Investigation of the 1249G>A Genetic Variation of ABCC2 Drug Transporter Gene in the Turkish Population

Objectives: ATP binding cassette (ABC) transporters are a major superfamily of drug transporters and provide active transport of diverse substrates across cell membranes of several cell types. Genetic variations that affect function in ABCC2 gene may alter therapeutic outcome and the risk of toxicity to substrate drugs. The goal of the current survey was to ascertain the allele and genotype frequencies of ABCC2 1249G>A polymorphism in a Turkish population and to compare the findings obtained with the frequencies of previously reported populations. Methods: The frequencies of the ABCC2 1249G>A gene polymorphism were determined in 101 healthy Turkish individuals using polymerase chain reaction-restriction fragment length polymorphism methods. Results: The frequencies of GG, GA and AA genotypes were 67.3%, 28.7% and 4.0%, respectively. The frequencies were 81.7% for G allele and 18.3% for A allele. The frequencies of genotypes were in concurrence with Hardy-Weinberg Equilibrium. Significant distinctions were observed in the comparison of the study data with the results of some populations of East and South Asian ancestries. Conclusions: The current study presents the distribution of genotype and allele frequencies of ABCC2 1249G>A polymorphism in the Turkish population. As far as is known, this is the first study about the frequencies of the ABCC2 1249G>A polymorphism in the Turkish population. This study may ensure valuable information for evaluating inter individual differences in drug response, estimating adverse reactions and improving disease management, briefly, it can contribute to pharmacogenetic and epidemiological studies.

Türk Popülasyonunda ABCC2 İlaç Taşıyıcı Genin 1249G>A Genetik Varyasyonunun Araştırılması

Amaç: ATP bağlayıcı kaset (ABC) taşıyıcıları, ilaç taşıyıcılarının önemli bir süper ailesidir ve farklı hücre tiplerinin hücre zarları boyunca çeşitli substratların aktif taşınmasını sağlar. ABCC2 genindeki işlevi etkileyen genetik varyasyonlar, terapötik sonucu ve substrat ilaçlara olan toksisite riskini değiştirebilmektedir. Bu araştırmanın amacı, Türk popülasyonunda ABCC2 1249G>A gen polimorfizminin alel ve genotip frekanslarını tespit etmek ve elde edilen bulguları daha önce bildirilen popülasyonların sonuçlarıyla karşılaştırmaktı. Yöntemler: ABCC2 1249G>A gen polimorfizminin frekansları 101 sağlıklı Türk bireyinde polimeraz zincir reaksiyon restriksiyon fragman uzunluk polimorfizmi yöntemleri kullanılarak belirlendi. Bulgular: GG, GA ve AA genotiplerinin frekansları sırasıyla % 67.3,% 28.7 ve % 4.0 idi. G alelin frekansı % 81.7 ve A alel frekansı % 18.3 idi. Genotip frekansları Hardy-Weinberg dengesi ile uyumludur. Çalışmanın sonuçları, Doğu ve Güney Asya kökenli bazı popülasyonlarının sonuçlarıyla karşılaştırıldığında önemli farklılıklar olduğu gözlenmiştir. Sonuç: Bu çalışma, Türk popülasyonunda ABCC2 1249G>A gen polimorfizminin genotip ve allel frekanslarının dağılımını sunmaktadır. Bilindiği kadarıyla, bu Türk popülasyonunda ABCC2 1249G>A polimorfizminin frekansları ile ilgili ilk çalışmadır. Bu çalışma, ilaç yanıtındaki bireyler arası farklılıkları değerlendirmek, advers reaksiyonları tahmin etmek ve hastalık yönetimini iyileştirmek için değerli bilgiler sağlayabilir, kısaca, farmakogenetik ve epidemiyolojik çalışmalara katkı sağlayabilir.

___

1. Choi JR, Kim JO, Kang DR, et al. Genetic variations of drug transporters can influence on drug response in patients treated with docetaxel chemotherapy. Cancer Res Treat. 2015; 47: 509-17.

2. Uckun Sahinogullari Z, Canacankatan N, Canacankatan M. Genotype and allele frequencies of SLCO1B1 g.89595 T>C polymorphism in a healthy Turkish population. J Res Pharm. 2019; 23: 1149-56.

3. Wan Z, Meng H, Bai Y, et al. Lack of association between ABCC2 polymorphisms and plasma carbamazepine concentrations or pharmacoresistance in Chinese patients with epilepsy. Neurol Asia. 2015; 20: 221-7.

4. Bustos-Cruz RH, Martínez LR, García JC, Barreto GE, Suárez F. New ABCC2 rs3740066 and rs2273697 polymorphisms identified in a healthy Colombian cohort. Pharmaceutics. 2018; 10: 93.

5. Li J, Bluth MH. Pharmacogenomics of drug metabolizing enzymes and transporters: implications for cancer therapy. Pharmgenomics Pers Med. 2011; 4: 11–33.

6. Ho WF, Koo SH, Yee JY, Lee JD. Genetic variations of the ABCC2 gene in the Chinese, Malay, and Indian populations of Singapore. Drug Metab Pharmacokinet. 2008; 23: 385-91.

7. GeneCards: The Human Gene Database. https://www.genecards.org/ (accessed 28.10.2020).

8. Megaraj V, Zhao T, Paumi CM, Gerk PM, Kim RB, Vore M. Functional analysis of nonsynonymous single nucleotide polymorphisms of multidrug resistance associated protein 2 (ABCC2). Pharmacogenet Genomics. 2011; 21: 506-15.

9. Cascorbi I. Role of pharmacogenetics of ATP-binding cassette transporters in the pharmacokinetics of drugs. Pharmacol Ther. 2006; 112: 457-73.

10. Sissung TM, Baum CE, Kirkland CT, Gao R, Gardner ER, Figg WD. Pharmacogenetics of membrane transporters: an update on current approaches. Mol Biotechnol. 2010; 44: 152–67.

11. Mirakhorli M, Rahman SA, Abdullah S, Vakili M, Rozafzon R, Khoshzaban A. Multidrug resistance protein 2 genetic polymorphism and colorectal cancer recurrence in patients receiving adjuvant FOLFOX-4 chemotherapy. Mol Med Rep. 2013; 7: 613-7.

12. Chen P, Yan Q, Xu H, Lu A, Zhao P. The effects of ABCC2 G1249A polymorphism on the risk of resistance to antiepileptic drugs: a meta analysis of the literature. Genet Test Mol Biomarkers. 2014; 18: 106–11.

13. Izzedine H, Hulot JS, Villard E, et al. Association between ABCC2 gene haplotypes and tenofovir-induced proximal tubulopathy. J Infect Dis. 2006; 194: 1481–91.

14. Kroetz DL, Liu W, Nguyen TD, et al. 1249G>A polymorphism of ABCC2 (MRP2) is associated with altered gene expression in human liver. J Clin Oncol. 2006; 24: 13072.

15. Meyer zu Schwabedissen HE, Jedlitschky G, Gratz M, et al. Variable expression of MRP2 (ABCC2) in human placenta: influence of gestational age and cellular differentiation. Drug Metab Dispos. 2005; 33: 896-904.

16. Bosó V, Herrero MJ, Buso E, et al. Genotype and allele frequencies of drug-metabolizing enzymes and drug transporter genes affecting immunosuppressants in the Spanish white population. Ther Drug Monit. 2014; 36: 159-68.

17. 1000 Genomes Project. https://www.internationalgenome.org/1000- genomes-browsers/ (accessed 16.09.2020).

18. Haenisch S, May K, Wegner D, Caliebe A, Cascorbi I, Siegmund W. Influence of genetic polymorphisms on intestinal expression and rifampicin-type induction of ABCC2 and on bioavailability of talinolol. Pharmacogenet Genomics. 2008; 18: 357–65.

19. Afsar NA, Bruckmueller H, Werk AN, Nisar MK, Ahmad HR, Cascorbi I. Implications of genetic variation of common drug metabolizing enzymes and ABC transporters among the Pakistani population. Sci Rep. 2019; 9: 7323.

20. Fujita K, Nagashima F, Yamamoto W, et al. Association of ATP-binding cassette, sub-family C, number 2 (ABCC2) genotype with pharmacokinetics of irinotecan in Japanese patients with metastatic colorectal cancer treated with irinotecan plus infusional 5- fluorouracil/leucovorin (FOLFIRI). Biol Pharm Bull. 2008; 31: 2137-42.

21. Shen C, Zhang B, Liu Z, et al. Effects of ABCB1, ABCC2, UGT2B7 and HNF4α genetic polymorphisms on oxcarbazepine concentrations and therapeutic efficacy in patients with epilepsy. Seizure. 2017; 51: 102-6.

22. Choi JH, Ahn BM, Yi J, et al. MRP2 haplotypes confer differential susceptibility to toxic liver injury. Pharmacogenet Genomics. 2007; 17: 403-15.

23. Sharifi MJ, Bahoush G, Zaker F, Ansari S, Rafsanjani KA, Sharafi H. Association of -24CT, 1249GA, and 3972CT ABCC2 gene polymorphisms with methotrexate serum levels and toxic side effects in children with acute lymphoblastic leukemia. Pediatr Hematol Oncol. 2014; 31: 169-77.

24. Al-Eitan LN, Rababa’h DM, Alghamdi MA, Khasawneh RH. Role of four ABC transporter genes in pharmacogenetic susceptibility to breast cancer in Jordanian patients. J Oncol. 2019; 6425708.

25. Ranganathan P, Culverhouse R, Marsh S, et al. Methotrexate (MTX) pathway gene polymorphisms and their effects on MTX toxicity in Caucasian and African American patients with rheumatoid arthritis. J Rheumatol. 2008; 35: 572-9.

26. Nishijima T, Komatsu H, Higasa K, et al. Single nucleotide polymorphisms in ABCC2 associate with tenofovir-induced kidney tubular dysfunction in Japanese patients with HIV-1 infection: a pharmacogenetic study. Clin Infect Dis. 2012; 55: 1558–67.

27. Kim WJ, Lee JH, Yi J, et al. A nonsynonymous variation in MRP2/ABCC2 is associated with neurological adverse drug reactions of carbamazepine in patients with epilepsy. Pharmacogenet Genomics. 2010; 20: 249-56.

28. Puranik YG, Birnbaum AK, Marino SE, et al. Association of carbamazepine major metabolism and transport pathway gene polymorphisms and pharmacokinetics in patients with epilepsy. Pharmacogenomics. 2013; 14: 35–45.

29. Ufer M, von Stülpnagel C, Muhle H, et al. Impact of ABCC2 genotype on antiepileptic drug response in Caucasian patients with childhood epilepsy. Pharmacogenet Genomics. 2011; 21: 624-30.

30. Qu J, Zhou BT, Yin JY, et al. ABCC2 polymorphisms and haplotype are associated with drug resistance in Chinese epileptic patients. CNS Neurosci Ther. 2012; 18: 647–51.

31. İzmirli M, Aldemir O, Gögebakan B, Alptekin D. The studies about diseases concerning with contemplated MTHFR 677 C>T polymorphism. Dicle Med J. 2014; 41: 244-56
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
Sayıdaki Diğer Makaleler

COVID-19 ve Diğer Viral Pnömoniler

Nazlı GÖRMELİ KURT, Melih ÇAMCI

İlk Anjiografisi Negatif Olan Spontan Subaraknoid Kanamalarda Anjiografi Tekrarının Gereksinimi Nedir?

Ayça ÖZKUL, Abdullah TOPCU

Eksfoliatif glokom ve eksfoliatif sendromlu hastalarda hematolojik enflamatuar parametrelerin karşılaştırılması

Mine KARAHAN, Atılım Armağan DEMİRTAŞ

Management of Adults With Suspected Foreign Body Aspiration

Efsun UĞUR, Elif TANRIVERDİ, Demet TURAN, Binnaz YILDIRIM, Şeyma YILMAZ, İrfan CHOUSEİN, Mehmet Akif ÖZGÜL, Erdoğan ÇETİNKAYA

Akut Koroner Sendrom Hastalarında Syntax Skoru İle Epikardiyal Yağ Doku Arasındaki İlişki

Adem ATICI, Fatih ÖZTÜRK, Yunus Emre OKUDAN, Ali Yaşar KILINÇ, Mehmet YAMAN, Hakkı ŞİMŞEK, Koray DEMİR, Serkan AKDAĞ

Hyaluronik Asitin Endometrium Dokusunda αVβ3 İntegrin ve Metalloproteinaz Ekspresyonuna Etkisi

Hatice ORUÇ DEMİRBAĞ, Nazlı ÇİL, Gülçin ABBAN METE, Semih TAN

Intravenous Thrombolytic Therapy for Acute Ischemic Stroke: Experiences of a Tertiary Hospital in Turkey

Murat YILMAZ, Handan TEKER, Merve ÖNERLİ YENER, Edip GÜLTEKİN, Muhammed Nur ÖGÜN

Çocuklarda Laparoskopik Apendektomiden Açık Cerrahiye Geçiş Nedenleri: İlk 100 Vaka Deneyimİ

Ahmet Gökhan GÜLER, Mehmet Fatih YAZAR, Ali Erdal KARAKAYA, Ahmet Burak DOĞAN

Mutation Analysis of Beta-Thalassemia Major Patients and Their Parents in Diyarbakir Province, Turkey

Cemal POLAT, Nuriye METE, Murat SÖKER

Erişkin Yabancı Cisim Aspirasyon Şüpheli Olguların Yönetimi

Şeyma YILMAZ, İrfan CHOUSEİN, Binnaz Zeynep YILDIRIM, Mehmet Akif ÖZGÜL, Efsun Gonca UĞUR CHOUSEİN, Demet TURAN, Elif TANRIVERDİ, Erdoğan ÇETİNKAYA