Abstract
Clopidogrel is an antiplatelet drug commonly used to prevent coagulation. This review aimed to investigate the effect of polymorphisms of G6PD, GCLC, GCLM, GSS, GST, GSR, HK and GLRX genes on clopidogrel during phase II metabolism through exploring previous studies. The results revealed that low glutathione plasma levels caused by several alleles related to these genes could affect the bioactivation process of the clopidogrel prodrug, making it unable to inhibit platelet aggregation perfectly and thus leading to severe consequences in patients with a high risk of blood coagulation. However, the study recommends platelet reactivity tests to predict clopidogrel efficacy rather than studying gene mutations, as most of these mutations are rare and other nongenetic factors could affect the drug’s efficacy.
References
- 1. . Current antiplatelet treatment strategy in patients with diabetes mellitus. Diabet. Metab. J. 39(2), 95–113 (2015).
- 2. . Thienopyridines and other ADP-receptor antagonists. Handb. Exp. Pharmacol. 210, 165–198 (2012).
- 3. Clopidogrel pharmacokinetics and pharmacodynamics vary widely despite exclusion or control of polymorphisms (CYP2C19, ABCB1, PON1), noncompliance, diet, smoking, co-medications (including proton pump inhibitors), and pre-existent variability in platelet function. J. Am. Coll. Cardiol. 61(8), 872–879 (2013).
- 4. . In vitro biotransformation studies of 2-oxo-clopidogrel: multiple thiolactone ring-opening pathways further attenuate prodrug activation. Chem. Res. Toxicol. 26(1), 179–190 (2013).
- 5. . Polymorphisms of genes related to phase-I metabolic enzymes affecting the clinical efficacy and safety of clopidogrel treatment. Expert Opin. Drug Metab. Toxicol. 15, 1–1 (2021).
- 6. .French Registry of Acute ST-Elevation and Non-ST-Elevation Myocardial Infarction (FAST-MI) Investigators. Genetic determinants of response to clopidogrel and cardiovascular events. N. Engl. J. Med. 360(4), 363–375 (2009).
- 7. CYP2C19 and nongenetic factors predict poor responsiveness to clopidogrel loading dose after coronary stent implantation. Pharmacogenomics 9(9), 1251–1259 (2008).
- 8. Besides CYP2C19*2, the variant allele CYP2C9*3 is associated with higher on clopidogrel platelet reactivity in patients on dual antiplatelet therapy undergoing elective coronary stent implantation. Pharmacogenet. Genom. 20(1), 18–25 (2010).
- 9. . Pharmacogenetics of CYP2C19 genetic polymorphism on clopidogrel response in patients with ischemic stroke from Saudi Arabia. Neurosci. J. 22(1), 31–37 (2017).
- 10. Factors that contribute to clopidogrel resistance in cardiovascular disease patients: environmental and genetic approach. Int. J. Clin. Pharmacol. Ther. 51(3), 179–186 (2013).
- 11. . The clinical effects of CYP2C19*2 allele frequency on Palestinian patients receiving clopidogrel after percutaneous coronary intervention. Int. J. Clin. Pharmacol. Ther. 41(1), 96–103 (2019).
- 12. Genetic and nongenetic factors affecting clopidogrel response in the Egyptian population. Clin. Trans. Sci. 9(1), 23–28 (2016).
- 13. . CYP2C19 genotype is an independent predictor of adverse cardiovascular outcome in Iraqi patients on clopidogrel after percutaneous coronary intervention. J. Cardiovasc. Pharmacol. 71(6), 347–351 (2018).
- 14. . Glutaredoxin is involved in the formation of the pharmacologically active metabolite of clopidogrel from its GSH conjugate. Drug Metab. Dispos. 40(9), 1854–1859 (2012).
- 15. . Caring for glucose-6-phosphate dehydrogenase (G6PD)-deficient patients: implications for pharmacy. Pharm. Ther. 40(9), 572 (2015).
- 16. . Catalytic cycle of human glutathione reductase near 1 Å resolution. J. Mol. Biol. 382(2), 371–384 (2008).
- 17. . Regeneration of NADPH coupled with HMG-CoA reductase activity increases squalene synthesis in Saccharomyces cerevisiae. J. Agricult. Food Chem. 65(37), 8162–8170 (2017).
- 18. . Insertion/deletion polymorphisms do play any role in G6PD deficiency individuals in the Kingdom of the Saudi Arabia. Bioinformation 9(1), 49 (2013).
- 19. Glucose-6-phosphate dehydrogenase: update and analysis of new mutations around the world. Int. J. Mol. Sci. 17(12), 2069 (2016).
- 20. . PharmGKB summary: very important pharmacogene information for G6PD. Pharmacogenet. Genom. 22(3), 219 (2012).
- 21. . Molecular characterization of G6PD deficient variants in Nineveh Province, Northwestern Iraq. Indian J. Hematol. Blood Transfus. 31(1), 133–136 (2015).
- 22. . Hemolysis and Mediterranean G6PD mutation (c.563 C>T) and c.1311 C>T polymorphism among Palestinians at Gaza Strip. Blood Cells Mol. Dis. 48(4), 203–208 (2012).
- 23. . Molecular characterization of G6PD mutationsreveals the high frequency of G6PD Aures in the Lao Theung population. Malaria Journal 20(1), 1–9 (2021).
- 24. Glucose-6phosphate dehydrogenase mutations and haplotypes in various ethnic groups.. Blood 85(1), 257 (1995).
- 25. , Fabry's disease: the search for a regulator genemutation in man. American journal of human genetics 24(3), 343(1972).
- 26. Targeting of gamma-glutamyl-cysteine ligase by miR-433 reduces glutathione biosynthesis and promotes TGF-β-dependent fibrogenesis. Antiox. Redox Sig. 23(14), 1092–1105 (2015).
- 27. . Structure, function, and post-translational regulation of the catalytic and modifier subunits of glutamate cysteine ligase. Mol. Aspects Med. 30(1–2), 86–98 (2009).
- 28. . Polymorphism in glutamate cysteine ligase catalytic subunit (GCLC) is associated with sulfamethoxazole-induced hypersensitivity in HIV/AIDS patients. BMC Med. Genom. 5(1), 1–9 (2012).
- 29. Glutamate-cysteine ligase polymorphism, hypertension, and male sex are associated with cardiovascular events. Biochemical and genetic characterization of Italian subpopulation. Am. Heart J. 154(6), 1123–1129 (2007).
- 30. . Glutathione synthesis. Biochim. Biophys. Acta 1830(5), 3143–3153 (2013).
- 31. . A case of severe glutathione synthetase deficiency with novel GSS mutations. Braz. J. Med. Biol. Res. 51(3), e6853 (2018).
- 32. Mutations in the glutathione synthetase gene cause 5–oxoprolinuria. Nat. Genet. 14(3), 361–365 (1996).
- 33. . Genotype, enzyme activity, glutathione level, and clinical phenotype in patients with glutathione synthetase deficiency. Human Genet. 116(5), 384–389 (2005).
- 34. Five Chinese patients with 5-oxoprolinuria due to glutathione synthetase and 5-oxoprolinase deficiencies. Brain Devel. 37(10), 952–959 (2015).
- 35. . A rare cause of neonatal hemolytic anemia: glutathione synthetase deficiency. J. Pediatr. Hematol. Oncol. 40(1), e45–e49 (2018).
- 36. Glutathione S-transferase π: a potential role in antitumor therapy. Drug Design Devel. Ther. 12, 3535 (2018).
- 37. Identification of class-mu glutathione transferase genes GSTM1–GSTM5 on human chromosome 1p13. Am. J. Human Genet. 53(1), 220 (1993).
- 38. Evaluation of glutathione S-transferase pi 1 expression and gene promoter methylation in Moroccan patients with urothelial bladder cancer. Mol. Genet. Genom. Med. 6(5), 819–827 (2018).
- 39. . Genetics and genomics of endometriosis. Clin. Obstet. Gynecol. 53(2), 403 (2010).
- 40. Human glutathione S-transferase A (GSTA) family genes are regulated by steroidogenic factor 1 (SF-1) and are involved in steroidogenesis. FASEB J. 27(8), 3198–3208 (2013).
- 41. . Analysis of the glutathione S-transferase (GST) gene family. Human Genom. 1(6), 1–5 (2004).
- 42. . Allele frequencies for glutathione S-transferase and N-acetyltransferase 2 differ in African population groups and may be associated with oesophageal cancer or tuberculosis incidence. Clin. Chem. Lab. Med. 41(4), 600–605 (2003).
- 43. . Association of homozygous wild-type glutathione S-transferase M1 genotype with increased breast cancer risk. Cancer Res. 64(4), 1233–1236 (2004).
- 44. Genetic polymorphism of glutathione S-transferase P1 (GSTP1) in Delhi population and comparison with other global populations. Meta Gene 2, 134–142 (2014).
- 45. . GSTM1, GSTT1 and GSTP1 polymorphisms in the Korean population. J. Korean Med. Sci. 20(6), 1089–1092 (2005).
- 46. . Glutathione transferase gene variants influence busulfan pharmacokinetics and outcome after myeloablative conditioning. Therapeut. Drug Monit. 37(4), 493 (2015).
- 47. . Association of GSTO1 A140D and GSTO2 N142D gene variations with breast cancer risk. Asian Pac. J. Cancer Prev. 18(6), 1723–1727 (2017).
- 48. . Accumulation of lung tissue oxidized glutathione (GSSG) as a marker of oxidant induced lung injury. Chest 89(3), S111–S113 (1986).
- 49. . The effects of dietary niacin and riboflavin on voluntary intake and metabolism of ethanol in rats. Pharmacol. Biochem. Behav. 11(5), 575–579 (1979).
- 50. Glutathione reductase (GSR) gene deletion and chromosome 8 aneuploidy in primary lung cancers detected by fluorescence in situ hybridization. Am. J. Cancer Res. 9(6), 1201 (2019).
- 51. . Prognostic impact of gene polymorphisms in patients with idiopathic sudden sensorineural hearing loss. Acta Otolaryngol. 137(Suppl. 565), S24–S29 (2017).
- 52. . Mannose metabolism: more than meets the eye. Biochem. Biophys. Res. Commun. 453(2), 220–228 (2014).
- 53. Hexose-specificity of hexokinase and ADP-dependence of pyruvate kinase play important roles in the control of monosaccharide utilization in freshly diluted boar spermatozoa. Mol. Reprod. Devel. 73(9), 1179–1194 (2006).
- 54. Increasing glucose 6-phosphate dehydrogenase activity restores redox balance in vascular endothelial cells exposed to high glucose. PloS ONE 7(11), e49128 (2012).
- 55. . The bifunctional role of hexokinase in metabolism and glucose signaling. Plant Cell 15(11), 2493–2496 (2003).
- 56. A dominant mutation in hexokinase 1 (HK1) causes retinitis pigmentosa. Invest. Ophthalmol. Visual Sci. 55(11), 7147–7158 (2014).
- 57. Family-based association study between SLC2A1, HK1, and LEPR polymorphisms with myelomeningocele in Chile. Reprod. Sci. 20(10), 1207–1214 (2013).
- 58. Genetics of the Charcot–Marie–Tooth disease in the Spanish Gypsy population: the hereditary motor and sensory neuropathy–Russe in depth. Clin. Genet. 83(6), 565–570 (2013).
- 59. Founder mutations in NDRG1 and HK1 genes are common causes of inherited neuropathies among Roma/Gypsies in Slovakia. J. Appl. Genet. 54(4), 455–460 (2013).
- 60. . The contribution of hexokinase 2 in glioma. Cancer Transl. Med. 4(2), 54 (2018).
- 61. Human hexokinase II gene: exon–intron organization, mutation screening in NIDDM, and its relationship to muscle hexokinase activity. Diabetologia 38(12), 1466–1474 (1995).
- 62. Identification of four amino acid substitutions in hexokinase II and studies of relationships to NIDDM, glucose effectiveness, and insulin sensitivity. Diabetes 44(3), 347–353 (1995).
- 63. . A novel (TA)n polymorphism in the hexokinase II gene: application to noninsulin-dependent diabetes mellitus in the Pima Indians. Human Genet. 97(4), 482–485 (1996).
- 64. . Hexokinase II integrates energy metabolism and cellular protection: AKTing on mitochondria and TORCing to autophagy. Cell Death Diff. 22(2), 248–257 (2015).
- 65. . Hexokinase-2 glycolytic overload in diabetes and ischemia–reperfusion injury. Trends Endocrinol. Metab. 30(7), 419–431 (2019).
- 66. Assignment of the hexokinase type 3 gene (HK3) to human chromosome band 5q35.3 by somatic cell hybrids and in situ hybridization. Cytogenet. Genome Res. 74(3), 187–188 (1996).
- 67. ESR1, HK3 and BRSK1 gene variants are associated with both age at natural menopause and premature ovarian failure. Orphanet J. Rare Dis. 7(1), 1–6 (2012).
- 68. . Human pancreatic beta-cell glucokinase: cDNA sequence and localization of the polymorphic gene to chromosome 7, band p13. Diabetologia 35(8), 743–747 (1992).
- 69. . The central role of glucokinase in glucose homeostasis: a perspective 50 years after demonstrating the presence of the enzyme in islets of Langerhans. Front. Physiol. 10, 148 (2019).
- 70. Phenotype heterogeneity in glucokinase–maturity-onset diabetes of the young (GCK-MODY) patients. J. Clin. Res. Pediatr. Endocrinol. 9(3), 246 (2017).
- 71. Glucokinase gene mutations: structural and genotype-phenotype analyses in MODY children from South Italy. PloS ONE 3(4), e1870 (2008).
- 72. GCK-MODY (MODY 2) caused by a novel p.Phe330Ser mutation. Int. Schol. Res. Notices 2011, 676549 (2011).
- 73. . Screening of mutations and polymorphisms in the glucokinase gene in Czech diabetic and healthy control populations. Physiol. Res. 57(Suppl. 1), S99–S108 (2008).
- 74. Insights into the pathogenicity of rare missense GCK variants from the identification and functional characterization of compound heterozygous and double mutations inherited in cis. Diabetes Care 35(7), 1482–1484 (2012).
- 75. Update on mutations in glucokinase (GCK), which cause maturity-onset diabetes of the young, permanent neonatal diabetes, and hyperinsulinemic hypoglycemia. Hum. Mutat. 30(11), 1512–1526 (2009).
- 76. . Screening of mutations in the GCK gene in Jordanian maturity-onset diabetes of the young type 2 (MODY2) patients. Genet. Mol. Res. 8(2), 500–506 (2009).
- 77. . Screening for glucokinase (GCK) gene mutation in gestational diabetes women in western region of Saudi Arabia. Br. J. Med. Med. Res. 13(8), 1–10 (2016).
- 78. . Mechanistic and kinetic details of catalysis of thiol-disulfide exchange by glutaredoxins and potential mechanisms of regulation. Antiox. Redox Sig. 11(5), 1059–1081 (2009).
- 79. . Grx5 is a mitochondrial glutaredoxin required for the activity of iron/sulfur enzymes. Mol. Biol. Cell 13(4), 1109–1121 (2002).
- 80. The multidomain thioredoxin-monothiol glutaredoxins represent a distinct functional group. Antiox. Redox Sig. 15(1), 19–30 (2011).
- 81. Identification and characterization of a new mammalian glutaredoxin (thioltransferase), Grx2. J. Biol. Chem. 276(32), 30374–30380 (2001).
- 82. . Cloning, sequencing, and characterization of alternatively spliced glutaredoxin 1 cDNA and its genomic gene: chromosomal localization, mRNA stability, and origin of pseudogenes. J. Biol. Chem. 280(11), 10427–10434 (2005).
- 83. . Glutaredoxin 2 knockout increases sensitivity to oxidative stress in mouse lens epithelial cells. Free Rad. Biol. Med. 51(11), 2108–2117 (2011).
- 84. Characterization of human glutaredoxin 2 as iron–sulfur protein: a possible role as redox sensor. Proc. Natl Acad. Sci. USA 102(23), 8168–8173 (2005).
- 85. . Human mitochondrial glutaredoxin reduces S-glutathionylated proteins with high affinity accepting electrons from either glutathione or thioredoxin reductase. J. Biol. Chem. 279(9), 7537–7543 (2004).
- 86. . Clinical, cytogenetic and molecular study of a case of ring chromosome 10. Mol. Cytogenet. 8(1), 1–6 (2015).
- 87. . Characterization of the human monothiol glutaredoxin 3 (PICOT) as iron–sulfur protein. Biochem. Biophys. Res. Commun. 394(2), 372–376 (2010).
- 88. . A glutaredoxin·BolA complex serves as an iron–sulfur cluster chaperone for the cytosolic cluster assembly machinery. J. Biol. Chem. 291(43), 22344–22356 (2016).
- 89. A novel monothiol glutaredoxin (Grx4) from Escherichia coli can serve as a substrate for thioredoxin reductase. J. Biol. Chem. 280(26), 24544–24552 (2005).
- 90. . Role of glutaredoxin-3 and glutaredoxin-4 in the iron regulation of the Aft1 transcriptional activator in Saccharomyces cerevisiae. J. Biol. Chem. 281(26), 17661–17669 (2006).
- 91. Glutaredoxin 5 deficiency causes sideroblastic anemia by specifically impairing heme biosynthesis and depleting cytosolic iron in human erythroblasts. J. Clin. Invest. 120(5), 1749–1761 (2010).
- 92. Case report: a variant non-ketotic hyperglycinemia with GLRX5 mutations: manifestation of deficiency of activities of the respiratory chain enzymes. Front. Genet. 12, 605778 (2021).
- 93. Deficiency of glutaredoxin 5 reveals Fe–S clusters are required for vertebrate haem synthesis. Nature 436(7053), 1035–1039 (2005).
- 94. . Metabolic regulation of citrate and iron by aconitases: role of iron–sulfur cluster biogenesis. Biometals 20(3), 549–564 (2007).
- 95. . Emerging critical roles of Fe–S clusters in DNA replication and repair. Biochim. Biophys. Acta Mol. Cell Res. 1853(6), 1253–1271 (2015).
- 96. . Destruction and reformation of an iron–sulfur cluster during catalysis by lipoyl synthase. Science 358(6361), 373–377 (2017).
- 97. . Biotin synthase contains two distinct iron–sulfur cluster binding sites: chemical and spectroelectrochemical analysis of iron–sulfur cluster interconversions. Biochemistry 40(28), 8343–8351 (2001).
- 98. . A new structural variant of glucose-6-phosphate dehydrogenase with a high production rate (G6PD Hektoen). J. Lab. Clin. Med. 73(2), 283–290 (1969).
- 99. Association of GCK gene DNA methylation with the risk of clopidogrel resistance in acute coronary syndrome patients. J. Clin. Lab. Anal. 34(2), e23040 (2020).
- 100. . Glutaredoxin is involved in the formation of the pharmacologically active metabolite of clopidogrel from its GSH conjugate. Drug Metab. Dispos. 40(9), 1854–1859 (2012).