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ID

45692

Description

Principal Investigator: David W. Haas, MD, Vanderbilt University School of Medicine, Nashville, Tennessee, USA MeSH: Central Nervous System Diseases,Dizziness,Insomnia,Hallucinations,Headache https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs001253 This is an evaluation of genetic associations with efavirenz (EFV) discontinuation for central nervous system (CNS) symptoms within 12 months of treatment. Patients were treated at an HIV primary care clinic in Nashville TN from 1998 to 2012. Previously known SNPs in *CYP2B6* and *CYP2A6* were used to define metabolizer genotypes (extensive, intermediate, slow metabolizer). Over 500,000 SNPs from genome-wide genotyping were used to define MDS (Multidimensional Scaling) coordinates to account for population stratification. Patients were defined as *cases* if they discontinued EFV for CNS symptoms within 12 months, otherwise they were defined as *controls* if they did not stop treatment. Among 563 evaluable participants, the hazard ratio for EFV discontinuation for CNS symptoms was 4.9 (95% C.I. 1.9 TO 12.4, p=0.001) in slow metabolizers compared to extensive metabolizers. This association was very significant in Whites 6.5 (95% CI: 2.3 to 18.8; p = 0.001), but not in Blacks 2.6 (95% C.I. 0.5 to 14.1; p = 0.27). The reason for this difference by race is not clear and warrants further investigation.

Lien

dbGaP study = phs001253

Mots-clés

  1. 08/05/2023 08/05/2023 - Simon Heim
Détendeur de droits

David W. Haas, MD, Vanderbilt University School of Medicine, Nashville, Tennessee, USA

Téléchargé le

8 mai 2023

DOI

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Licence

Creative Commons BY 4.0

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    dbGaP phs001253 Pharmacogenetics of Efavirenz Discontinuation for Reported CNS Symptoms

    The dataset provides molecular information on SNPs related to genes CYP2B6 and CYP2A6 to describe a metabolizer genotype (slow, intermediate, extensive). Please note that summaries of SNPs and MDS (Multidimensional Scaling) coordinates are not displayed on public pages, but are available through authorized access.

    pht006166
    Description

    pht006166

    Alias
    UMLS CUI [1,1]
    C3846158
    De-identified Subject ID
    Description

    SUBJECT_ID

    Type de données

    string

    Alias
    UMLS CUI [1,1]
    C4684638
    UMLS CUI [1,2]
    C1299222
    Genetic ancestry defined from MDS plots.
    Description

    racegeno

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C5447420
    UMLS CUI [1,2]
    C0314603
    UMLS CUI [1,3]
    C0681930
    SNP in CYP2B6 - rs4803419
    Description

    rs4803419

    Type de données

    string

    Alias
    UMLS CUI [1,1]
    C0752046
    UMLS CUI [1,2]
    C1382176
    UMLS CUI [1,3]
    C3846158
    SNP in CYP2B6 - rs3745274
    Description

    rs3745274

    Type de données

    string

    Alias
    UMLS CUI [1,1]
    C0752046
    UMLS CUI [1,2]
    C1382176
    UMLS CUI [1,3]
    C3846158
    SNP in CYP2B6 - rs28399499
    Description

    rs28399499

    Type de données

    string

    Alias
    UMLS CUI [1,1]
    C0752046
    UMLS CUI [1,2]
    C1382176
    UMLS CUI [1,3]
    C3846158
    SNP in CYP2A6 - rs28399433
    Description

    rs28399433

    Type de données

    string

    Alias
    UMLS CUI [1,1]
    C0752046
    UMLS CUI [1,2]
    C1382176
    UMLS CUI [1,3]
    C3846158
    Defined haplotypes based on combination of CYPAB6 and CYP2A6 SNPs.
    Description

    haplotype

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0018591
    UMLS CUI [1,2]
    C0752046
    UMLS CUI [1,3]
    C1382176
    Metabolizer status based on haplotypes
    Description

    metabolizer

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0018591
    UMLS CUI [1,2]
    C0025519
    UMLS CUI [1,3]
    C0449438
    MDS coordinates generated from GWAS genotype - C1
    Description

    C1

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0681930
    UMLS CUI [1,2]
    C2350277
    UMLS CUI [1,3]
    C3846158
    MDS coordinates generated from GWAS genotype - C2
    Description

    C2

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0681930
    UMLS CUI [1,2]
    C2350277
    UMLS CUI [1,3]
    C3846158
    MDS coordinates generated from GWAS genotype - C3
    Description

    C3

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0681930
    UMLS CUI [1,2]
    C2350277
    UMLS CUI [1,3]
    C3846158
    MDS coordinates generated from GWAS genotype - C4
    Description

    C4

    Type de données

    text

    Alias
    UMLS CUI [1,1]
    C0681930
    UMLS CUI [1,2]
    C2350277
    UMLS CUI [1,3]
    C3846158

    Similar models

    The dataset provides molecular information on SNPs related to genes CYP2B6 and CYP2A6 to describe a metabolizer genotype (slow, intermediate, extensive). Please note that summaries of SNPs and MDS (Multidimensional Scaling) coordinates are not displayed on public pages, but are available through authorized access.

    Name
    Type
    Description | Question | Decode (Coded Value)
    Type de données
    Alias
    Item Group
    pht006166
    C3846158 (UMLS CUI [1,1])
    SUBJECT_ID
    Item
    De-identified Subject ID
    string
    C4684638 (UMLS CUI [1,1])
    C1299222 (UMLS CUI [1,2])
    racegeno
    Item
    Genetic ancestry defined from MDS plots.
    text
    C5447420 (UMLS CUI [1,1])
    C0314603 (UMLS CUI [1,2])
    C0681930 (UMLS CUI [1,3])
    rs4803419
    Item
    SNP in CYP2B6 - rs4803419
    string
    C0752046 (UMLS CUI [1,1])
    C1382176 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    rs3745274
    Item
    SNP in CYP2B6 - rs3745274
    string
    C0752046 (UMLS CUI [1,1])
    C1382176 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    rs28399499
    Item
    SNP in CYP2B6 - rs28399499
    string
    C0752046 (UMLS CUI [1,1])
    C1382176 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    rs28399433
    Item
    SNP in CYP2A6 - rs28399433
    string
    C0752046 (UMLS CUI [1,1])
    C1382176 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    haplotype
    Item
    Defined haplotypes based on combination of CYPAB6 and CYP2A6 SNPs.
    text
    C0018591 (UMLS CUI [1,1])
    C0752046 (UMLS CUI [1,2])
    C1382176 (UMLS CUI [1,3])
    metabolizer
    Item
    Metabolizer status based on haplotypes
    text
    C0018591 (UMLS CUI [1,1])
    C0025519 (UMLS CUI [1,2])
    C0449438 (UMLS CUI [1,3])
    C1
    Item
    MDS coordinates generated from GWAS genotype - C1
    text
    C0681930 (UMLS CUI [1,1])
    C2350277 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    C2
    Item
    MDS coordinates generated from GWAS genotype - C2
    text
    C0681930 (UMLS CUI [1,1])
    C2350277 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    C3
    Item
    MDS coordinates generated from GWAS genotype - C3
    text
    C0681930 (UMLS CUI [1,1])
    C2350277 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])
    C4
    Item
    MDS coordinates generated from GWAS genotype - C4
    text
    C0681930 (UMLS CUI [1,1])
    C2350277 (UMLS CUI [1,2])
    C3846158 (UMLS CUI [1,3])

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