title: [A new, rapid and robust genotyping method for CYP2C9 and MDR1].
abstract: Single nucleotide polymorphisms (SNPs) can significantly affect human phenotypes. Detection of allelic variant carriers has become a major goal for clinical pharmacologists in order to study phenotype-genotype relationships. However, there is a crucial need for rapid, and validated pharmacogenetic tests. The aim of the study was to validate a new fluorescence PCR strategy for cytochrome P450 2C9 (CYP2C9) and multidrug resistance gene (MDR1) genotyping. Results of CYP2C9 and MDR1 genotypes determined with reference techniques were compared to those obtained by allelic discrimination assays employing fluorescent TaqMan  probes. Sixteen subjects carrying CYP2C9*2 and CYP2C9*3 allelic variants (heterozygous and homozygous) previously identified by sequencing and 55 subjects previously genotyped for MDR1 exon 26 (C3435T) SNP by conventional PCR-RFLP were genotyped with fluorescent PCR. Fluorescent PCR gave 100 % accuracy with the results obtained with reference genotyping strategies for each of the 3 SNPs. Genotyping results with fluorescent PCR repeated on three consecutive occasions remained constant over time for each of the 3 SNPs. Allelic discrimination assays based on fluorescent PCR gave entire satisfaction for CYP2C9 and MDR1 genotyping. This reliable genotyping strategy can be easily used in clinical practice and should be further developed for additional SNPs identification.
authors.affiliation: Service de pharmacologie, CHU Saint-Antoine AP-HP-Université Pierre et Marie Curie, 27, rue de Chaligny, 75012 Paris, France. céline.vertuyft@chusa.jussieu.fr
authors.forename: C
authors.initials: C
authors.lastname: Verstuyft
authors.forename: S
authors.initials: S
authors.lastname: Morin
authors.forename: J
authors.initials: J
authors.lastname: Yang
authors.forename: M-A
authors.initials: MA
authors.lastname: Loriot
authors.forename: V
authors.initials: V
authors.lastname: Barbu
authors.forename: R
authors.initials: R
authors.lastname: Kerb
authors.forename: U
authors.initials: U
authors.lastname: Brinkmann
authors.forename: P
authors.initials: P
authors.lastname: Beaune
authors.forename: P
authors.initials: P
authors.lastname: Jaillon
authors.forename: L
authors.initials: L
authors.lastname: Becquemont
mesh_terms: D000483:Alleles; D001189:Aryl Hydrocarbon Hydroxylases / Q000235:genetics*; D065729:Cytochrome P-450 CYP2C9; D016002:Discriminant Analysis; D019450:Genes, MDR / Q000235:genetics*; D014644:Genetic Variation / Q000235:genetics; D005838:Genotype; D006579:Heterozygote; D006720:Homozygote; D006801:Humans; D017404:In Situ Hybridization, Fluorescence / Q000379:methods* / Q000592:standards; D010641:Phenotype; D016133:Polymerase Chain Reaction / Q000379:methods* / Q000592:standards; D012150:Polymorphism, Restriction Fragment Length; D020641:Polymorphism, Single Nucleotide / Q000235:genetics*; D019914:Taq Polymerase; D013997:Time Factors
chemical_list: C450260:CYP2C9 protein, human; D065729:Cytochrome P-450 CYP2C9; D001189:Aryl Hydrocarbon Hydroxylases; D019914:Taq Polymerase