Abstract
Introduction. SLCO1B1 encodes the organic anion-transporting polypeptide which has been shown to regulate the hepatic uptake of statins. SLCO1B1*5 genetic variant is associated with the high risk for statin-induced myopathy in patients with statins therapy. Aim of the study. Aim of the study is to research the prevalence of the SLCO1B1*5 genetic variants in the Russian and Sakha (Yakutia) populations of patients with hyperlipidemia and to compare obtained data with similar populations available in the literature. Methods. The first group was consist of 1071 native Russian patient suffered from hyperlipidemia, the second group included 76 native Sakha (Yakutia) patients suffered from hyperlipidemia. All patients were genotyped according to SLCO1B1*5 genetic variant (с.521Т>С, rs4149056) by means of Real-Time PCR. We compared the date with similar groups of patients with hyperlipidemia presented in the literature. Results. The prevalence of the SLCO1B1*5 genetic variant in the Russian population is presented as follows: genotype TT – 62%, TC – 32% , CC – 6% of cases, the rate of c.521T allele was 0,78, c.521C allele – 0,22, Hardy–Weinberg's chi-square accounted for 3,1; p=0,21; n=1071. In the Sakha (Yakutia) population SLCO1B1*5 genetic variant is as follows: genotype TT – 82%, TC – 14%, CC – 4%, the rate of c.521T allele was 0,89, c.521C allele – 0,11, Hardy–Weinberg's chi-square – 5,13, p=0,077, n=76. There were detected significant differences in the prevalence of c.521C allele between the first and second groups, p= 0,0028. There is no difference in the prevalence of c.521C alleles between the second group and populations represented in the literature. Conclusion. There has been revealed pathological c.521C allele of SLCO1B1*5 in Russian and Sakha (Yakutia) native populations of patients with hyperlipidemia. The presence of a C allele on SLCO1B1 in patients with hyperlipidemia makes to approach more carefully to the issue of prescription of statin. There is presented to be interesting an international experience of the personalization of lipid-lowering therapy in such patients. There is remained to be actual the study of the influence of other genetic markers (c.388A>G, c.463C>A) of the development of statin-induced myopathias in patients with hyperlipidemia in mentioned populations.
Authors and affiliations
Ya.V. Chertovskikh (1), G.N. Shuev (2), N.V. Popova (3), Z.A. Rudykh (3), N.R. Maksimova (4), A.V. Grachev (5), D.A. Sychev (6) 1 -The Ministry of Health of the Republic of Sakha (Yakutia), Lenina avenue, 30, Yakutsk, Republic of Sakha (Yakutia), 677011, Russian Federation; 2 -Far East State Medical University, Murav'eva-Amurskogo Str., 35, Khabarovsk, 680000, Russian Federation; 3 -Center of Personalized Medicine based on «Republican Hospital №3» of the SBD of the Sakha Republic (Yakutia), Gorky Str., 94, Yakutsk, 677027, Russian Federation; 4 -M.K. Ammosov North-Eastern Federal University, Belinsky Str., 58, Yakutsk, Republic of Sakha (Yakutia), 677000, Russian Federation; 5 -SM-Сlinic, Russian Federation, Klary Cetkin Str., 33/28, Moscow, 125130, Russian Federation; 6 -Russian Medical Academy of Postgraduate Education, Barrikadnaya Str., 2/1, Moscow, 123995, Russian Federation
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