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Effects and Interaction of Single Nucleotide Polymorphisms at the Pharmacokinetic/pharmacodynamic Site: Insights from the Rotterdam Study into Metformin Clinical Response and Dose Titration

PHARMACOGENOMICS JOURNAL(2024)

Erasmus MC

Cited 0|Views5
Abstract
Our study investigated the impact of genetic variations on metformin glycemic response in a cohort from the Rotterdam Study, comprising 14,926 individuals followed for up to 27 years. Among 1285 metformin users of European ancestry, using linear mixed models, we analyzed the association of single nucleotide polymorphisms (SNPs) and a Polygenic Risk Score (PRS) with glycemic response, measured by changes in metformin dosage or HbA1c levels. While individual genetic variants showed no significant association, rs622342 on SLC2A1 correlated with increased glycemic response only in metformin monotherapy patients (beta = -2.09, P-value < 0.001). The collective effect of variants, as represented by PRS, weakly correlated with changes in metformin dosage (beta = 0.023, P-value = 0.027). Synergistic interaction was observed between rs7124355 and rs8192675. Our findings suggest that while higher PRS correlates with increased metformin dosage, its modest effect size limits clinical utility, emphasizing the need for future research in diverse populations to refine genetic risk models.
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要点】:本研究探讨了遗传变异对二甲双胍血糖反应的影响,发现单个核苷酸多态性(SNP)和多项遗传风险评分(PRS)与二甲双胍临床反应和剂量调整的关联性。

方法】:利用线性混合模型分析来自 Rotterdam 研究的 14,926 名参与者的数据,对 1285 名欧洲血统的二甲双胍使用者的 SNP 和 PRS 与血糖反应(通过二甲双胍剂量变化或 HbA1c 水平变化衡量)的关联性进行评估。

实验】:通过分析 Rotterdam 研究的数据,发现 rs622342 位点与二甲双胍单药治疗患者的血糖反应呈正相关,同时发现 rs7124355 和 rs8192675 位点之间存在协同作用,PRS 与二甲双胍剂量变化呈现弱相关性(数据集名称:Rotterdam Study)。