Pharmacogenetics of ustekinumab in patients with moderate-to-severe plaque psoriasis

被引:22
|
作者
Prieto-Perez, Rocio [1 ]
Llamas-Velasco, Mar [2 ]
Cabaleiro, Teresa [1 ,3 ]
Solano-Lopez, Guillermo [2 ]
Marquez, Beatriz [4 ]
Roman, Manuel [1 ]
Ochoa, Dolores [1 ]
Talegon, Maria [1 ]
Dauden, Esteban [2 ]
Abad-Santos, Francisco [1 ,3 ]
机构
[1] UAM, Inst Invest Sanitaria Princesa IP, Inst Teofilo Hernando, Clin Pharmacol Serv,Hosp Univ Princesa, Madrid, Spain
[2] Hosp Univ Princesa, Inst Invest Sanitaria Princesa, Dermatol Serv, Madrid, Spain
[3] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain
[4] Hosp Univ Gregorio Maranon, Clin Biochem Serv, Madrid, Spain
关键词
pharmacogenetics; psoriasis; ustekinumab; GENOME-WIDE ASSOCIATION; FUNCTIONAL VARIANTS; SUSCEPTIBILITY LOCI; CLINICAL-RESPONSE; CROHNS-DISEASE; POLYMORPHISMS; GENE; THERAPY; EFFICACY; DELETION;
D O I
10.2217/pgs-2016-0122
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim/Materials & methods: Few studies have evaluated the influence of pharmacogenetics in psoriatic patients treated with ustekinumab. We evaluated 121 polymorphisms to study a possible association between these SNPs and the response to ustekinumab (PASI75 at 4 months; n = 69). Results/Conclusion: The adjusted results (false discovery rate) showed an association between five SNPs in TNFRSF1A, HTR2A, NFKBIA, ADAM33 and IL13 genes, and poor response to ustekinumab. Furthermore, six SNPs in CHUK, C17orf51, ZNF816A, STAT4, SLC22A4 and Corf72 genes were associated with better response to ustekinumab. However, there was no significant association between response to ustekinumab and SNPs in HLA-C as it has been recently described. Finally, a higher weight was obtained in nonresponders than responders (p = 0.018). Further studies would be necessary to be closer to personalized medicine.
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页码:157 / 164
页数:8
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