. Institute of Legal MedicineUniversity of Bologna, Molecular Anthropology laboratoryUniversity of Bologna. Institute of Legal MedicineBackground: Environmental conditions and past migratory events may have shaped genetic heterogeneity of clinically relevant enzymes involved in the phase I metabolism of the most common therapeutic drugs. Aim: To investigate the genetic variability of CYP2D6, CYP2B6, CYP2C19 and CYP2C9 across the Italian Peninsula, by sampling only ancestrally and geographically homogeneous individuals from northern, central and southern Italy. Subjects and methods: A total of 25 SNPs were genotyped in 174 unrelated Italian individuals by means of multiplex PCR and minisequencing reactions. CYP2D6 genotypic data were used to predict phenotypes and the phylogenetic relationships among reconstructed haplotypes were represented by means of a Median Joining Network. Results: Pairwise Fisher Exact tests revealed significant differences between northern and southern Italy in the distribution of CYP2C19 genotypes, with the CYP2C19*2 allele appearing over-represented in northern Italy. Likewise, significant differences in the distribution of CYP2D6 genotypes (*4/*3, *4/*4 and *6/*4) responsible for the poor metabolizer phenotype were observed in northern with respect to both central and southern Italy. Conclusions: The north–south structuring pattern showed by CYP2D6 and CYP2C19 underline how a deeper knowledge of the geographic distribution of alleles may improve clinical practice and help to avoid hypothetical bias in drug trials.http://dx.doi.org/10.1080/03014460.2017.1378368pharmacogeneticscytochrome-p450 (cyp) genesitalian populationgenetic variationgeographic structure
spellingShingle Francesco Carano
Stefania Sarno
Sara De Fanti
Patrizia Serventi
Carla Bini
Donata Luiselli
Susi Pelotti
Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
Annals of Human Biology
pharmacogenetics
cytochrome-p450 (cyp) genes
italian population
genetic variation
geographic structure
title Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
title_full Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
title_fullStr Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
title_full_unstemmed Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
title_short Genetic variability of CYP2D6, CYP2B6, CYP2C9 and CYP2C19 genes across the Italian Peninsula
title_sort genetic variability of cyp2d6 cyp2b6 cyp2c9 and cyp2c19 genes across the italian peninsula
topic pharmacogenetics
cytochrome-p450 (cyp) genes
italian population
genetic variation
geographic structure
url http://dx.doi.org/10.1080/03014460.2017.1378368
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