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Pharmacogenomics ; 19(3): 227-241, 2018 02.
Article in English | MEDLINE | ID: mdl-29239269

ABSTRACT

AIM: Adverse drug reactions to 5-Fluorouracil(5-FU) is frequent and largely attributable to genetic variations in the DPYD gene, a rate limiting enzyme that clears 5-FU. The study aims at understanding the pharmacogenetic landscape of DPYD variants in south Asian populations. MATERIALS & METHODS: Systematic analysis of population scale genome wide datasets of over 3000 south Asians was performed. Independent evaluation was performed in a small cohort of patients. RESULTS: Our analysis revealed significant differences in the the allelic distribution of variants in different ethnicities. CONCLUSIONS: This is the first and largest genetic map the DPYD variants associated with adverse drug reaction to 5-FU in south Asian population. Our study highlights ethnic differences in allelic frequencies.


Subject(s)
Antimetabolites, Antineoplastic/toxicity , Dihydrouracil Dehydrogenase (NADP)/genetics , Drug-Related Side Effects and Adverse Reactions/genetics , Fluorouracil/toxicity , Pharmacogenetics , Polymorphism, Single Nucleotide , Adolescent , Adult , Aged , Aged, 80 and over , Asian People/genetics , Cohort Studies , Drug-Related Side Effects and Adverse Reactions/enzymology , Drug-Related Side Effects and Adverse Reactions/etiology , Female , Gene Frequency , Humans , Male , Middle Aged , White People/genetics , Young Adult
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