Table 2.
Allele frequencies for 17 actionable pharmacogenetic variants.
| Variants | Natives | Mestizo | gMAF1 | MXL1 | CEU1 | YRI1 | CHB1 | PGKB, minor allele impact, drugs |
|---|---|---|---|---|---|---|---|---|
| ABCB1 (182) | 66 | 118 | Decreased enzyme activity affecting toxicity and efficacy of nevirapine, ondasteron, methotrexate, fentanyl, digoxin, simvastatin | |||||
| rs1045642 | 0.436 | 0.515 | 0.395 | 0.480 | 0.430 | 0.880 | 0.620 | |
| rs2032582 | 0.410 | 0.539 | 0.334 | 0.550 | 0.560 | 1 | 0.440 | |
| ACE (251) | 72 | 273 | No PGKB variants detected | |||||
| APOE (24) | 6 | 22 | PGKB evidence level 2 | |||||
| rs7412 | 0 | 0.036 | 0.075 | 0.050 | 0.070 | 0.110 | 0.110 | Atorvastatin efficacy |
| CBR3 (40) | 10 | 34 | PGKB evidence level 2 | |||||
| rs1056892 | 0.277 | 0.241 | 0.427 | 0.280 | 0.310 | 0.510 | 0.390 | Anthracyclines PK |
| CYP2C19 (173) | 62 | 170 | PGKB evidence level 1 | |||||
| rs4244285 | 0.053 | 0.1 | 0.220 | 0.110 | 0.130 | 0.170 | 0.340 | PM, decreased enzyme activity; drugs affected: proton pump inhibitors, clopidogrel, citalopram, imipramine, diazepam, mephenytoin |
| rs4986893 | 0 | 0.001 | 0.1 | 0 | 0 | 0 | 0.040 | |
| rs28399504 | 0 | 0.006 | 0.002 | 0.010 | 0 | 0 | 0.010 | |
| CYP2C9 (96) | 37 | 72 | PGKB evidence level 1 | |||||
| rs1799853 | 0.011 | 0.049 | 0.050 | 0.100 | 0.150 | 0 | 0 | Poor metabolizers, decreased enzyme activity; drugs affected: NSAIDs, phenytoin, cumarins |
| rs1057910 | 0.016 | 0.031 | 0.050 | 0.020 | 0.070 | 0 | 0.040 | |
| CYP2B6 (103) | 50 | 89 | PGKB evidence level 1 and 2 | |||||
| rs2279343 | 0.351 | 0.240 | 0.302 | 0.270 | 0.210 | 0.460 | 0.190 | Altered enzyme activity; affecting toxicity and pharmacokinetics of efavirenz, nevirapine, methadone. |
| rs28399499 | 0 | 0.003 | 0.023 | 0.01 | 0 | 0.120 | 0 | |
| rs3745274 | 0.351 | 0.318 | 0.295 | 0.31 | 0.280 | 0.400 | 0.160 | |
| rs4803419 | 0.596 | 0.522 | 0.289 | 0.420 | 0.280 | 0.04 | 0.500 | |
| CYP2D6 (76) | 38 | 72 | Other relevant PGKB genes | |||||
| rs1065852 | 0.124 | 0.102 | 0.240 | 0.150 | 0.240 | 0.110 | 0.400 | PM, decreased enzyme activity affecting, loperidone, escitalopram, nevirapine, timolol |
| rs28371706 | 0.005 | 0.007 | 0.060 | 0 | 0 | 0.750 | 0 | |
| rs28371725 | 0 | 0.028 | 0.064 | 0.020 | 0.120 | 0.010 | 0.030 | |
| rs16947 | 0.796 | 0.778 | 0.360 | 0.740 | 0.680 | 0.440 | 0.840 | |
| CYP3A5 (90) | 26 | 88 | PGKB evidence level 1 and 2 | |||||
| rs776746 | 0.303 | 0.189 | 0.380 | 0.230 | 0.040 | 0.830 | 0.310 | PM, decreased enzyme activity; drugs affected: tacrolimus. |
| CYP3A4 (76) | 29 | 78 | ||||||
| rs2740574 | 0.069 | 0.071 | 0.230 | 0.070 | 0.020 | 0.210 | 0 | |
| COMT (235) | ||||||||
| rs4680 | 0.399 | 0.391 | 0.370 | 0.400 | 0.470 | 0.310 | 0.320 | Decreased activity affecting nicotine replacement therapy |
| DPYD (119) | 48 | 105 | PGKB evidence level 1 | |||||
| rs67376798 | 0 | 0.001 | 0.002 | 0 | 0.010 | 0 | 0 | PM, decreased enzyme activity; affecting fluoropyrimidines |
| NAT2 (33) | 15 | 26 | PGKB evidence level 1 | |||||
| rs1041983 | 0.303 | 0.299 | 0.400 | 0.270 | 0.300 | 0.500 | 0.360 | PM, decreased enzyme activity; affecting: ethambutol, isoniazid, pyrazinamide, rifampin |
| rs1799930 | 0.059 | 0.120 | 0.265 | 0.130 | 0.300 | 0.200 | 0.300 | |
| SLCO1B1 (124) | 60 | 98 | PGKB evidence levels 1 and 2 | |||||
| rs4149056 | 0.117 | 0.091 | 0.090 | 0.080 | 0.150 | 0.010 | 0.140 | Impaired transporter activity affecting statins |
| rs4149015 | 0 | 0.017 | 0.055 | 0.020 | 0.040 | 0 | 0.120 | |
| TPMT (82) | 27 | 54 | Other relevant PGKB genes | |||||
| rs1800462 | 0 | 0.002 | 0.002 | 0 | 0 | 0 | 0 | Poor metabolizers, decreased enzyme activity, affecting tiopurines capecitabine |
| rs1800460 | 0.048 | 0.049 | 0.010 | 0.040 | 0.030 | 0 | 0 | |
| rs1142345 | 0.048 | 0.052 | 0.040 | 0.050 | 0.030 | 0.060 | 0.010 | |
| UGT1A (318) | 68 | 268 | PGKB evidence levels 1 and 2 | |||||
| rs887829 | 0.335 | 0.3 | 0.350 | 0.370 | 0.320 | 0.520 | 0.110 | Decreased protein levels affecting irinotecan, deferasirox, atazanavir |
| rs4148323 | 0.043 | 0.030 | 0.030 | 0.020 | 0.010 | 0 | 0.230 | |
| VKORC1 (66) | 22 | 61 | PGKB evidence level 1 | |||||
| rs7294 | 0.441 | 0.447 | 0.420 | 0.35 | 0.31 | 0.510 | 0.040 | PM, decreased enzyme activity; drugs affected: cumarins |
| rs8050894 | 0.537 | 0.381 | 0.420 | 0.510 | 0.430 | 0.230 | 0.960 | |
| rs9934438 | 0.537 | 0.431 | 0.360 | 0.470 | 0.430 | 0.030 | 0.960 | |
| rs9923231 | 0.543 | 0.402 | 0.360 | 0.470 | 0.430 | 0.030 | 0.960 |
1Data from 1000 Genomes (Auton et al., 2015). In parenthesis, total number of variants identified per gene.