Thiopurine pharmacogenomics: Association of SNPs with clinical response and functional validation of candidate genes

Alice Matimba, Fang Li, Alina Livshits, Cher S. Cartwright, Stephen Scully, Brooke L. Fridley, Gregory Jenkins, Anthony Batzler, Liewei Wang, Richard Weinshilboum, Lynne Lennard

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

Aim: We investigated candidate genes associated with thiopurine metabolism and clinical response in childhood acute lymphoblastic leukemia. Materials & methods: We performed genome-wide SNP association studies of 6-thioguanine and 6-mercaptopurine cytotoxicity using lymphoblastoid cell lines. We then genotyped the top SNPs associated with lymphoblastoid cell line cytotoxicity, together with tagSNPs for genes in the 'thiopurine pathway' (686 total SNPs), in DNA from 589 Caucasian UK ALL97 patients. Functional validation studies were performed by siRNA knockdown in cancer cell lines. Results: SNPs in the thiopurine pathway genes ABCC4, ABCC5, IMPDH1, ITPA, SLC28A3 and XDH, and SNPs located within or near ATP6AP2, FRMD4B, GNG2, KCNMA1 and NME1, were associated with clinical response and measures of thiopurine metabolism. Functional validation showed shifts in cytotoxicity for these genes. Conclusion: The clinical response to thiopurines may be regulated by variation in known thiopurine pathway genes and additional novel genes outside of the thiopurine pathway.

Original languageEnglish (US)
Pages (from-to)433-447
Number of pages15
JournalPharmacogenomics
Volume15
Issue number4
DOIs
StatePublished - Mar 2014

Keywords

  • 6-mercaptopurine
  • 6-thioguanine
  • childhood acute lymphoblastic leukemia
  • single nucleotide polymorphisms
  • thiopurine pharmacogenomics

ASJC Scopus subject areas

  • Molecular Medicine
  • Genetics
  • Pharmacology

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    Matimba, A., Li, F., Livshits, A., Cartwright, C. S., Scully, S., Fridley, B. L., Jenkins, G., Batzler, A., Wang, L., Weinshilboum, R., & Lennard, L. (2014). Thiopurine pharmacogenomics: Association of SNPs with clinical response and functional validation of candidate genes. Pharmacogenomics, 15(4), 433-447. https://doi.org/10.2217/pgs.13.226