Pharmacogenetics of Oral Antidiabetic Drugs

Oral antidiabetic drugs (OADs) are used for more than a half-century in the treatment of type 2 diabetes. Only in the last five years, intensive research has been conducted in the pharmacogenetics of these drugs based mainly on the retrospective register studies, but only a handful of associations d...

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Main Authors: Matthijs L. Becker, Ewan R. Pearson, Ivan Tkáč
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/686315
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author Matthijs L. Becker
Ewan R. Pearson
Ivan Tkáč
author_facet Matthijs L. Becker
Ewan R. Pearson
Ivan Tkáč
author_sort Matthijs L. Becker
collection DOAJ
description Oral antidiabetic drugs (OADs) are used for more than a half-century in the treatment of type 2 diabetes. Only in the last five years, intensive research has been conducted in the pharmacogenetics of these drugs based mainly on the retrospective register studies, but only a handful of associations detected in these studies were replicated. The gene variants in CYP2C9, ABCC8/KCNJ11, and TCF7L2 were associated with the effect of sulfonylureas. CYP2C9 encodes sulfonylurea metabolizing cytochrome P450 isoenzyme 2C9, ABCC8 and KCNJ11 genes encode proteins constituting ATP-sensitive K+ channel which is a therapeutic target for sulfonylureas, and TCF7L2 is a gene with the strongest association with type 2 diabetes. SLC22A1, SLC47A1, and ATM gene variants were repeatedly associated with the response to metformin. SLC22A1 and SLC47A1 encode metformin transporters OCT1 and MATE1, respectively. The function of a gene variant near ATM gene identified by a genome-wide association study is not elucidated so far. The first variant associated with the response to gliptins is a polymorphism in the proximity of CTRB1/2 gene which encodes chymotrypsinogen. Establishment of diabetes pharmacogenetics consortia and reduction in costs of genomics might lead to some significant clinical breakthroughs in this field in a near future.
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spelling doaj-art-78400745444641b3a1c5e876f9fe29242025-02-03T06:13:06ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/686315686315Pharmacogenetics of Oral Antidiabetic DrugsMatthijs L. Becker0Ewan R. Pearson1Ivan Tkáč2Department of Epidemiology, Erasmus MC, 3015 CE Rotterdam, The NetherlandsMedical Research Institute, University of Dundee, Dundee DD1 9SY, UKDepartment of Internal Medicine 4, Faculty of Medicine, P. J. Šafárik University, 041 80 Košice, SlovakiaOral antidiabetic drugs (OADs) are used for more than a half-century in the treatment of type 2 diabetes. Only in the last five years, intensive research has been conducted in the pharmacogenetics of these drugs based mainly on the retrospective register studies, but only a handful of associations detected in these studies were replicated. The gene variants in CYP2C9, ABCC8/KCNJ11, and TCF7L2 were associated with the effect of sulfonylureas. CYP2C9 encodes sulfonylurea metabolizing cytochrome P450 isoenzyme 2C9, ABCC8 and KCNJ11 genes encode proteins constituting ATP-sensitive K+ channel which is a therapeutic target for sulfonylureas, and TCF7L2 is a gene with the strongest association with type 2 diabetes. SLC22A1, SLC47A1, and ATM gene variants were repeatedly associated with the response to metformin. SLC22A1 and SLC47A1 encode metformin transporters OCT1 and MATE1, respectively. The function of a gene variant near ATM gene identified by a genome-wide association study is not elucidated so far. The first variant associated with the response to gliptins is a polymorphism in the proximity of CTRB1/2 gene which encodes chymotrypsinogen. Establishment of diabetes pharmacogenetics consortia and reduction in costs of genomics might lead to some significant clinical breakthroughs in this field in a near future.http://dx.doi.org/10.1155/2013/686315
spellingShingle Matthijs L. Becker
Ewan R. Pearson
Ivan Tkáč
Pharmacogenetics of Oral Antidiabetic Drugs
International Journal of Endocrinology
title Pharmacogenetics of Oral Antidiabetic Drugs
title_full Pharmacogenetics of Oral Antidiabetic Drugs
title_fullStr Pharmacogenetics of Oral Antidiabetic Drugs
title_full_unstemmed Pharmacogenetics of Oral Antidiabetic Drugs
title_short Pharmacogenetics of Oral Antidiabetic Drugs
title_sort pharmacogenetics of oral antidiabetic drugs
url http://dx.doi.org/10.1155/2013/686315
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