Table 3. Influence of single nucleotide polymorphisms on TAC pharmacokinetics in whole blood and in PBMC.
Genotype | Allelic status | n | (%) | Tac AUC0-12h WB | Tac AUC0-12h PBMC | AUC0-12h PBMC/ | Tac C0 WB | Tac C0 PBMC | Tac Cmax WB | Tac Cmax PBMC |
---|---|---|---|---|---|---|---|---|---|---|
(ng.h/mL) | (pg.h/million of PBMC) | AUC0-12h WB | (ng/mL) | (pg/million of cells) | (ng/mL) | (pg/million PBMC) | ||||
Recipient ABCB1 3435C>T (rs1045642) | CC | 2 | (6) | 132.2 | 769.1 | 27.4 | 6.7 | 49.9 | 19.4 | 101.2 |
[101.4–162.9] | [411.1–1127.2] | [20.2–34.6] | [3.7–9.8] | [19.4–80.4] | [15.9–22.9] | [60.1–142.3] | ||||
CT | 21 | (66) | 99.7 | 548.8 | 24.3 | 6.2 | 30 | 15.3 | 71.3 | |
[35.0–215.5] | [223.0–1022.0] | [14.8–39.7] | [2.5–10.0] | [9.6–76.9] | [3.5–36.3] | [25.7–158.0] | ||||
TT | 9 | (28) | 103.1 | 486.6 | 19.2 | 6.2 | 23.2 | 18.3 | 74.9 | |
[75.1–163.8] | [295.7–1034.2] | [15.9–32.4] | [3.7–9.3] | [19.9–43.6] | [7.0–24.9] | [34.2–152.5] | ||||
Recipient ABCB1 1236 C>T (rs1128503) | CC | 10 | (31) | 128.9 | 642 | 23.6 | 8.1 | 31.4 | 19.3 | 77.9 |
[47.3–215.5] | [223.0–1127.2] | [14.8–35.6] | [3.7–9.8] | [9.6–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
CT | 15 | (47) | 89.7 | 491.6 | 26.7 | 6.5 | 29.2 | 11 | 62.8 | |
[35.0–154.2] | [238.9–1034.2] | [17.6–39.7] | [2.5–10.0] | [17.7–60.9] | [3.5–22.4] | [28.9–158.0] | ||||
TT | 7 | (22) | 111.8 | 447.4 | 18.3 | 5.4 | 23.9 | 18.1 | 71.3 | |
[92.4–158.1] | [295.7–769.5] | [15.9–24.8] | [3.7–10.0] | [19.9–58.2] | [14.9–24.9] | [34.2–101.7] | ||||
Recipient ABCB1 2677 G>T/A (rs2032582) | GG | 11 | (34) | 114 | 623.9 | 23.6 | 7.8 | 23.2 | 18.3 | 77 |
[47.3–215.5] | [223.0–1127.2] | [14.8–35.6] | [3.7–9.8] | [9.6–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
GT | 15 | (47) | 89.7 | 514.2 | 26.7 | 6.5 | 32.1 | 11.2 | 69.4 | |
[35.0–158.1] | [238.9–1034.2] | [20.0–39.7] | [2.5–10.0] | [17.7–60.9] | [3.5–22.4] | [28.9–158.0] | ||||
TT | 6 | (19) | 105.4 | 428.2 | 18.3 | 5.3 | 23.1 | 19.6 | 70 | |
[92.4–123.9] | [295.7–613.6] | [15.9–24.8] * | [3.7–6.2] | [19.9–43.9] | [17.5–24.9] | [34.2–101.7] | ||||
Recipient ABCB1 Haplotype 3435/1236/2177 | Het TTT | 17 | (53) | 99.1 | 514.2 | 25.1 | 6.2 | 32.1 | 14.9 | 69.4 |
[35.0–158.1] | [238.9–1034.2] | [20.0–39.7] | [2.5–10.0] | [17.7–60.9] | [3.5–22.4] | [29.0–158.0] | ||||
HomTTT | 4 | (13) | 102.4 | 357.4 | 17.4 | 4.5 | 21.6 | 20.4 | 64.3 | |
[92.4–122.6] | [295.7–447.4] | [15.9–18.3] * | [3.7–6.2] | [19.9–23.9] | [17.5–24.9] | [34.2–82] | ||||
Other | 11 | (34) | 114 | 623.9 | 23.6 | 7.8 | 23.2 | 18.3 | 77.0 | |
[47.3–215.5] | [223.0–1127.2] | [14.8–35.6] | [3.7–9.8] | [9.6–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
Recipient ABCB1 1199 G>A (rs2229109) | GG | 29 | (91) | 99.7 | 486.6 | 23.1 | 6 | 23.9 | 17.5 | 69.4 |
[35.0–163.8] | [223.0–1034.2] | [14.8–39.7] | [2.5–10.0] | [9.6–76.9] | [3.5–24.9] | [25.7–152.5] | ||||
GA | 3 | (9) | 162.9 | 1022 | 28 | 9.8 | 54.6 | 22.9 | 156.8 | |
[128.5–215.5]* | [720.4–1127.2]* | [23.7–34.6] | [9.6–10.0]* | [39.3–80.4]* | [19.9–36.3]* | [142.3–158.0]* | ||||
Recipient CYP3A4 (C>T) (*22, rs35599367) | CC | 30 | (94) | 102.3 | 531.5 | 23.6 | 6.3 | 29.6 | 17.7 | 70.3 |
[35.0–215.5] | [223.0–1127.2] | [14.8–39.7] | [2.5–10.0] | [9.6–80.4] | [3.5–36.3] | [25.7–158.0] | ||||
CT | 2 | (6) | 84.2 | 405.7 | 26.9 | 4.2 | 22.7 | 20.1 | 76.6 | |
[56.7–111.8] | [402.2–409.1] | [18.3–35.5] | [3.7–4.7] | [22.0–23.3] | [15.3–24.9] | [71.3–82.0] | ||||
Recipient CYP3A5 6986 G>A (*3, rs776746) | AA | 32 | (100) | 102.3 | 502.9 | 23.6 | 6.2 | 28.4 | 17.7 | 71.3 |
[35.0–215.5] | [223.0–1127.2] | [14.8–39.7] | [2.5–10.0] | [9.6–80.4] | [3.5–36.3] | [25.7–158.0] | ||||
Donor ABCB1 3435C>T (rs1045642) | CC | 8 | (25) | 97.7 | 357.9 | 20.1 | 5.9 | 22.3 | 17.9 | 72.1 |
[52.0–163.8] | [238.9–720.4] | [14.8–31.5] | [2.9–10.0] | [9.6–39.3] | [8.6–24.9] | [33.4–158.0] | ||||
CT | 12 | (38) | 96.1 | 453.7 | 24.3 | 5.1 | 28.5 | 15.6 | 71.3 | |
[35.0–158.1] | [277.6–1034.2] | [15.9–39.7] | [2.5–10.0] | [17.7–76.9] | [3.5–23.2] | [28.9–129.4] | ||||
TT | 12 | (38) | 120.3 | 581.2 | 24.2 | 7.2 | 34.8 | 19.9 | 74.2 | |
[47.3–215.5] | [223.0 1127.1] | [17.4–34.6] | [3.7–9.8] | [18.1–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
Donor ABCB1 1236 C>T (rs1128503) | CC | 11 | (34) | 111.7 | 514.2 | 23.0 | 5.8 | 23.9 | 18.3 | 74.9 |
[35.0–163.8] | [238.9–813.0] | [14.8–39.7] | [2.5–10.0] | [9.6–76.9] | [3.5–24.9] | [28.9 158.0] | ||||
CT | 13 | (41) | 97.5 | 447.4 | 21.6 | 6.5 | 23.3 | 15.9 | 71.3 | |
[56.7–158.2] | [295.7–1034.2] | [15.9–35.5] | [3.7–10.0] | [18.1–58.2] | [7.0–23.3] | [40.5–152.5] | ||||
TT | 8 | (25) | 120.3 | 610.7 | 24.2 | 6.1 | 37.0 | 19.4 | 83.5 | |
[47.3–215.5] | [223.0–1127.2] | [21.1–38.6] | [3.7–9.8] | [19.2–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
Donor ABCB1 2677 G>T/A (rs2032582) | GG | 10 | (31) | 105.6 | 564.4 | 24.2 | 6.4 | 28.0 | 17.9 | 72.1 |
[35.0–163.8] | [238.9–813.0] | [14.8–39.7] | [2.5–10.0] | [9.6–76.9] | [3.5–22.4] | [28.9–158.0] | ||||
GT/A | 11 | (34) | 97.48 | 411.1 | 20.1 | 4.9 | 22.2 | 17.6 | 74.9 | |
[56.7–143.8] | [295.7–1034.2] | [15.9–35.5] | [3.7–9.2] | [18.1–51.5] | [8.9–24.9] | [40.5–152.5] | ||||
TT/A | 11 | (34) | 123.9 | 607.8 | 24.3 | 7.0 | 43.6 | 18.1 | 65.4 | |
[47.3–215.5] | [223.0–1127.2] | [17.4–38.6] | [3.7–10.0] | [19.2–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
Donor ABCB1 Haplotype 3435/1236/2177 | HetTTT | 14 | (44) | 98.3 | 473.3 | 23.2 | 5.8 | 28.5 | 16.8 | 68.3 |
[56.7–158.2] | [295.7–1034.2] | [15.9–38.6] | [3.7–10.0] | [18.1–58.2] | [7.0–23.3] | [40.5–152.5] | ||||
HomTTT | 6 | (19) | 139.1 | 750.2 | 24.2 | 7.7 | 29.6 | 21.0 | 114.0 | |
[47.3–215.5] | [223.0–1127.2] | [21.1–34.6] | [3.7–9.8] | [19.2–80.4] | [5.9–36.3] | [25.7–156.8] | ||||
other | 12 | (38) | 105.7 | 461.7 | 23.0 | 6.1 | 23.2 | 17.9 | 72.1 | |
[35.0–163.8] | [238.7–813.0] | [14.8–39.7] | [2.5–10.0] | [9.6–76.9] | [3.5–24.9] | [28.9–158.0] | ||||
Donor ABCB1 1199 G>A (rs2229109) | GG | 31 | (97) | 103.1 | 514.2 | 23.4 | 6.2 | 29.2 | 17.7 | 71.3 |
[47.3–215.5] | [223.0–1127.2] | [14.8–38.6] | [3.0–10.0] | [9.6–80.4] | [5.9–36.3] | [25.7–158.0] | ||||
GA | 1 | (3) | 35.0 [n/a] | 277.6 [n/a] | 39.7 [n/a] | 2.5 [n/a] | 17.7 [n/a] | 3.5 [n/a] | 28.9 [n/a] | |
Donor CYP3A4 (C>T) (*22, rs35599367) | CC | 27 | (84) | 99.7 | 491.6 | 24.5 | 6.2 | 29.2 | 17.5 | 71.3 |
[35.0–162.9] | [223.0–1127.2] | [14.8–39.7] | [2.5–10.0] | [9.6–80.4] | [3.5–24.9] | [25.7–158.0] | ||||
CT | 5 | (16) | 158.2 | 548.8 | 20.3 | 8.5 | 23.4 | 18.3 | 74.9 | |
[89.7–215.5] | [411.1–1022.0] | [17.4–23.7] | [3.7–10.0] | [19.4–54.6] | [15.9–36.3] | [60.1–156.8] | ||||
Donor CYP3A5 6986 G>A (*3, rs776746) | Expressor GG and GA | 2-Jan | (3)/(6) | 103.1 | 447.4 | 18.3 | 4.8 | 19.9 | 23.2 | 77 |
[95.8–122.6] | [283.7–623.9] | [14.8–30.3] | [3.8–4.9] | [9.6–23.2] | [20.2–23.3] | [74.9–152.5] | ||||
Non expressor AA | 29 | (91) | 101.44 | 514.2 | 23.6 | 6.5 | 30 | 17.5 | 69.4 | |
[35.0–215.5] | [223.0–1127.2] | [15.9–39.7] | [2.5–10.0] | [17.7–80.4] | [3.4–36.2] | [25.72–158.0] |
AUC0-12h: area under the concentration–time curve from 0h to 12h; PBMC: peripheral blood mononuclear cells; WB: whole blood; C0: predose concentration; Cmax: maximum concentration; Het: heterozygote; Hom: homozygote. Data are expressed as median [range]
* p<0.05.