Abstract
Assessing the distinct prevalence or absence of genetic variants associated with differential response to the anticoagulant medication of warfarin in different population groups is actively pursued by pharmacogenomics community. Populations from Arabian Peninsula are underrepresented in such studies. By way of examining exome- and genome-wide genotype data from 1395 Arab individuals in Kuwait, we report distinct occurrence of warfarin response-related variants rs12460590_A/CYP2A7, rs2108622_T/CYP4F2, rs2884737_C/VKORC1 and distinct absence of rs11150606_C/PRSS53 in Kuwaiti population. The presented results in conjunction with similar literature reports on Qatari population enhance the worldwide understanding on population-specific distributions of genetic variants associated with warfarin drug dosage.
References
- 1 Quality of anticoagulation with warfarin across Kuwait. Hellenic J. Cardiol. 54(2), 102–106 (2013).
- 2 Genome at juncture of early human migration: a systematic analysis of two whole genomes and thirteen exomes from Kuwaiti population subgroup of inferred Saudi Arabian tribe ancestry. PLoS ONE 9(6), e99069 (2014).
- 3 . Landscape of warfarin and clopidogrel pharmacogenetic variants in Qatari population from whole exome datasets. Pharmacogenomics 17(17), 1891–1901 (2016).
- 4 Indigenous Arabs are descendants of the earliest split from ancient Eurasian populations. Genome Res. 26(2), 151–162 (2016).
- 5 Genetic substructure of Kuwaiti population reveals migration history. PLoS ONE 8(9), e74913 (2013).
- 6 Population genetic structure of the people of Qatar. Am. J. Hum. Genet. 87(1), 17–25 (2010).
- 7 Genetic risk variants for metabolic traits in Arab populations. Sci. Rep. 7, 40988 (2017).
- 8 Pharmacogenomics knowledge for personalized medicine. Clin. Pharmacol. Ther. 92(4), 414–417 (2012).
- 9 CYP4F2 genetic variant (rs2108622) significantly contributes to warfarin dosing variability in the Italian population. Pharmacogenomics 10(2), 261–266 (2009).
- 10 VKORC1 pharmacogenomics summary. Pharmacogenet. Genom. 20(10), 642–644 (2010).
- 11 Characterization of Greater Middle Eastern genetic variation for enhanced disease gene discovery. Nat. Genet. 48(9), 1071–1076 (2016).
- 12 The pharmacokinetics and pharmacodynamics of single dose (R)- and (S)-warfarin administered separately and together: relationship to VKORC1 genotype. Br. J. Clin. Pharmacol. 75(1), 208–216 (2013).
- 13 Warfarin sensitivity genotyping: a review of the literature and summary of patient experience. Mayo Clin. Proc. 84(12), 1079–1094 (2009).
- 14 Factors affecting the interindividual variability of warfarin dose requirement in adult Korean patients. Pharmacogenomics 8(4), 329–337 (2007).
- 15 Pharmacogenetics-based warfarin dosing algorithm decreases time to stable anticoagulation and the risk of major hemorrhage: an updated meta-analysis of randomized controlled trials. J. Cardiovasc. Pharmacol. 65(4), 364–370 (2015).