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1.
Extremophiles ; 28(1): 18, 2024 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-38353731

RESUMO

We have accidentally found that a thermophilic Geobacillus kaustophilus HTA426 is capable of degrading alkanes although it has no alkane oxygenating enzyme genes. Our experimental results revealed that a putative ribonucleotide reductase small subunit GkR2loxI (GK2771) gene encodes a novel heterodinuclear Mn-Fe alkane monooxygenase/hydroxylase. GkR2loxI protein can perform two-electron oxidations similar to homonuclear diiron bacterial multicomponent soluble methane monooxygenases. This finding not only answers a long-standing question about the substrate of the R2lox protein clade, but also expands our understanding of the vast diversity and new evolutionary lineage of the bacterial alkane monooxygenase/hydroxylase family.


Assuntos
Geobacillus , Ribonucleotídeo Redutases , Ribonucleotídeo Redutases/genética , Oxigenases de Função Mista/genética , Geobacillus/genética , Alcanos
2.
Biomed Pharmacother ; 150: 112989, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35489280

RESUMO

Endometriosis is the cause of infertility. The eutopic endometrium of women with endometriosis showed an aberrant expression pattern of multitude genes. The role of TET1 protein in the pathogenesis of endometriosis and related infertility is not sufficiently known. Further, knowledge on TET1 transcriptional control still remains incomplete. The aim of the study was assessment of TET1 gene expression, DNA methylation and H3K27me3 level of its promoter region in eutopic endometrium of women with endometriosis and infertility. The study included 44 infertile patients with endometriosis (IWE) and 77 infertile (IW) and fertile (FW) patients without endometriosis. The research material was eutopic endometrium. The TET1 mRNA level was analyzed by qPCR. Western blot was used to evaluate the level of TET1 protein. The level of DNA methylation and H3K27me3 level of TET1 gene's promoter region were assessed using HRM and ChIP qPCR, respectively. The level of TET1 expression (TET1 mRNA; TET1 protein level) was lower in IWE during the implantation window (p < 0.001; p = 0.0329). The level of TET1 DNA methylation was higher in the secretory endometrium in mild and advanced IWE (p < 0.004; p < 0.008). H3K27me3 level did not differ between the study groups. The diminished expression of TET1 gene during the secretory phase, may account for the aberrant process of embryonic implantation in infertile endometriosis patients. DNA hypermethylation of TET1 gene is a potential relevant regulator of its expression. H3K27me3 occupancy does not affect the expression of TET1 gene in our study group.


Assuntos
Endometriose , Infertilidade Feminina , Metilação de DNA/genética , Endometriose/genética , Endometriose/metabolismo , Endométrio/metabolismo , Feminino , Expressão Gênica , Histonas/genética , Histonas/metabolismo , Humanos , Infertilidade Feminina/genética , Oxigenases de Função Mista/genética , Oxigenases de Função Mista/metabolismo , Regiões Promotoras Genéticas/genética , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas/metabolismo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo
3.
Int J Biol Macromol ; 164: 3729-3738, 2020 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-32835796

RESUMO

Recently discovered Lytic Polysaccharide Mono-Oxygenase (LPMO) enhances the enzymatic deconstruction of complex polysaccharide by oxidation. The present study demonstrates the agricultural waste hydrolyzing capabilities of Paenibacillus dendritiformis CRN18, which exhibits the enzyme activity of exo-glucanase, ß-glucosidase, ß-glucuronidase, endo-1, 4 ß-xylanases, arabinosidase, and α-galactosidase as 0.1U/ml, 0.3U/ml, 0.09U/ml, 0.1U/ml, 0.05U/ml, and 0.41U/ml, respectively. The genome analysis of strain reveals the presence of four LPMO genes, along with lignocellulolytic genes. The gene structure of LPMO and its phylogenetic analysis shows the evolutionary relatedness with the Bacillus LPMO gene. Gene position of LPMOs in the genome of strains shows the close association of two LPMOs with chitin active enzyme GH18, and the other two are associated with hemicellulases (GH39, GH23). Protein-protein interaction and gene networking of LPMO sheds light on the co-occurrence, neighborhood, and interaction of LPMOs with chitinase and xylanase enzymes. Structural prediction of LPMOs unravels the information of the LPMO's binding site. Although the LPMO has been explored for its oxidative mechanism, a little light has been shed on its gene structure. This study provides insights into the LPMO gene structure in P. dendritiformis CRN18 and its potential in lignocellulose hydrolysis.


Assuntos
Biodegradação Ambiental , Oxigenases de Função Mista/genética , Paenibacillus/genética , Polissacarídeos/genética , Agricultura , Quitina/genética , Genômica , Glicosídeo Hidrolases/classificação , Glicosídeo Hidrolases/genética , Hidrólise , Resíduos Industriais/análise , Lignina/química , Lignina/genética , Oxirredução , Paenibacillus/enzimologia , Filogenia
4.
Genes (Basel) ; 11(6)2020 06 26.
Artigo em Inglês | MEDLINE | ID: mdl-32604937

RESUMO

The increasing life expectancy of humans has led to an increase in the number of patients with chronic diseases and organ failure. However, the imbalance between the supply and the demand for human organs is a serious problem in modern transplantology. One of many solutions to overcome this problem is the use of xenotransplantation. The domestic pig (Sus scrofa domestica) is currently considered as the most suitable for human organ procurement. However, there are discrepancies between pigs and humans that lead to the creation of immunological barriers preventing the direct xenograft. The introduction of appropriate modifications to the pig genome to prevent xenograft rejection is crucial in xenotransplantation studies. In this study, porcine GGTA1, CMAH, ß4GalNT2, vWF, ASGR1 genes were selected to introduce genetic modifications. The evaluation of three selected gRNAs within each gene was obtained, which enabled the selection of the best site for efficient introduction of changes. Modifications were examined after nucleofection of porcine primary kidney fibroblasts with CRISPR/Cas9 system genetic constructs, followed by the tracking of indels by decomposition (TIDE) analysis. In addition, off-target analysis was carried out for selected best gRNAs using the TIDE tool, which is new in the research conducted so far and shows the utility of this tool in these studies.


Assuntos
Sistemas CRISPR-Cas/genética , Vetores Genéticos/genética , Suínos/genética , Transplante Heterólogo , Animais , Animais Geneticamente Modificados/genética , Receptor de Asialoglicoproteína/genética , Galactosiltransferases/genética , Técnicas de Inativação de Genes , Xenoenxertos , Humanos , Oxigenases de Função Mista/genética , Mutação/genética , Fator de von Willebrand/genética
5.
Pestic Biochem Physiol ; 156: 29-35, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31027578

RESUMO

Phenacoccus solenopsis is an economically important insect pest of different agronomic and horticultural field crops. In Pakistan, the cotton crop was severely attacked by P. solenopsis during 2007 and since then a varied group of insecticides are used by farmers to manage this pest. As a result, insecticide resistance has become a barrier in control of P. solenopsis. The current study was designed to explore the basics of genetics, realized heritability and possible genetic mechanisms of resistance against spirotetramat in P. solenopsis. Before selection, the wild population (Wild-Pop) showed 5.97-fold resistance when compared with lab-reared susceptible strain (Susceptible Lab-Pop). The P. solenopsis was selected with spirotetramat to 21 generations, called Spiro-SEL Pop, which showed 463.21-fold resistance as compared with the Susceptible Lab-Pop. The values of LC50 for F1 (Spiro-SEL Pop ♂ × Susceptible Lab-Pop ♀) and F1 (Spiro-SEL Pop ♀ × Susceptible Lab-Pop ♂) populations were statistically similar and values of dominance level were 0.42 and 0.54, respectively. Reciprocal crosses between Susceptible Lab-Pop and Spiro-SEL Pop showed that resistance was of autosomal in nature with incomplete dominant traits. According to the fit test, monogenic model estimation of the number of genes, which are responsible for the development of spirotetramat resistance in a population of P. solenopsis, showed that multiple genes are involved in controlling the resistance levels in tested strains of P. solenopsis. The value of heritability for resistance against spirotetramat was 0.13 in P. solenopsis. Our results suggested the presence of a metabolic-based resistance mechanism associated with the monooxygenases in P. solenopsis, while testing the synergism mechanism. These results will provide the baseline to design an effective control strategy to manage P. solenopsis in the field.


Assuntos
Compostos Aza/farmacologia , Hemípteros/efeitos dos fármacos , Inseticidas/farmacologia , Compostos de Espiro/farmacologia , Animais , Bioensaio , Hemípteros/enzimologia , Hemípteros/metabolismo , Resistência a Inseticidas , Oxigenases de Função Mista/genética , Oxigenases de Função Mista/metabolismo , Paquistão
6.
BMC Res Notes ; 10(1): 105, 2017 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-28222763

RESUMO

BACKGROUND: Renewable biopolymers, such as cellulose, starch and chitin are highly resistance to enzymatic degradation. Therefore, there is a need to upgrade current degradation processes by including novel enzymes. Lytic polysaccharide mono-oxygenases (LPMOs) can disrupt recalcitrant biopolymers, thereby enhancing hydrolysis by conventional enzymes. However, novel LPMO families are difficult to identify using existing methods. Therefore, we developed a novel profile Hidden Markov model (HMM) and used it to mine genomes of ascomycetous fungi for novel LPMOs. RESULTS: We constructed a structural alignment and verified that the alignment was correct. In the alignment we identified several known conserved features, such as the histidine brace and the N/Q/E-X-F/Y motif and previously unidentified conserved proline and glycine residues. These residues are distal from the active site, suggesting a role in structure rather than activity. The multiple protein alignment was subsequently used to build a profile Hidden Markov model. This model was initially tested on manually curated datasets and proved to be both sensitive (no false negatives) and specific (no false positives). In some of the genomes analyzed we identified a yet unknown LPMO family. This new family is mostly confined to the phyla of Ascomycota and Basidiomycota and the class of Oomycota. Genomic clustering indicated that at least some members might be involved in the degradation of ß-glucans, while transcriptomic data suggested that others are possibly involved in the degradation of pectin. CONCLUSIONS: The newly developed profile hidden Markov Model was successfully used to mine fungal genomes for a novel family of LPMOs. However, the model is not limited to bacterial and fungal genomes. This is illustrated by the fact that the model was also able to identify another new LPMO family in Drosophila melanogaster. Furthermore, the Hidden Markov model was used to verify the more distant blast hits from the new fungal family of LPMOs, which belong to the Bivalves, Stony corals and Sea anemones. So this Hidden Markov model (Additional file 3) will help the broader scientific community in identifying other yet unknown LPMOs.


Assuntos
Mineração de Dados , Proteínas Fúngicas/metabolismo , Genoma Fúngico , Cadeias de Markov , Oxigenases de Função Mista/metabolismo , Motivos de Aminoácidos , Animais , Ascomicetos/classificação , Ascomicetos/enzimologia , Ascomicetos/genética , Basidiomycota/classificação , Basidiomycota/enzimologia , Basidiomycota/genética , Biodegradação Ambiental , Bivalves/enzimologia , Bivalves/genética , Celulose/metabolismo , Quitina/metabolismo , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/enzimologia , Drosophila melanogaster/genética , Proteínas Fúngicas/genética , Hidrólise , Oxigenases de Função Mista/genética , Modelos Moleculares , Oomicetos/classificação , Oomicetos/enzimologia , Oomicetos/genética , Filogenia , Anêmonas-do-Mar/enzimologia , Anêmonas-do-Mar/genética , Alinhamento de Sequência , Amido/metabolismo
7.
Regul Toxicol Pharmacol ; 81: 171-182, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27575686

RESUMO

Dicamba tolerant (DT) soybean, cotton and maize were developed through constitutive expression of dicamba mono-oxygenase (DMO) in chloroplasts. DMO expressed in three DT crops exhibit 91.6-97.1% amino acid sequence identity to wild type DMO. All DMO forms maintain the characteristics of Rieske oxygenases that have a history of safe use. Additionally, they are all functionally similar in vivo since the three DT crops are all tolerant to dicamba treatment. None of these DMO sequences were found to have similarity to any known allergens or toxins. Herein, to further understand the safety of these DMO variants, a weight of evidence approach was employed. Each purified DMO protein was found to be completely deactivated in vitro by heating at temperatures 55 °C and above, and all were completely digested within 30 s or 5 min by pepsin and pancreatin, respectively. Mice orally dosed with each of these DMO proteins showed no adverse effects as evidenced by analysis of body weight gain, food consumption and clinical observations. Therefore, the weight of evidence from all these protein safety studies support the conclusion that the various forms of DMO proteins introduced into DT soybean, cotton and maize are safe for food and feed consumption, and the small amino acid sequence differences outside the active site of DMO do not raise any additional safety concerns.


Assuntos
Produtos Agrícolas/toxicidade , Dicamba/farmacologia , Resistência a Medicamentos , Alimentos Geneticamente Modificados/toxicidade , Glycine max/toxicidade , Gossypium/toxicidade , Herbicidas/farmacologia , Oxigenases de Função Mista/toxicidade , Oxirredutases O-Desmetilantes/toxicidade , Plantas Geneticamente Modificadas/toxicidade , Zea mays/toxicidade , Administração Oral , Sequência de Aminoácidos , Animais , Biologia Computacional , Qualidade de Produtos para o Consumidor , Produtos Agrícolas/enzimologia , Produtos Agrícolas/genética , Bases de Dados de Proteínas , Resistência a Medicamentos/genética , Estabilidade Enzimática , Feminino , Inocuidade dos Alimentos , Alimentos Geneticamente Modificados/parasitologia , Regulação da Expressão Gênica de Plantas , Gossypium/enzimologia , Gossypium/genética , Humanos , Masculino , Camundongos , Oxigenases de Função Mista/administração & dosagem , Oxigenases de Função Mista/genética , Oxigenases de Função Mista/metabolismo , Pancreatina/metabolismo , Pepsina A/metabolismo , Plantas Geneticamente Modificadas/enzimologia , Plantas Geneticamente Modificadas/genética , Desnaturação Proteica , Proteólise , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Proteínas Recombinantes/toxicidade , Medição de Risco , Glycine max/enzimologia , Glycine max/genética , Stenotrophomonas maltophilia/enzimologia , Stenotrophomonas maltophilia/genética , Temperatura , Testes de Toxicidade Aguda , Zea mays/enzimologia , Zea mays/genética
8.
Clin Biochem ; 46(1-2): 167-9, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22917719

RESUMO

OBJECTIVES: We have developed a genotyping system to determine the alleles of genes related to interindividual variability in acenocoumarol dosage requirements. This genotyping system is intended for routine clinical use and therefore it is essential that it be simple, fast and inexpensive. DESIGN AND METHODS: We developed a PCR multiplex SNaPshot reaction that targets 6 SNPs (single nucleotide polymorphisms) in CYP2C9, CYP4F2, VKORC1 and APOE genes, which are associated with acenocoumarol dose requirements. RESULTS: We tested the multiplex in 152 samples and found it to be 100% concordant with the results of other methods. CONCLUSIONS: We successfully produced a reliable multiplex system for simultaneously typing 6 SNPs. This system may be used as a model for accurate, simple and inexpensive genotyping of SNPs related to dose requirements. This information allows the prediction of drug efficiency in patients prior to treatment with acenocoumarol and the prevention of adverse drug reactions.


Assuntos
Acenocumarol/administração & dosagem , Acenocumarol/farmacocinética , Apolipoproteínas E/genética , Hidrocarboneto de Aril Hidroxilases/genética , Sistema Enzimático do Citocromo P-450/genética , Oxigenases de Função Mista/genética , Reação em Cadeia da Polimerase Multiplex/métodos , Polimorfismo de Nucleotídeo Único , Anticoagulantes/administração & dosagem , Anticoagulantes/farmacocinética , Citocromo P-450 CYP2C9 , Família 4 do Citocromo P450 , Humanos , Reação em Cadeia da Polimerase Multiplex/economia , Sensibilidade e Especificidade , Valeratos , Vitamina K Epóxido Redutases
9.
Am J Hematol ; 87(5): 541-4, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22460248

RESUMO

A few warfarin pharmacogenetic dosing algorithms have been proposed,based on multiethnic or homogeneous populations, to estimate warfarin therapeutic doses. However, it remains to be proven that which algorithm is accurate in predicting warfarin dose in Chinese people. We selected eight warfarin dose predictive pharmacogenetic algorithms and retrospectively assessed the predictive accuracy of each algorithm in a total of 368 eligible outpatients by comparing the actual stable therapeutic dose to the dose predicted by the algorithm. Our results showed that a high level of performance was demonstrated by three algorithms,Gage et al., Anderson et al., and Wu et al., having a similar performance in coefficient of determination (R2) and percentage of patients predicted dose within 20% of actual dose. The Gage et al. algorithm had the lowest mean absolute error (MAE). These results indicated that the algorithm by Gage et al. provided a more accurate prediction than did the others,which suggests that this pharmacogenetic algorithm might be used in clinical practice to guide rational administration of warfarin.


Assuntos
Algoritmos , Anticoagulantes/administração & dosagem , Hidrocarboneto de Aril Hidroxilases/genética , Povo Asiático/genética , Etnicidade/genética , Oxigenases de Função Mista/genética , Varfarina/administração & dosagem , Adolescente , Adulto , Idoso , Alelos , Anticoagulantes/farmacocinética , Biotransformação/genética , China/epidemiologia , Citocromo P-450 CYP2C9 , Feminino , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Trombofilia/tratamento farmacológico , Trombofilia/etnologia , Trombofilia/genética , Vitamina K Epóxido Redutases , Varfarina/farmacocinética , Adulto Jovem
10.
Thromb Res ; 130(1): 104-9, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21911247

RESUMO

INTRODUCTION: The optimal dose of the oral anticoagulant warfarin varies with polymorphisms of the vitamin K epoxide reductase complex subunit 1 (VKORC1) and cytochrome P450 2C9 (CYP2C9) genes. A fast and reliable method of warfarin dose adjustment is required to prevent serious hemorrhagic or thrombotic complications. The aim of this study is to develop and validate a new warfarin dose genotyping system with an automatic interpretation function. MATERIALS AND METHODS: Four VKORC1 and two CYP2C9 SNPs were genotyped by real-time PCR using allele-specific primers and probes. Multiple reactions that included internal positive controls were performed in each well, and an automatic interpretative algorithm was developed. This system was validated using 82 clinical specimens previously genotyped by PCR-direct sequencing. The analytical time of the method was calculated. RESULTS: No interference was observed when multiple samples were included in each reaction, with all internal positive control reactions being successful. In the genotyping algorithm, Ct differences <2 and ≥2 identified heterozygotes and homozygotes, respectively. All results obtained were concordant with those of the reference method. The overall analytical time for assay of 12 specimens was around 3 hours. CONCLUSION: This rapid, accurate, and user-friendly genotyping system improves the efficacy and safety of anticoagulation therapy in clinical practice.


Assuntos
Anticoagulantes/administração & dosagem , Hidrocarboneto de Aril Hidroxilases/genética , Oxigenases de Função Mista/genética , Reação em Cadeia da Polimerase em Tempo Real/métodos , Varfarina/administração & dosagem , Algoritmos , Alelos , Sequência de Bases , Citocromo P-450 CYP2C9 , Cálculos da Dosagem de Medicamento , Genótipo , Humanos , Polimorfismo Genético , Reação em Cadeia da Polimerase em Tempo Real/economia , Sensibilidade e Especificidade , Software , Fatores de Tempo , Vitamina K Epóxido Redutases
11.
J Med Syst ; 34(4): 701-7, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20703925

RESUMO

Currently, pharmaceutical companies are reluctant to introduce pharmacogenomics (PGx) in their practice, since cost-benefit of PGx is obscure and methodology to use PGx in drug development has not been fully established yet. The purpose of this study is to investigate advantages obtained by introducing PGx in clinical trials. Particularly, taking Warfarin as an example, we investigate benefits of Enrichment effect that raises response rate of the drug by PGx. When response rate is raised by only 5%, cost of a clinical trial can be reduced to about 40% of a conventional clinical trial. Furthermore, since period necessary for a trial also can be reduced, development period can be shortened by about 750 days. In summary, PGx enables earlier launch of a drug with less cost, representing benefit to pharmaceutical companies, patients and public as a whole.


Assuntos
Anticoagulantes/economia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/economia , Farmacogenética/economia , Varfarina/economia , Anticoagulantes/metabolismo , Ensaios Clínicos como Assunto/economia , Análise Custo-Benefício , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Humanos , Oxigenases de Função Mista/genética , Polimorfismo de Nucleotídeo Único , Medicina de Precisão , Vitamina K Epóxido Redutases , Varfarina/metabolismo
12.
Curr Opin Hematol ; 17(5): 439-43, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20601874

RESUMO

PURPOSE OF REVIEW: In North America warfarin is the current standard for oral anticoagulation therapy in the treatment and/or prophylaxis of different thrombotic conditions. In daily clinical practice a significant proportion of patients on long-term warfarin therapy fail to stabilize within their target therapeutic range leading to a resultant increased risk of thromboembolism or bleeding. Various authors and agencies advocate the role of genetic testing to guide warfarin dosing. RECENT FINDINGS: Evidence regarding the clinical efficacy and cost-effectiveness of genotype-based warfarin dosing has been conflicting, although some recent studies have suggested a potential benefit in certain subgroups. SUMMARY: More evidence is needed before the wide adoption of genotype-based warfarin dosing. Future studies should be designed to address outcomes such as major bleeding or recurrent thrombosis, and allow economic evaluations.


Assuntos
Anticoagulantes/metabolismo , Resistência a Medicamentos/genética , Genótipo , Varfarina/metabolismo , Algoritmos , Anticoagulantes/economia , Hidrocarboneto de Aril Hidroxilases/genética , Análise Custo-Benefício , Citocromo P-450 CYP2C9 , Relação Dose-Resposta a Droga , Humanos , Oxigenases de Função Mista/genética , Farmacogenética , Polimorfismo de Nucleotídeo Único , Vitamina K Epóxido Redutases , Varfarina/economia
13.
Clin Ther ; 32(6): 1050-60, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20637959

RESUMO

BACKGROUND: Warfarin is the most commonly prescribed oral anticoagulant drug for prophylaxis and treatment of venous and arterial thromboembolic disorders. Its anticoagulant effect is widely variable between patients because of pharmacodynamic, pharmacokinetic, and pharmacogenetic factors. OBJECTIVE: This study was conducted to identify the associations between demographic characteristics, warfarin maintenance dose, and genetic polymorphisms of cytochrome P450 (CYP) 2C19, CYP2C9, and vitamin K epoxide reductase complex subunit 1 (VKORC1). METHODS: This study was conducted from April 2005 to April 2008 at 3 warfarin clinics affiliated with Shiraz University of Medical Sciences. Blood samples were collected from patients with stable warfarin maintenance dose and a stable target international normalized ratio of 2 to 3. Patients who had a condition (including use of an interacting medication) affecting the metabolism of warfarin were excluded. CYP2C9, CYP2C19, and VKORC1 genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. The associations between demographic characteristics (eg, age, sex, body surface area, weight, height), genetic factors, and maintenance warfarin dose were examined by multiple linear regression. The probability of F as a criterion for removal of a variable from the multiple linear regression was set at 0.1. RESULTS: One hundred patients were enrolled in the study; complete data were available for 55, who were included in the regression analysis. Among this smaller group, the mean (SD) age was 53 (11) years (range, 25-80 years) and mean weight was 72 (15) kg (range, 42-125 kg); the mean warfarin dose was 27.2 (13.4) mg/week. The allelic frequencies of CYP2C9*2 and CYP2C9*3 were 27% and 9%, respectively. The allelic frequencies of CYP2C19*2 and CYP2C19*3 were 11% and 1%, respectively. Fifteen percent of our patients carried a VKORC1 genotype GG, whereas the AA and GA genotypes were seen in 18% and 58% of patients, respectively. Multiple linear regression analysis found that sex (P = 0.045), height (P = 0.024), age (P = 0.081), and VKORC1 (P = 0.004) and CYP2C9 (P = 0.011) polymorphism had significant influence on the maintenance dose of warfarin. They were associated with 41.3% of the variability in warfarin maintenance dose requirement. VKORC1 polymorphism (partial R(2) = 20.3%) and height (partial R(2) = 20.3%) had the greatest effects on warfarin maintenance dose requirement. CONCLUSION: Among the demographic and genetic factors evaluated in these Iranian patients, sex, height, age, CYP2C9, and VKORC1 had significant effects on warfarin maintenance dose requirements.


Assuntos
Anticoagulantes/farmacocinética , Hidrocarboneto de Aril Hidroxilases/genética , Oxigenases de Função Mista/genética , Varfarina/farmacocinética , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estatura , Peso Corporal , Estudos Transversais , Citocromo P-450 CYP2C19 , Citocromo P-450 CYP2C9 , Relação Dose-Resposta a Droga , Feminino , Frequência do Gene , Genótipo , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Polimorfismo Genético , Análise de Regressão , Fatores Sexuais , Fatores Socioeconômicos , Vitamina K Epóxido Redutases
14.
Future Cardiol ; 6(3): 409-24, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20462345

RESUMO

Genotyping has the potential to improve the efficacy and safety of major antithrombotic drugs. For warfarin, the stable maintenance dose varies from 1-10 mg/day. The VKORC1 -1639G>A allele and the CYP2C9*2 and *3 alleles (cumulative frequency: 90% in Asians, 65% in Europeans and 20% in Africans), explain 45% of response variability in European and 30% in African populations. The large clinical trials COAG and EU-PACT will define the extent to which pharmacogenetic dosing affects the safety and efficacy of warfarin and coumarin derivatives. The platelet inhibitor clopidogrel requires activation by the CYP2C19 enzyme. CYP2C19*2 and *3 alleles (cumulative frequency: 20-50%) produce null enzyme activity, and their presence attenuates platelet inhibition and increases cardiovascular events. The US FDA-mandated drug labeling recognizes the relevance of genotyping in the selection and dosing of both warfarin and clopidogrel.


Assuntos
Anticoagulantes/uso terapêutico , Farmacogenética , Inibidores da Agregação Plaquetária/uso terapêutico , Anticoagulantes/farmacologia , Hidrocarboneto de Aril Hidroxilases/genética , Clopidogrel , Análise Custo-Benefício , Citocromo P-450 CYP2C19 , Citocromo P-450 CYP2C9 , Sistema Enzimático do Citocromo P-450/genética , Família 4 do Citocromo P450 , Relação Dose-Resposta a Droga , Privacidade Genética , Genótipo , Política de Saúde , Humanos , Oxigenases de Função Mista/genética , Piperazinas/farmacologia , Piperazinas/uso terapêutico , Inibidores da Agregação Plaquetária/farmacologia , Polimorfismo de Nucleotídeo Único , Cloridrato de Prasugrel , Medicina de Precisão , Antagonistas do Receptor Purinérgico P2 , Tiofenos/farmacologia , Tiofenos/uso terapêutico , Ticlopidina/análogos & derivados , Ticlopidina/farmacologia , Ticlopidina/uso terapêutico , Vitamina K Epóxido Redutases , Varfarina/farmacologia , Varfarina/uso terapêutico
15.
Lancet ; 375(9725): 1525-35, 2010 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-20435227

RESUMO

BACKGROUND: The cost of genomic information has fallen steeply, but the clinical translation of genetic risk estimates remains unclear. We aimed to undertake an integrated analysis of a complete human genome in a clinical context. METHODS: We assessed a patient with a family history of vascular disease and early sudden death. Clinical assessment included analysis of this patient's full genome sequence, risk prediction for coronary artery disease, screening for causes of sudden cardiac death, and genetic counselling. Genetic analysis included the development of novel methods for the integration of whole genome and clinical risk. Disease and risk analysis focused on prediction of genetic risk of variants associated with mendelian disease, recognised drug responses, and pathogenicity for novel variants. We queried disease-specific mutation databases and pharmacogenomics databases to identify genes and mutations with known associations with disease and drug response. We estimated post-test probabilities of disease by applying likelihood ratios derived from integration of multiple common variants to age-appropriate and sex-appropriate pre-test probabilities. We also accounted for gene-environment interactions and conditionally dependent risks. FINDINGS: Analysis of 2.6 million single nucleotide polymorphisms and 752 copy number variations showed increased genetic risk for myocardial infarction, type 2 diabetes, and some cancers. We discovered rare variants in three genes that are clinically associated with sudden cardiac death-TMEM43, DSP, and MYBPC3. A variant in LPA was consistent with a family history of coronary artery disease. The patient had a heterozygous null mutation in CYP2C19 suggesting probable clopidogrel resistance, several variants associated with a positive response to lipid-lowering therapy, and variants in CYP4F2 and VKORC1 that suggest he might have a low initial dosing requirement for warfarin. Many variants of uncertain importance were reported. INTERPRETATION: Although challenges remain, our results suggest that whole-genome sequencing can yield useful and clinically relevant information for individual patients. FUNDING: National Institute of General Medical Sciences; National Heart, Lung And Blood Institute; National Human Genome Research Institute; Howard Hughes Medical Institute; National Library of Medicine, Lucile Packard Foundation for Children's Health; Hewlett Packard Foundation; Breetwor Family Foundation.


Assuntos
Predisposição Genética para Doença/genética , Testes Genéticos , Genoma Humano , Análise de Sequência de DNA , Doenças Vasculares/genética , Adulto , Hidrocarboneto de Aril Hidroxilases/genética , Proteínas de Transporte/genética , Citocromo P-450 CYP2C19 , Sistema Enzimático do Citocromo P-450/genética , Família 4 do Citocromo P450 , Morte Súbita Cardíaca , Desmoplaquinas/genética , Meio Ambiente , Saúde da Família , Aconselhamento Genético , Humanos , Lipoproteína(a)/genética , Masculino , Proteínas de Membrana/genética , Oxigenases de Função Mista/genética , Mutação , Osteoartrite/genética , Linhagem , Farmacogenética , Polimorfismo de Nucleotídeo Único , Medição de Risco , Vitamina K Epóxido Redutases
16.
Pharmacogenomics ; 11(3): 439-48, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20402581

RESUMO

Chronic oral anticoagulation with warfarin is difficult to maintain within the therapeutic range and requires frequent monitoring and dose adjustments. Variations in two genes, VKORC1 and CYP2C9, have been associated with variation in warfarin metabolism among individuals. Patients with CYP2C9*2 and *3 variants have longer times to dose stabilization and are at higher risk of serious and life-threatening bleeding. VKORC1 polymorphisms significantly influence time to first therapeutic warfarin range, and variants in this gene determine low-, intermediate- and high-warfarin dose requirements. The prevalence of CYP2C9 and VKORC1 polymorphisms vary among different ethnic groups, and can account for over 30% of variance in warfarin dose. Recent studies suggest that the pharmacogenomics-guided dosing algorithm can accurately predict warfarin dosage and might reduce adverse events. We aim to review the pharmacogenetics of warfarin metabolism and the clinical role of genetic testing for warfarin therapy.


Assuntos
Anticoagulantes/administração & dosagem , Anticoagulantes/farmacocinética , Varfarina/administração & dosagem , Varfarina/farmacocinética , Algoritmos , Anticoagulantes/efeitos adversos , Hidrocarboneto de Aril Hidroxilases/genética , Hidrocarboneto de Aril Hidroxilases/metabolismo , Análise Custo-Benefício , Citocromo P-450 CYP2C9 , Monitoramento de Medicamentos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/enzimologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/genética , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Etnicidade/genética , Humanos , Oxigenases de Função Mista/genética , Oxigenases de Função Mista/metabolismo , Farmacogenética/economia , Farmacogenética/tendências , Polimorfismo Genético , Vitamina K Epóxido Redutases , Varfarina/efeitos adversos
17.
Clin Chim Acta ; 411(13-14): 947-54, 2010 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-20226775

RESUMO

BACKGROUND: A variety of commercial genotyping assays is available to detect variants in the CYP2C9 and VKORC1 genes. The assay results are used in genotype-based warfarin dosing algorithms. We compared the performance of four such assay systems: Verigene, eSensor, Invader, and Luminex. METHODS: Result concordance and no call rates were determined on patient specimens tested on all four instruments. Turnaround times (TAT), hands-on time (HOT), pipetting steps and cost were obtained for runs of 1, 8 and 24 samples. RESULTS: The four assays were 100% concordant for the common CYP2C9 and VKORC1 alleles (n=100). Verigene had the shortest TAT and HOT for 1 and 8 samples. Verigene had the fewest pipetting steps for all sample sizes, while Invader had the most. Luminex had the longest TAT and highest cost for all sample run sizes. Verigene had the lowest cost for 1 and 8 samples and Invader the lowest for 24 samples. The no call rates for Verigene, Luminex, eSensor, and Invader were 10%, 4%, 1% and 0%, respectively. CONCLUSIONS: All assays gave comparable results for common variants. Each system offered unique advantages and disadvantages, whose relative importance depends on the needs of the adopting clinical laboratory.


Assuntos
Hidrocarboneto de Aril Hidroxilases/genética , Técnicas Genéticas , Oxigenases de Função Mista/genética , Varfarina/efeitos adversos , Algoritmos , Citocromo P-450 CYP2C9 , DNA/análise , DNA/genética , DNA/isolamento & purificação , Bases de Dados Genéticas , Relação Dose-Resposta a Droga , Etanol/química , Técnicas Genéticas/economia , Genótipo , Humanos , Polimorfismo de Nucleotídeo Único/efeitos dos fármacos , Fatores de Tempo , Vitamina K Epóxido Redutases
18.
J Thromb Thrombolysis ; 30(2): 220-5, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20204461

RESUMO

The objectives of this retrospective cohort study are to evaluate the accuracy of pharmacogenetic warfarin dosing algorithms in predicting therapeutic dose and to determine if this degree of accuracy warrants the routine use of genotyping to prospectively dose patients newly started on warfarin. Seventy-one patients of an outpatient anticoagulation clinic at an academic medical center who were age 18 years or older on a stable, therapeutic warfarin dose with international normalized ratio (INR) goal between 2.0 and 3.0, and cytochrome P450 isoenzyme 2C9 (CYP2C9) and vitamin K epoxide reductase complex subunit 1 (VKORC1) genotypes available between January 1, 2007 and September 30, 2008 were included. Six pharmacogenetic warfarin dosing algorithms were identified from the medical literature. Additionally, a 5 mg fixed dose approach was evaluated. Three algorithms, Zhu et al. (Clin Chem 53:1199-1205, 2007), Gage et al. (J Clin Ther 84:326-331, 2008), and International Warfarin Pharmacogenetic Consortium (IWPC) (N Engl J Med 360:753-764, 2009) were similar in the primary accuracy endpoints with mean absolute error (MAE) ranging from 1.7 to 1.8 mg/day and coefficient of determination R (2) from 0.61 to 0.66. However, the Zhu et al. algorithm severely over-predicted dose (defined as >or=2x or >or=2 mg/day more than actual dose) in twice as many (14 vs. 7%) patients as Gage et al. 2008 and IWPC 2009. In conclusion, the algorithms published by Gage et al. 2008 and the IWPC 2009 were the two most accurate pharmacogenetically based equations available in the medical literature in predicting therapeutic warfarin dose in our study population. However, the degree of accuracy demonstrated does not support the routine use of genotyping to prospectively dose all patients newly started on warfarin.


Assuntos
Centros Médicos Acadêmicos , Anticoagulantes/administração & dosagem , Coagulação Sanguínea/efeitos dos fármacos , Cálculos da Dosagem de Medicamento , Ambulatório Hospitalar , Farmacogenética , Varfarina/administração & dosagem , Idoso , Algoritmos , Hidrocarboneto de Aril Hidroxilases/genética , Hidrocarboneto de Aril Hidroxilases/metabolismo , Coagulação Sanguínea/genética , Citocromo P-450 CYP2C9 , Monitoramento de Medicamentos , Feminino , Testes Genéticos , Genótipo , Humanos , Coeficiente Internacional Normatizado , Masculino , Massachusetts , Pessoa de Meia-Idade , Oxigenases de Função Mista/genética , Oxigenases de Função Mista/metabolismo , Fenótipo , Reprodutibilidade dos Testes , Estudos Retrospectivos , Vitamina K Epóxido Redutases
19.
J Microbiol Methods ; 80(3): 295-8, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20079768

RESUMO

The utilization of quantitative PCR (qPCR) approaches such as MPN-qPCR and real-time-qPCR for in situ assessment of functional genes yields substantial quantitative and qualitative differences. We show this by targeting the alkB gene related to biodegradation of aliphatic alkanes in a set of environmental samples with differing hydrocarbon content.


Assuntos
Bactérias/genética , Genes Bacterianos , Variação Genética , Oxigenases de Função Mista/genética , Reação em Cadeia da Polimerase/métodos , Microbiologia do Solo , Primers do DNA , DNA Bacteriano/análise , DNA Bacteriano/genética , Dosagem de Genes , Filogenia , Sensibilidade e Especificidade
20.
Amino Acids ; 38(2): 471-7, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19956997

RESUMO

Antimalarial drug resistance has nowadays reached each drug class on the market for longer than 10 years. The focus on validated, classical targets has severe drawbacks. If resistance is arising or already present in the field, a target-based High-Throughput-Screening (HTS) with the respective target involves the risk of identifying compounds to which field populations are also resistant. Thus, it appears that a rewarding albeit demanding challenge for target-based drug discovery is to identify novel drug targets. In the search for new targets for antimalarials, we have investigated the biosynthesis of hypusine, present in eukaryotic initiation factor 5A (eIF5A). Deoxyhypusine hydroxylase (DOHH), which has recently been cloned and expressed from P. falciparum, completes the modification of eIF5A through hydroxylation. Here, we assess the present druggable data on Plasmodium DOHH and its human counterpart. Plasmodium DOHH arose from a cyanobacterial phycobilin lyase by loss of function. It has a low FASTA score of 27 to its human counterpart. The HEAT-like repeats present in the parasite DOHH differ in number and amino acid identity from its human ortholog and might be of considerable interest for inhibitor design.


Assuntos
Malária/enzimologia , Oxigenases de Função Mista/metabolismo , Plasmodium/enzimologia , Proteínas de Protozoários/metabolismo , Sequência de Aminoácidos , Animais , Inibidores Enzimáticos/uso terapêutico , Humanos , Malária/tratamento farmacológico , Malária/parasitologia , Oxigenases de Função Mista/antagonistas & inibidores , Oxigenases de Função Mista/química , Oxigenases de Função Mista/genética , Dados de Sequência Molecular , Plasmodium/química , Plasmodium/genética , Proteínas de Protozoários/antagonistas & inibidores , Proteínas de Protozoários/química , Proteínas de Protozoários/genética , Alinhamento de Sequência
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