이하, 본 발명을 상세히 설명한다.
Hereinafter, the present invention will be described in detail.
본 발명은The present invention
1) 한국인 개체의 약물의 효과, 이상반응 예측, 약동학적 반응에 영향을 미칠 수 있는 하기 [표 1]에 기재된 약물유전자 및 유전형을 선별하여 분석 가능한 조합을 구성하는 단계;1) constituting a combination capable of selectively analyzing drug genes and genotypes described below in Table 1, which may affect drug effects, prediction of adverse events, and pharmacokinetic responses in Korean individuals;
GeneGene
SNP IDSNP ID
관용명A common name
Major > MinorMajor> Minor
변이 유전형Mutation type
CYP2D6CYP2D6
rs1065852rs1065852
*10, *36, *49, 100C>T* 10, * 36, * 49, 100C > T
C>TC> T
*10 [T]* 10 [T]
rs16947rs16947
*2, 2850C>T* 2, 2850C > T
C>TC> T
*2 [T]* 2 [T]
rs1135822rs1135822
*49, 1611T>A* 49, 1611T> A
T>AT> A
*49 [A]* 49 [A]
rs35742686rs35742686
*3, 2549delA* 3, 2549delA
ins>delins> del
*3 [del]* 3 [del]
rs3892097rs3892097
*4, 1846G>A* 4, 1846G > A
G>AG> A
*4 [A]* 4 [A]
rs5030655rs5030655
*6, 1707delT* 6, 1707delT
ins>delins> del
*6 [del]* 6 [del]
rs79738337rs79738337
*60, 2303C>T* 60, 2303C > T
C>TC> T
*60 [T]* 60 [T]
rs1058164rs1058164
*2, *4, *8, *10, 1661G>C* 2, * 4, * 8, * 10, 1661G > C
C>GC> G
*2, *4, *8, *10 [C]* 2, * 4, * 8, * 10 [C]
rs1135840rs1135840
*2A, 4180G>C* 2A, 4180G > C
C>GC> G
*2A [C]* 2A [C]
rs28371525rs28371525
*41, 2988G>A* 41, 2988G > A
G>AG> A
*41 [A]* 41 [A]
CYP2D6_2CYP2D6_2
*60, 1887insTA* 60, 1887
del>insdel ins
*60 [ins]* 60 [ins]
rs5030867rs5030867
*7, 2935A>C* 7, 2935A > C
A>CA> C
*7 [C]* 7 [C]
rs5030865rs5030865
*8, 1758G>T* 8, 1758G > T
C>TC> T
*8 [T]* 8 [T]
rs5030656rs5030656
*9, 2615_2617delAAG* 9, 2615_2617delAAG
ins>delins> del
*9 [del]* 9 [del]
CYP2C9CYP2C9
rs28371685rs28371685
*11, R335W* 11, R335W
C>TC> T
*11 [T]* 11 [T]
rs9332239rs9332239
*12, 50338C>T* 12, 50338C> T
C>TC> T
*12 [T]* 12 [T]
rs72558187rs72558187
*13, 3276T>C* 13, 3276T > C
T>CT > C
*13 [C]* 13 [C]
rs72558190rs72558190
*15, 9100C>A * 15, 9100C> A
C>AC> A
*15 [A]* 15 [A]
rs72558193rs72558193
*18, 47391A>C* 18, 47391A > C
A>CA> C
*18 [C]* 18 [C]
rs1799853rs1799853
*2, Arg144Cys* 2, Arg144Cys
C>TC> T
*2 [T]* 2 [T]
rs72558188rs72558188
*25, 353_362delAGAAATGGAA* 25, 353_362delAGAAATGGAA
ins>delins> del
*25 [del]* 25 [del]
rs1057910rs1057910
*3, 3531_3540delAGAAATGGAA * 3, 3531_3540delAGAAATGGAA
ins>delins> del
*3 [del]* 3 [del]
rs9332131rs9332131
*6, 818delA* 6, 818delA
ins>del (A>G)ins> del (A> G)
*6 [G]* 6 [G]
rs9332092rs9332092
..
T>CT > C
[C][C]
rs9332096rs9332096
..
C>TC> T
[T][T]
rs9332098rs9332098
..
G>AG> A
[A][A]
rs4918758rs4918758
*1C, C1188T* 1C, C1188T
T>CT > C
*1C [T]* 1C [T]
VKORC1VKORC1
rs9934438rs9934438
C6484T, 1173C>TC6484T, 1173C > T
A>GA> G
[AG/AA][AG / AA]
rs8050894rs8050894
*2, 1542G>C, 6853G>C* 2, 1542G > C, 6853G > C
G>CG> C
*2 [G]* 2 [G]
rs2359612rs2359612
*2, 2255C>T, 7566C>T* 2, 2255C > T, 7566C > T
A>GA> G
*2 [A]* 2 [A]
rs7200749rs7200749
*3F, 3462C>T, 8773C>T* 3F, 3462C > T, 8773C > T
G>AG> A
*3F [A]* 3F [A]
rs7294rs7294
3730G>A3730G> A
G>AG> A
[A][A]
rs17708472rs17708472
*4, 6009C>T, 698C>T* 4, 6009C > T, 698C > T
G>AG> A
*4 [A]* 4 [A]
CYP2C19CYP2C19
rs12248560rs12248560
*17, -806C>T* 17, -806C > T
C>TC> T
*17 [T]* 17 [T]
rs4244285rs4244285
*2, G681A* 2, G681A
G>AG> A
*2 [A]* 2 [A]
rs4986893rs4986893
*3, G636A* 3, G636A
G>AG> A
*3 [A]* 3 [A]
rs28399504rs28399504
*4, A1G* 4, A1G
A>GA> G
*4 [G]* 4 [G]
rs41291556rs41291556
*8, 12711T>C, W120R* 8, 12711T > C, W120R
T>CT > C
*8 [C]* 8 [C]
rs17885098rs17885098
*2, *4, 99C>T* 2, * 4, 99C > T
T>CT > C
*2, *4 [T]* 2, * 4 [T]
rs3758580rs3758580
*2, 80160C>T* 2, 80160C > T
C>TC> T
*2 [T]* 2 [T]
rs11568732rs11568732
-888T/G-888T / G
T>GT> G
[G][G]
rs4986894rs4986894
-97T/C-97T / C
T>CT > C
[C][C]
rs17886522rs17886522
G417GG417G
A>CA> C
[C][C]
rs17878649rs17878649
IVS1-47G/AIVS1-47G / A
G>AG> A
[A][A]
rs4417205rs4417205
IVS5-51C/GIVS5-51C / G
C>GC> G
[G][G]
rs4917623rs4917623
IVS7-106T/CIVS7-106T / C
C>TC> T
[T][T]
rs11188072rs11188072
*17, -3402C>T* 17, -3402C > T
C>TC> T
*17 [T]* 17 [T]
rs56337013rs56337013
*5A, 1297C>T, R433W* 5A, 1297C > T, R433W
C>TC> T
*5A [T]* 5A [T]
DPYDDPYD
rs3918290rs3918290
*2A, IVS14+1G>A* 2A, IVS14 + 1G > A
G>AG> A
*2A [A]* 2A [A]
rs1801268rs1801268
*10, 2983G>T, V995F* 10, 2983G > T, V995F
G>TG> T
*10 [T]* 10 [T]
rs1801159rs1801159
*5, I543V, A1627G* 5, I543V, A1627G
A>GA> G
*5 [G]* 5 [G]
rs72549309rs72549309
*7, 295delTCAT* 7, 295delTCAT
ins>delins> del
*7 [del, T]* 7 [del, T]
rs1801266rs1801266
*8, R235W* 8, R235W
C>TC> T
*8 [T]* 8 [T]
rs1801265rs1801265
*9A, C29R, T85C* 9A, C29R, T85C
T>CT > C
*9A [C]* 9A [C]
rs1801267rs1801267
*9B, 2657G>A, R886H* 9B, 2657G > A, R886H
G>AG> A
*9B [A]* 9B [A]
rs2297595rs2297595
496A>G, Met166Val 496A > G, Met166Val
T>CT > C
[C][C]
rs72981743rs72981743
-243G/A-243G / A
G>AG> A
[A][A]
DPYD_2DPYD_2
-268C/A-268C / A
A>CA> C
[C][C]
rs1042482rs1042482
3651G/A3651G / A
G>AG> A
[A][A]
rs291593rs291593
3858T/C3858T / C
T>CT > C
[C][C]
DPYD_1DPYD_1
N151DN151D
A>GA> G
[G][G]
DPYD_3DPYD_3
S811SS811S
C>TC> T
[T][T]
DPYD_4DPYD_4
T735AT735A
A>GA> G
[G][G]
rs56279424rs56279424
..
G>TG> T
[T][T]
G6PDG6PD
rs2230037rs2230037
1311C>T 1311C> T
C>TC> T
[T][T]
rs1050828rs1050828
202G>A 202G> A
G>AG> A
[T][T]
rs1050829rs1050829
376A>G 376A> G
A>GA> G
[G][G]
rs34193178rs34193178
H350DH350D
G>CG> C
[C][C]
rs2472393rs2472393
IVS1+2955A/GIVS1 + 2955A / G
C>TC> T
[T][T]
rs743544rs743544
IVS1-773C/TIVS1-773C / T
C>TC> T
[T][T]
HLA-B*1502HLA-B * 1502
rs3130690rs3130690
HLA-B*1502 HLA-B * 1502
C>AC> A
*1502 [A]* 1502 [A]
rs3909184rs3909184
HLA-B*1502 HLA-B * 1502
C>GC> G
*1502 [G]* 1502 [G]
rs2844682rs2844682
HLA-B*1502 HLA-B * 1502
C>TC> T
*1502 [T]* 1502 [T]
HLA-B*5701HLA-B * 5701
rs2395029rs2395029
HLA-B*5701 HLA-B * 5701
T>GT> G
*5701 [G]* 5701 [G]
NAT1NAT1
rs4986988rs4986988
*11, c.-344C>T* 11, c.-344C > T
C>TC> T
*11 [T]* 11 [T]
rs4986989rs4986989
*11, c.-40A>T* 11, c.-40A > T
A>TA> T
*11 [T]* 11 [T]
rs4986990rs4986990
*11, c.459G>A, p.T153T* 11, c.459G > A, p.T153T
G>AG> A
*11 [A]* 11 [A]
rs4986783rs4986783
*11, c.640T>G, p.S214A* 11, c.640T > G, p.S214A
T>GT> G
*11 [G]* 11 [G]
rs5030839rs5030839
*15, c.559C>T, p.R187X* 15, c.559C > T, p.R187X
C>TC> T
*15 [T]* 15 [T]
rs56379106rs56379106
*17, c.190C>T, p.R64W* 17, c.190C> T, p.R64W
C>TC> T
*17 [T]* 17 [T]
rs56318881rs56318881
*19, c.97C>T, p.R33X* 19, c.97C > T, p.R33X
C>TC> T
*19 [T]* 19 [T]
rs56172717rs56172717
*22, c.752A>T, p.D251V* 22, c.752A > T, p.D251V
A>TA> T
*22 [T}* 22 [T}
rs55793712rs55793712
*5, c.884A>G* 5, c.884A> G
A>GA> G
*5 [G]* 5 [G]
rs72554612rs72554612
*5, c.976delA* 5, c.976delA
ins>delins> del
*5 [G]* 5 [G]
NAT2NAT2
rs1799929rs1799929
*11, *5B * 11, * 5B
C>TC> T
*11A [T]* 11A [T]
rs1041983rs1041983
*13, *5G, *6A * 13, * 5G, * 6A
C>TC> T
*13 [T]* 13 [T]
rs1805158rs1805158
*19, 190C>T, R64W* 19, 190C > T, R64W
C>TC> T
*19 [T]* 19 [T]
rs1799930rs1799930
*5E, *6A* 5E, * 6A
G>AG> A
*6A [A]* 6A [A]
rs1799931rs1799931
*7, G286E, *6I* 7, G286E, * 6I
G>AG> A
*7A [A]* 7A [A]
rs4986996rs4986996
*12D* 12D
G>AG> A
*12D [A]* 12D [A]
rs4646241rs4646241
..
T>CT > C
[C][C]
rs4646242rs4646242
..
A>GA> G
[G][G]
rs4646243rs4646243
..
T>CT > C
[C][C]
rs4646246rs4646246
..
A>GA> G
[G][G]
TPMTTPMT
rs1800460rs1800460
*3B* 3B
G>AG> A
*3B [A]* 3B [A]
rs1142345rs1142345
*3C, C240Y, 18485A>G* 3C, C240Y, 18485A> G
A>GA> G
*3C [G]* 3C [G]
rs75543815rs75543815
*6, 15327A>T* 6, 15327A> T
T>AT> A
*6 [A]* 6 [A]
rs1800462rs1800462
*2, 238G>C, A80P* 2, 238G > C, A80P
G>CG> C
*2 [C]* 2 [C]
rs12201199rs12201199
..
A>TA> T
[T][T]
rs1800584rs1800584
*4 *4
G>AG> A
*4 [A]* 4 [A]
UGT1A1UGT1A1
rs4124874rs4124874
*60, -3263T>G* 60, -3263T> G
A>CA> C
*60 [C]* 60 [C]
rs887829rs887829
*28* 28
G>AG> A
*28 [A]* 28 [A]
rs28934877rs28934877
*38* 38
A>GA> G
*38 [G]* 38 [G]
rs55750087rs55750087
*29, R367G* 29, R367G
C>GC> G
*29 [G]* 29 [G]
rs4148323rs4148323
*6, Gly71Arg* 6, Gly71Arg
G>AG> A
*6 [A]* 6 [A]
rs34993780rs34993780
*7* 7
T>GT> G
*7 [G]* 7 [G]
rs10929302rs10929302
*93, -3156G>A* 93, -3156G > A
G>AG> A
*93 [A]* 93 [A]
rs3755319rs3755319
..
T>GT> G
[G][G]
rs2003569rs2003569
..
G>AG> A
[A][A]
CYP2E1CYP2E1
rs2031920rs2031920
*5, -1053C>T* 5, -1053C > T
C>TC> T
*5 [T]* 5 [T]
rs6413432rs6413432
*6, 7632T>A* 6, 7632T> A
T>AT> A
*6 [A]* 6 [A]
rs3813867rs3813867
*5A, *5B* 5A, * 5B
G>CG> C
*5A, *5B [C]* 5A, * 5B [C]
rs2070673rs2070673
*7, -333T>A* 7, -333T> A
T>AT> A
*7, [A]* 7, [A]
rs2070875rs2070875
..
T>GT> G
[G][G]
rs2515641rs2515641
..
C>TC> T
[T][T]
CYP3A4CYP3A4
rs4987161rs4987161
*17, F189S, 670T>C* 17, F189S, 670T > C
T>CT > C
*17 [C]* 17 [C]
rs28371759rs28371759
*18, L293P (T>C)* 18, L293P (T > C)
T>CT > C
*18 [C]* 18 [C]
rs2740574rs2740574
*1B, -392A>G* 1B, -392A> G
A>GA> G
*1B [G]* 1B [G]
CYP3A5CYP3A5
rs776746rs776746
*3, 6986A>G* 3, 6986A> G
G>AG> A
*3 [G]* 3 [G]
rs55965422rs55965422
*5, 12952T>C* 5, 12952T> C
A>GA> G
*5 [G]* 5 [G]
rs10264272rs10264272
*6, 14690G>A* 6, 14690G > A
C>TC> T
*6 [T]* 6 [T]
rs41303343rs41303343
*7, 27131_27132insT* 7, 27131_27132insT
del>insdel ins
*7 [ins, T]* 7 [ins, T]
rs28383479rs28383479
*9, 19386G>A* 9, 19386G> A
G>AG> A
*9 [A]* 9 [A]
rs41279854rs41279854
*10, 29753T>C* 10, 29753T> C
A>GA> G
*10 [G]* 10 [G]
CYP4B1CYP4B1
rs4646487rs4646487
Arg173Trp Arg173Trp
C>TC> T
[T][T]
CYP4F2CYP4F2
rs2108622rs2108622
V433M V433M
C>TC> T
[T][T]
CYP19A1CYP19A1
rs4646rs4646
..
C>AC> A
[A][A]
rs6493497rs6493497
..
G>AG> A
[A][A]
CYP1A2CYP1A2
rs762551rs762551
*1F, -163C>A* 1F, -163C > A
A>CA> C
*1F [A]* 1F [A]
rs2069526rs2069526
*K, *1E, -739T>G* K, * 1E, -739T> G
T>GT> G
*1E [G]* 1E [G]
rs2470890rs2470890
*1B, 5347T>C* 1B, 5347T > C
C>TC> T
*1B [C]* 1B [C]
rs2069522rs2069522
..
T>CT > C
[C][C]
rs3743484rs3743484
..
G>CG> C
[C][C]
rs72547513rs72547513
*11, F186L, 558C>A* 11, F186L, 558C > A
C>AC> A
*11 [A]* 11 [A]
rs72547511rs72547511
*15, P42R, 125C>G* 15, P42R, 125C> G
C>GC> G
*15 [G]* 15 [G]
rs72547515rs72547515
*16, R377Q, 2473G>A* 16, R377Q, 2473G > A
C>TC> T
*16 [T]* 16 [T]
rs55889066rs55889066
*5, C406Y, 3497G>A* 5, C406Y, 3497G > A
G>AG> A
*5 [A]* 5 [A]
rs28399424rs28399424
*6, R431W, 5090C>T* 6, R431W, 5090C > T
C>TC> T
*6 [T]* 6 [T]
rs72547517rs72547517
*8, R456H, 5166G>A* 8, R456H, 5166G > A
G>AG> A
*8 [A]* 8 [A]
rs2472304rs2472304
..
G>AG> A
[A][A]
rs4646427rs4646427
..
T>CT > C
[C][C]
rs2069521rs2069521
..
G>AG> A
[A][A]
CYP1B1CYP1B1
rs1056836rs1056836
*3, 4326C>G, L432V* 3, 4326C> G, L432V
C>GC> G
*3 [G]* 3 [G]
CYP2A6CYP2A6
rs28399468rs28399468
*10, 6600G>T* 10, 6600G > T
G>TG> T
*10 [T]* 10 [T]
rs28399433rs28399433
*13, *15, -48T>G* 13, * 15, -48T> G
T>GT> G
*13, *15 [G]* 13, * 15 [G]
rs1809810rs1809810
*18, 5668A>T* 18, 5668A> T
A>TA> T
*18 [T]* 18 [T]
rs56256500rs56256500
*23, R203C, 607C>T* 23, R203C, 607C > T
G>AG> A
*23 [A]* 23 [A]
rs28399444rs28399444
*20, 2141_2142delAA* 20, 2141_2142delAA
ins>delins> del
*20 [del]* 20 [del]
CYP2B6CYP2B6
rs12721655rs12721655
*8, 415A>G, K192E* 8, 415A > G, K192E
A>GA> G
*8 [G]* 8 [G]
rs1042389rs1042389
..
T>CT > C
[C][C]
rs34223104rs34223104
*22, -82C>T* 22, -82C > T
T>CT > C
*22 [T]* 22 [T]
rs36079186rs36079186
*27, 593T>C, M198T* 27, 593T > C, M198T
T>CT > C
*27 [C]* 27 [C]
rs34097093rs34097093
*28, 1132C>T, R378X* 28, 1132C> T, R378X
C>TC> T
*28 [T]* 28 [T]
rs3211371rs3211371
*1C, *5, *7 , 1459C>T, Arg487Cys* 1C, * 5, * 7, 1459C > T, Arg487Cys
T>CT > C
*5A [T]* 5A [T]
rs8192709rs8192709
*2, 64C>T* 2, 64C > T
C>TC> T
*2 [T]* 2 [T]
rs28399499rs28399499
*18, 983T>C, I328T* 18, 983T > C, I328T
T>CT > C
*18 [C]* 18 [C]
rs58425034rs58425034
c.646-159G>Cc.646-159G> C
G>CG> C
[C][C]
rs12721646rs12721646
c.646-17C>Tc.646-17C> T
C>TC> T
[T][T]
CYP2C8CYP2C8
rs11572103rs11572103
*2, I269F, A805T* 2, I269F, A805T
A>TA> T
*2 [T]* 2 [T]
rs10509681rs10509681
*5, 2189delA* 5, 2189delA
ins>delins> del
*5 [del]* 5 [del]
rs11572177rs11572177
..
A>GA> G
[G][G]
rs1113129rs1113129
..
G>CG> C
[C][C]
rs1341164rs1341164
..
T>CT > C
[C][C]
CYP2C18CYP2C18
rs12777823rs12777823
..
G>AG> A
[A][A]
ABCB1ABCB1
rs1045642rs1045642
3435C>T3435C> T
C>TC> T
[T][T]
rs1128503rs1128503
Gly412Gly Gly412Gly
T>CT > C
[T][T]
rs10280101rs10280101
..
A>CA> C
[C][C]
rs7787082rs7787082
..
G>AG> A
[A][A]
rs4148739rs4148739
..
A>GA> G
[G][G]
rs11983225rs11983225
..
T>CT > C
[C][C]
rs12720067rs12720067
..
G>AG> A
[A][A]
rs3213619rs3213619
-129T>C-129T> C
T>CT > C
[C][C]
rs2235015rs2235015
287-25G>T287-25G> T
G>TG> T
[T][T]
rs10276036rs10276036
IVS9-44a>GIVS9-44a> G
C>TC> T
[C][C]
rs35810889rs35810889
M89T M89T
T>CT > C
[C][C]
rs35023033rs35023033
R669C R669C
C>TC> T
[T][T]
rs28364274rs28364274
V1251I V1251I
G>AG> A
[A][A]
rs35730308rs35730308
W1108R W1108R
T>CT > C
[C][C]
rs2032582rs2032582
..
G>T/AG> T / A
[T/A][T / A]
rs3789243rs3789243
..
C>TC> T
[T][T]
ABCC1ABCC1
rs3784862rs3784862
..
G>AG> A
[G][G]
rs246240rs246240
..
A>GA> G
[A][A]
rs2238476rs2238476
..
C>TC> T
[C][C]
rs35592rs35592
16081823T>C16081823T> C
T>CT > C
[T][T]
rs35605rs35605
1684C>T1684C> T
C>TC> T
[T][T]
rs2230671rs2230671
4002G>A4002G> A
G>AG> A
[A][A]
rs212090rs212090
5462T>A5462T> A
T>AT> A
[A][A]
rs35529209rs35529209
Ala989ThrAla989Thr
G>AG> A
[A][A]
rs4148356rs4148356
Arg723GlnArg723Gln
G>AG> A
[A][A]
rs45511401rs45511401
Gly671Val Gly671Val
G>TG> T
[T][T]
rs119774rs119774
..
G>AG> A
[A][A]
ABCC2ABCC2
rs717620rs717620
-24C>T-24C> T
G>AG> A
[A][A]
rs3740066rs3740066
3972C>T3972C> T
G>AG> A
[A][A]
rs8187710rs8187710
Cys1515Tyr Cys1515Tyr
G>AG> A
[A][A]
rs2273697rs2273697
V417I V417I
G>AG> A
[A][A]
rs17222723rs17222723
Val1188Glu Val1188Glu
T>AT> A
[A][A]
rs12762549rs12762549
..
G>CG> C
[G][G]
ABCC4ABCC4
rs1751034rs1751034
3463 A>G3463 A> G
T>CT > C
[C][C]
rs9561778rs9561778
c.3366+1243G>T c.3366 + 1243G > T
G>TG> T
[T][T]
ABCC6ABCC6
rs2238472rs2238472
Arg1268Gln Arg1268Gln
G>AG> A
[A][A]
ABCG2ABCG2
rs13120400rs13120400
..
T>CT > C
[C][C]
rs17731538rs17731538
..
G>AG> A
[A][A]
rs2622604rs2622604
..
C>TC> T
[T][T]
rs2231142rs2231142
Q141KQ141K
C>AC> A
[A][A]
ABOABO
rs8176746rs8176746
..
C>AC> A
[AA][AA]
rs495828rs495828
..
G>TG> T
[GG][GG]
ACEACE
rs4341rs4341
..
C>GC> G
[GG][GG]
ADMADM
rs11042725rs11042725
-1923C>A-1923C> A
C>AC> A
[CC][CC]
ADRB2ADRB2
rs1042713rs1042713
Arg16GlyArg16Gly
A>GA> G
[AA][AA]
rs1800888rs1800888
Thr164IleThr164Ile
C>TC> T
[T][T]
ADRB3ADRB3
rs4994rs4994
Trp64ArgTrp64Arg
T>CT > C
[C][C]
AGTR1AGTR1
rs5182rs5182
573C>T 573C> T
T>CT > C
[C][C]
AKT1AKT1
rs2494732rs2494732
..
C>TC> T
[TT][TT]
ANKK1ANKK1
rs1800497rs1800497
..
C>TC> T
[T][T]
AOX1AOX1
rs55754655rs55754655
Asn1135Ser Asn1135Ser
A>GA> G
[GG][GG]
APOBAPOB
rs1367117rs1367117
711C>T711C> T
G>AG> A
[G][G]
APOC3APOC3
rs5128rs5128
3238C>G3238C> G
G>CG> C
[C][C]
rs2854117rs2854117
-482C>T-482C> T
G>AG> A
[A][A]
ARG1ARG1
rs2781659rs2781659
..
A>GA> G
[G][G]
ATMATM
rs4585rs4585
..
G>TG> T
[T][T]
ATP7AATP7A
rs2227291rs2227291
Val767Leu Val767Leu
G>CG> C
[G][G]
ATXN1ATXN1
rs179997rs179997
A-241GA-241G
A>GA> G
[G][G]
BAT3BAT3
rs750332rs750332
..
A>GA> G
[G][G]
BCHEBCHE
rs1799807rs1799807
Asp70Gly Asp70Gly
A>GA> G
[G][G]
rs28933390rs28933390
Gly390Val Gly390Val
G>TG> T
[T][T]
rs28933389rs28933389
Thr243Met Thr243Met
C>TC> T
[T][T]
BDKRB1BDKRB1
rs12050217rs12050217
..
A>GA> G
[AA][AA]
BDKRB2BDKRB2
rs1799722rs1799722
C-58TC-58T
T>CT > C
[T][T]
C6orf10C6F10
rs3129900rs3129900
..
T>GT> G
[G][G]
CACNG2CACNG2
rs2284017rs2284017
..
C>TC> T
[C][C]
rs2284018rs2284018
..
C>TC> T
[C][C]
rs5750285rs5750285
..
C>GC> G
[C}[C]
CATCAT
rs10836235rs10836235
c.66+78C>T c.66 + 78C> T
C>TC> T
[CC][CC]
CBR1CBR1
rs9024rs9024
1096G>A 1096G> A
G>AG> A
[GG][GG]
rs20572rs20572
627C>T, A209A 627C> T, A209A
C>TC> T
[CC][CC]
CBR3CBR3
rs2835285rs2835285
Val93Ile Val93Ile
G>AG> A
[A][A]
rs1056892rs1056892
Val244Met Val244Met
G>AG> A
[A][A]
CCND1CCND1
rs17852153rs17852153
870G>A 870G> A
A>GA> G
[G][G]
CDACDA
rs2072671rs2072671
Lys27Gln, K27QLys27Gln, K27Q
A>CA> C
[A: AA][A: AA]
rs60369023rs60369023
c.208G>A, Ala70Thr c.208G > A, Ala70Thr
G>AG> A
[A: AA][A: AA]
rs532545rs532545
-451C>T -451C> T
G>AG> A
[AA][AA]
CETPCETP
rs708272rs708272
Taq1BTaq1B
C>TC> T
[T][T]
CHST3CHST3
rs4148943rs4148943
c.*1278C>T c. * 1278C> T
C>TC> T
[CC][CC]
rs4148945rs4148945
c.*1361C>T c. * 1361C> T
C>TC> T
[CC][CC]
rs4148950rs4148950
c.*3477G>A c. * 3477G> A
G>AG> A
[AA][AA]
rs1871450rs1871450
c.*3785G>A c. * 3785G> A
G>AG> A
[AA][AA]
rs730720rs730720
c.*4533C>T c. * 4533C> T
G>AG> A
[AA][AA]
rs12418rs12418
c.*4785G>A c. * 4785G> A
G>AG> A
[AA][AA]
CNTFCNTF
rs1800169rs1800169
FS63TERFS63TER
G>AG> A
[A][A]
COMTCOMT
rs9332377rs9332377
..
C>TC> T
[T][T]
rs737865rs737865
..
T>CT > C
[C: CG][C: CG]
rs165599rs165599
..
A>GA> G
[G: CG][G: CG]
rs4680rs4680
Val158MetVal158Met
G>AG> A
[G][G]
CRHR2CRHR2
rs2267715rs2267715
..
G>AG> A
[G][G]
rs2284220rs2284220
..
A>GA> G
[G][G]
rs7793837rs7793837
..
A>TA> T
[T][T]
CYTSACYTSA
rs5760410rs5760410
g.4205975G>Ag.4205975G> A
A>GA> G
[G][G]
DRD2DRD2
rs4436578rs4436578
..
T>CT > C
[C][C]
rs1799978rs1799978
A-241GA-241G
A>GA> G
[G][G]
rs6277rs6277
C957TC957T
C>TC> T
[C][C]
rs1076560rs1076560
..
C>AC> A
[A][A]
DRD3DRD3
rs167771rs167771
..
A>GA> G
[G][G]
rs6280rs6280
Ser9Gly Ser9Gly
T>CT > C
[C][C]
EGFREGFR
rs121434568rs121434568
L858RL858R
T>GT> G
[G][G]
rs2227983rs2227983
R497KR497K
G>AG> A
[A][A]
EPHX1EPHX1
rs1051740rs1051740
Y113H, 337T>CY113H, 337T > C
T>CT > C
[CC][CC]
rs2234922rs2234922
H139R, 416A>GH139R, 416A > G
A>GA> G
[GG][GG]
ERBB2ERBB2
rs1136201rs1136201
Ile655ValIle655Val
A>GA> G
[A][A]
ERCC1ERCC1
rs3212986rs3212986
8092C>A 8092C> A
G>TG> T
[T][T]
rs11615rs11615
19007T>C, Asn118Asn 19007T > C, Asn118Asn
C>TC> T
[T][T]
ERCC2ERCC2
rs13181rs13181
2251A>C, Lys751Gln2251A > C, Lys751Gln
T>GT> G
[G][G]
F2F2
rs1799963rs1799963
..
G>AG> A
[A][A]
FDPSFDPS
rs2297480rs2297480
..
C>AC> A
[CC][CC]
FKBP5FKBP5
rs1360780rs1360780
..
C>TC> T
[T][T]
rs3800373rs3800373
..
T>GT> G
[G][G]
GGCXGGCX
rs699664rs699664
8016G>A8016G> A
G>AG> A
[A][A]
GGHGGH
rs11545078rs11545078
452C>T452C> T
C>TC> T
[T][T]
rs3780126rs3780126
c.109+1307G>C c.109 + 1307G > C
C>TC> T
[C][C]
rs11545077rs11545077
Ala31Thr Ala31Thr
G>AG> A
[A][A]
GNB3GNB3
rs5443rs5443
Ser275Ser Ser275Ser
C>TC> T
[T][T]
GRIK2GRIK2
rs2518224rs2518224
..
A>CA> C
{C]{C}
GRIK4GRIK4
rs1954787rs1954787
..
C>TC> T
[T][T]
GSK3BGSK3B
rs334558rs334558
-50T>C -50T> C
G>AG> A
[A: AAGA][A: AAGA]
rs13321783rs13321783
IVS7+9227A>GIVS7 + 9227A> G
C>TC> T
[T: AAGA][T: AAGA]
rs2319398rs2319398
IVS7+11660G>TIVS7 + 11660G > T
T>GT> G
[G: AAGA][G: AAGA]
rs6808874rs6808874
IVS11+4251T>A IVS11 + 4251T > A
A>TA> T
[A: AAGA][A: AAGA]
GSTM3GSTM3
rs1799735rs1799735
Intron6, 3 bp deletionIntron6, 3 bp deletion
ins>delins> del
[ins, G][ins, G]
GSTP1GSTP1
rs1138272rs1138272
C341T, A114VC341T, A114V
C>TC> T
[T][T]
rs1695rs1695
*B, Ile105Val* B, Ile105Val
A>GA> G
[G][G]
HLA-EHLA-E
rs1059510rs1059510
Asn98AsnAsn98Asn
G>AG> A
[A][A]
HMGCRHMGCR
rs12654264rs12654264
..
T>AT> A
[AA][AA]
rs3846662rs3846662
..
C>TC> T
[TT][TT]
HSPA1LHSPA1L
rs2227956rs2227956
..
T>CT > C
[C][C]
rs2075800rs2075800
E602KE602K
G>AG> A
[A][A]
HTR1AHTR1A
rs6295rs6295
..
C>GC> G
[G][G]
rs10042486rs10042486
..
T>CT > C
[C][C]
rs1364043rs1364043
..
G>TG> T
[T][T]
HTR2AHTR2A
rs9316233rs9316233
..
C>GC> G
[GG][GG]
rs7997012rs7997012
Intron5, 2 variantIntron 5, 2 variant
G>AG> A
[A][A]
rs6311rs6311
-1438G>A-1438G> A
C>TC> T
[T][T]
rs6314rs6314
C1354TC1354T
C>TC> T
[T}[T}
rs6313rs6313
102C>T102C> T
C>TC> T
[T][T]
HTR2CHTR2C
rs1414334rs1414334
..
G>CG> C
[C}[C]
rs518147rs518147
-697G/C-697G / C
C>GC> G
[G][G]
rs3813928rs3813928
c.-995G>Ac.-995G > A
G>AG> A
[A}[A]
rs6318rs6318
Cys23SerCys23Ser
G>CG> C
[C][C]
rs3813929rs3813929
-759C>T-759C> T
C>TC> T
[C][C]
HTR3BHTR3B
rs2276307rs2276307
..
A>GA> G
[G][G]
HTR7HTR7
rs1935349rs1935349
..
G>AG> A
[A][A]
IL1BIL1B
rs16944rs16944
-511C/T -511C / T
G>AG> A
[A][A]
IL28BIL28B
rs8099917rs8099917
..
T>GT> G
[G][G]
rs12980275rs12980275
..
A>GA> G
[A][A]
rs8105790rs8105790
..
T>CT > C
[C][C]
rs11881222rs11881222
..
A>GA> G
[G][G]
rs7248668rs7248668
..
G>AG> A
[A][A]
ITGB3ITGB3
rs5918rs5918
Leu33ProLeu33Pro
T>CT > C
[C][C]
ITPAITPA
rs1127354rs1127354
P32T P32T
C>AC> A
[A][A]
KCNH2KCNH2
rs3815459rs3815459
..
A>GA> G
[A][A]
rs3807375rs3807375
..
A>GA> G
[A][A]
rs12720441rs12720441
R784W R784W
C>TC> T
[T][T]
KCNJ11KCNJ11
rs5219rs5219
Lys23Glu, E23KLys23Glu, E23K
C>TC> T
[T][T]
KNG1KNG1
rs4686799rs4686799
..
C>TC> T
[T][T]
rs5030062rs5030062
..
A>CA> C
[A][A]
rs698078rs698078
..
T>CT > C
[C][C]
LDLRLDLR
rs688rs688
16730C>T16730C> T
C>TC> T
[T][T]
LEMD2LEMD2
rs2395402rs2395402
..
T>CT > C
[C][C]
LRP2LRP2
rs2075252rs2075252
..
A>GA> G
[A][A]
LTC4SLTC4S
rs730012rs730012
-444C -444C
A>CA> C
[C][C]
METTL21AMETTL21A
rs7569963rs7569963
..
G>AG> A
[G][G]
rs4675690rs4675690
..
T>CT > C
[T][T]
MICAMICA
rs2848716rs2848716
..
C>GC> G
[G][G]
MLH1MLH1
rs1800734rs1800734
-93-93
A>GA> G
[G][G]
MTHFRMTHFR
rs1801131rs1801131
1298A>C1298A> C
A>CA> C
[C][C]
rs1801133rs1801133
Ala222ValAla222Val
C>TC> T
[T][T]
NEFMNEFM
rs1379357rs1379357
..
G>CG> C
[C][C]
NOS1APNOS1AP
rs10918594rs10918594
..
G>CG> C
[GG][GG]
rs10494366rs10494366
..
G>TG> T
[GG][GG]
NOS3NOS3
rs2070744rs2070744
-786T>C-786T> C
T>CT > C
[CC][CC]
NPPANPPA
rs5065rs5065
T2238C T2238C
A>GA> G
[GG][GG]
NQO1NQO1
rs1800566rs1800566
*2, c.558C>T* 2, c.558C > T
C>TC> T
*2 [T]* 2 [T]
NR1I2NR1I2
rs1464603rs1464603
g.252A>Gg.252A> G
T>CT > C
[C][C]
NTRK1NTRK1
rs2768759rs2768759
..
A>CA> C
[C][C]
OPRM1OPRM1
rs1799971rs1799971
A118GA118G
A>GA> G
[G][G]
P2RY1P2RY1
rs701265rs701265
..
A>GA> G
[G][G]
rs1065776rs1065776
893C>T 893C> T
C>TC> T
[T][T]
P2RY12P2RY12
rs2046934rs2046934
T744CT744C
T>CT > C
[C][C]
PTGS1PTGS1
rs3842787rs3842787
P17LP17L
C>TC> T
[T][T]
PTGS2PTGS2
rs20417rs20417
-765G>C-765G> C
G>CG> C
[C][C]
RGS4RGS4
rs951439rs951439
..
C>TC> T
[TT][TT]
rs2661319rs2661319
..
A>GA> G
[AA][AA]
rs2842030rs2842030
..
T>GT> G
[GG][GG]
SCN5ASCN5A
rs12053903rs12053903
..
C>TC> T
[TT][TT]
rs1805124rs1805124
H558R H558R
A>GA> G
[GG][GG]
rs7626962rs7626962
S1103Y S1103Y
G>TG> T
[TT][TT]
SLC10A1SLC10A1
rs2296651rs2296651
800C>T800C> T
G>AG> A
[T][T]
SLC10A2SLC10A2
rs2301159rs2301159
c.*755C>T c. * 755C> T
C>TC> T
[T][T]
SLC19A1SLC19A1
rs1051266rs1051266
Arg27His, c.*746C>TArg27His, c. * 746C > T
A>GA> G
[AA][AA]
SLC1A1SLC1A1
rs2228622rs2228622
..
G>AG> A
[A: ACG][A: ACG]
rs3780413rs3780413
..
C>GC> G
[C: ACG][C: ACG]
rs3780412rs3780412
..
A>GA> G
[G: ACG][G: ACG]
SLC22A1SLC22A1
rs34059508rs34059508
1393G>A, G465R1393G > A, G465R
G>AG> A
[A][A]
rs12208357rs12208357
148C>T, R61C148C > T, R61C
C>TC> T
[T][T]
SLC22A16SLC22A16
rs714368rs714368
146A>G, His49Arg 146A > G, His49Arg
A>GA> G
[G][G]
SLC22A2SLC22A2
rs316019rs316019
*4, A270S* 4, A270S
G>TG> T
*4 [G]* 4 [G]
rs8177517rs8177517
K432QK432Q
A>CA> C
[C][C]
rs8177507rs8177507
M165IM165I
C>TC> T
[T][T]
rs8177516rs8177516
*7, R400C* 7, R400C
C>TC> T
*7 [T]* 7 [T]
SLC28A2SLC28A2
rs2413775rs2413775
16334845T>A16334845T> A
A>TA> T
[A][A]
SLC28A3SLC28A3
rs11568388rs11568388
1099G>A1099G> A
G>AG> A
[A][A]
SLCO1B1SLCO1B1
rs56199088rs56199088
*10, D655G* 10, D655G
A>GA> G
*10 [G]* 10 [G]
rs2306283rs2306283
*1B, N130D* 1B, N130D
C>TC> T
*1B [C]* 1B [C]
rs56101265rs56101265
*2, F73L* 2, F73L
T>CT > C
*2 [C]* 2 [C]
rs72559745rs72559745
*3, E156G* 3, E156G
A>GA> G
*3 [G]* 3 [G]
rs56061388rs56061388
*3, V82A* 3, V82A
T>CT > C
*3 [C]* 3 [C]
rs4149056rs4149056
*5, c.521T>C* 5, c.521T > C
T>CT > C
*5 [C]* 5 [C]
rs59502379rs59502379
*9, G488A* 9, G488A
G>CG> C
*9 [C]* 9 [C]
rs4149081rs4149081
intronic A/Gintronic A / G
G>AG> A
[A][A]
rs11045879rs11045879
intronic C/Tintronic C / T
T>CT > C
[C][C]
SLCO1B3SLCO1B3
rs11045585rs11045585
..
A>GA> G
[C][C]
SLCO2B1SLCO2B1
rs12422149rs12422149
Arg312GlnArg312Gln
G>AG> A
[A][A]
ST6GAL1ST6GAL1
rs10937275rs10937275
--
G>AG> A
[A][A]
SULT1C4SULT1C4
rs1402467rs1402467
p.Asp5Glu p.Asp5Glu
C>GC> G
[G][G]
TCF7L2TCF7L2
rs12255372rs12255372
..
G>TG> T
[T][T]
TNFTNF
rs1800629rs1800629
-308G>A-308G> A
G>AG> A
[A][A]
TP53TP53
rs1042522rs1042522
Arg72ProArg72Pro
G>CG> C
[G][G]
UGT1A7UGT1A7
rs7586110rs7586110
-57T>G-57T> G
T>GT> G
[G][G]
UGT1A8UGT1A8
rs1042597rs1042597
*2, c.518C>G, Ala173Gly* 2, c.518C > G, Ala173Gly
C>GC> G
[C][C]
UGT2B10UGT2B10
rs7657958rs7657958
Asp67Tyr taggingAsp67Tyr tagging
G>AG> A
[A][A]
UGT2B15UGT2B15
rs1902023rs1902023
*2, Y85D* 2, Y85D
T>GT> G
*2 [G]* 2 [G]
UGT2B17UGT2B17
rs6552182rs6552182
*2, CNV* 2, CNV
Loss>GainLoss> Gain
*2 [Gain]* 2 [Gain]
ULK3ULK3
rs2290573rs2290573
..
C>TC> T
[CC][CC]
VDRVDR
rs1544410rs1544410
BsmI BsmI
G>AG> A
[A][A]
2) 피험자로부터 분리된 게놈 DNA를 이용하여 주요 약물 관련 유전자 및 유전형을 대용량으로 분석할 수 있는 최적의 분석방법(Glass microbead assay 방법 및 SNaPshot 방법)으로 조합하여 분석하는 단계; 및2) analyzing the genomic DNA isolated from the subject using an optimal analysis method (Glass microbead assay method and SNaPshot method) capable of analyzing major drug-related genes and genotypes in large quantities; And
3) 상기 분석방법을 이용하여 얻어진 개체의 약물유전형 진단결과를 가지고, 개체의 생물학적 활성을 구분하여, 약물유전형과 관련된 약물 반응을 미리 예측하는 방법을 제공한다.3) Provides a method for predicting the drug response related to the drug genotype by classifying the biological activity of the individual, with the result of the drug genotype diagnosis of the individual obtained using the above analysis method.
상기 용어 'SNP(Single Nucleotide polymorphism)'는 개인의 DNA에 존재하는 한 염기쌍(single base-pair variation)의 차이로 DNA 서열 다형성 중에서 가장 많이 존재하는 형태를 의미한다(약 1개/1kb).The term 'single nucleotide polymorphism' (SNP) refers to the most common form of DNA sequence polymorphism (about 1/1 kb) due to differences in single base-pair variation in individual DNA.
상기 용어 'SNP ID'는 상기 각 SNP의 서열 및 그 위치를 나타내는 것이다. 당업자라면 상기 등록번호를 이용하여 SNP의 위치 및 서열을 용이하게 확인할 수 있을 것이다. NCBI의 dbSNP(The Single Nucleotide Polymorphism Database)에 등록되어 있는 SNP의 rs 번호에 해당하는 구체적인 서열은 시간이 지남에 따라 약간 변경될 수 있다. 본 발명의 범위가 상기 변경된 서열에도 미치는 것은 당업자에게 자명할 것이다.The term 'SNP ID' indicates the sequence of each SNP and its position. Those skilled in the art will readily be able to ascertain the location and sequence of the SNP using the registration number. The specific sequence corresponding to the rs number of the SNP registered in NCBI's dbSNP (The Single Nucleotide Polymorphism Database) may change slightly over time. It will be apparent to those skilled in the art that the scope of the present invention also affects the altered sequence.
상기 방법에 있어서, 단계 2)의 분석방법은 Glass microbeads assay 분석법 또는 SNaPshot(Single Base Extension) 분석법으로 수행하는 것이 바람직하나 상기 분석법에 한정되지 않는다.
In the above method, the analysis method of step 2) is preferably performed by Glass microbeads assay method or SNaPshot (Single Base Extension) method, but is not limited thereto.
또한, 본 발명에 따른 상기 방법으로 진단한 개인의 약물유전형 결과로 하기 [표 2]를 이용하여 약물유전형에 따른 약물반응을 예측하여 개체를 구분하는 방법을 포함한다.Also, as a result of the drug genotypes of individuals diagnosed by the method according to the present invention, there is a method of predicting drug responses according to drug genotypes and distinguishing individuals using Table 2 below.
GeneGene
SNP IDSNP ID
변이 유전형Mutation type
약물 반응 예측Predict drug response
CYP2D6CYP2D6
rs1065852rs1065852
*10 [T]* 10 [T]
Poor metabolizerPoor metabolizer
rs16947rs16947
*2 [T]* 2 [T]
Poor metabolizerPoor metabolizer
rs1135822rs1135822
*49 [A]* 49 [A]
Poor metabolizerPoor metabolizer
rs35742686rs35742686
*3 [del]* 3 [del]
Poor metabolizerPoor metabolizer
rs3892097rs3892097
*4 [A]* 4 [A]
Poor metabolizerPoor metabolizer
rs5030655rs5030655
*6 [del]* 6 [del]
Poor metabolizerPoor metabolizer
rs79738337rs79738337
*60 [T]* 60 [T]
..
rs1058164rs1058164
*2, *4, *8, *10 [C]* 2, * 4, * 8, * 10 [C]
Poor metabolizerPoor metabolizer
rs1135840rs1135840
*2A [C]* 2A [C]
NormalNormal
rs28371525rs28371525
*41 [A]* 41 [A]
Poor metabolizerPoor metabolizer
CYP2D6_2CYP2D6_2
*60 [ins]* 60 [ins]
..
rs5030867rs5030867
*7 [C]* 7 [C]
Poor metabolizerPoor metabolizer
rs5030865rs5030865
*8 [T]* 8 [T]
Poor metabolizerPoor metabolizer
rs5030656rs5030656
*9 [del]* 9 [del]
Poor metabolizerPoor metabolizer
CYP2C9CYP2C9
rs28371685rs28371685
*11 [T]* 11 [T]
DecreasedDecreased
rs9332239rs9332239
*12 [T]* 12 [T]
DecreasedDecreased
rs72558187rs72558187
*13 [C]* 13 [C]
DecreasedDecreased
rs72558190rs72558190
*15 [A]* 15 [A]
DecreasedDecreased
rs72558193rs72558193
*18 [C]* 18 [C]
DecreasedDecreased
rs1799853rs1799853
*2 [T]* 2 [T]
DecreasedDecreased
rs72558188rs72558188
*25 [del]* 25 [del]
DecreasedDecreased
rs1057910rs1057910
*3 [del]* 3 [del]
DecreasedDecreased
rs9332131rs9332131
*6 [G]* 6 [G]
DecreasedDecreased
rs9332092rs9332092
[C][C]
..
rs9332096rs9332096
[T][T]
..
rs9332098rs9332098
[A][A]
..
rs4918758rs4918758
*1C [T]* 1C [T]
..
VKORC1VKORC1
rs9934438rs9934438
[AG/AA][AG / AA]
Poor metabolizerPoor metabolizer
rs8050894rs8050894
*2 [G]* 2 [G]
Poor metabolizerPoor metabolizer
rs2359612rs2359612
*2 [A]* 2 [A]
Poor metabolizerPoor metabolizer
rs7200749rs7200749
*3F [A]* 3F [A]
Poor metabolizerPoor metabolizer
rs7294rs7294
[A][A]
Poor metabolizerPoor metabolizer
rs17708472rs17708472
*4 [A]* 4 [A]
Poor metabolizerPoor metabolizer
CYP2C19CYP2C19
rs12248560rs12248560
*17 [T]* 17 [T]
Ultra rapid metabolizerUltra rapid metabolizer
rs4244285rs4244285
*2 [A]* 2 [A]
Poor metabolizerPoor metabolizer
rs4986893rs4986893
*3 [A]* 3 [A]
Poor metabolizerPoor metabolizer
rs28399504rs28399504
*4 [G]* 4 [G]
Poor metabolizerPoor metabolizer
rs41291556rs41291556
*8 [C]* 8 [C]
Poor metabolizerPoor metabolizer
rs17885098rs17885098
*2, *4 [T]* 2, * 4 [T]
Poor metabolizerPoor metabolizer
rs3758580rs3758580
*2 [T]* 2 [T]
Poor metabolizerPoor metabolizer
rs11568732rs11568732
[G][G]
..
rs4986894rs4986894
[C][C]
..
rs17886522rs17886522
[C][C]
..
rs17878649rs17878649
[A][A]
..
rs4417205rs4417205
[G][G]
..
rs4917623rs4917623
[T][T]
..
rs11188072rs11188072
*17 [T]* 17 [T]
NormalNormal
rs56337013rs56337013
*5A [T]* 5A [T]
Poor metabolizerPoor metabolizer
DPYDDPYD
rs3918290rs3918290
*2A [A]* 2A [A]
DecreasedDecreased
rs1801268rs1801268
*10 [T]* 10 [T]
DecreasedDecreased
rs1801159rs1801159
*5 [G]* 5 [G]
NormalNormal
rs72549309rs72549309
*7 [del, T]* 7 [del, T]
DecreasedDecreased
rs1801266rs1801266
*8 [T]* 8 [T]
DecreasedDecreased
rs1801265rs1801265
*9A [C]* 9A [C]
NormalNormal
rs1801267rs1801267
*9B [A]* 9B [A]
DecreasedDecreased
rs2297595rs2297595
[C][C]
DecreasedDecreased
rs72981743rs72981743
[A][A]
..
DPYD_2DPYD_2
[C][C]
..
rs1042482rs1042482
[A][A]
..
rs291593rs291593
[C][C]
..
DPYD_1DPYD_1
[G][G]
..
DPYD_3DPYD_3
[T][T]
..
DPYD_4DPYD_4
[G][G]
..
rs56279424rs56279424
[T][T]
..
G6PDG6PD
rs2230037rs2230037
[T][T]
DecreasedDecreased
rs1050828rs1050828
[T][T]
DecreasedDecreased
rs1050829rs1050829
[G][G]
DecreasedDecreased
rs34193178rs34193178
[C][C]
..
rs2472393rs2472393
[T][T]
..
rs743544rs743544
[T][T]
..
HLA-B*1502HLA-B * 1502
rs3130690rs3130690
*1502 [A]* 1502 [A]
Carbamazepine 부작용Carbamazepine Side Effects
rs3909184rs3909184
*1502 [G]* 1502 [G]
Carbamazepine 부작용Carbamazepine Side Effects
rs2844682rs2844682
*1502 [T]* 1502 [T]
Carbamazepine 부작용Carbamazepine Side Effects
HLA-B*5701HLA-B * 5701
rs2395029rs2395029
*5701 [G]* 5701 [G]
Abacarvir 과민반응Abacarvir hypersensitivity reaction
NAT1NAT1
rs4986988rs4986988
*11 [T]* 11 [T]
..
rs4986989rs4986989
*11 [T]* 11 [T]
..
rs4986990rs4986990
*11 [A]* 11 [A]
..
rs4986783rs4986783
*11 [G]* 11 [G]
..
rs5030839rs5030839
*15 [T]* 15 [T]
Slow acetylatorSlow acetylator
rs56379106rs56379106
*17 [T]* 17 [T]
Slow acetylatorSlow acetylator
rs56318881rs56318881
*19 [T]* 19 [T]
Slow acetylatorSlow acetylator
rs56172717rs56172717
*22 [T}* 22 [T}
Slow acetylatorSlow acetylator
rs55793712rs55793712
*5 [G]* 5 [G]
..
rs72554612rs72554612
*5 [G]* 5 [G]
..
NAT2NAT2
rs1799929rs1799929
*11A [T]* 11A [T]
Slow acetylatorSlow acetylator
rs1041983rs1041983
*13 [T]* 13 [T]
Rapid acetylatorRapid acetylator
rs1805158rs1805158
*19 [T]* 19 [T]
Slow acetylatorSlow acetylator
rs1799930rs1799930
*6A [A]* 6A [A]
Slow acetylatorSlow acetylator
rs1799931rs1799931
*7A [A]* 7A [A]
Slow acetylatorSlow acetylator
rs4986996rs4986996
*12D [A]* 12D [A]
Slow acetylatorSlow acetylator
rs4646241rs4646241
[C][C]
..
rs4646242rs4646242
[G][G]
..
rs4646243rs4646243
[C][C]
..
rs4646246rs4646246
[G][G]
..
TPMTTPMT
rs1800460rs1800460
*3B [A]* 3B [A]
Poor metabolizerPoor metabolizer
rs1142345rs1142345
*3C [G]* 3C [G]
Poor metabolizerPoor metabolizer
rs75543815rs75543815
*6 [A]* 6 [A]
Poor metabolizerPoor metabolizer
rs1800462rs1800462
*2 [C]* 2 [C]
Poor metabolizerPoor metabolizer
rs12201199rs12201199
[T][T]
Cisplatin에 의한 hearing loss의 위험도가 높음The risk of hearing loss due to cisplatin is high
rs1800584rs1800584
*4 [A]* 4 [A]
Poor metabolizerPoor metabolizer
UGT1A1UGT1A1
rs4124874rs4124874
*60 [C]* 60 [C]
Irinotecan에 독성의 가능성 있음Potentially toxic to Irinotecan
rs887829rs887829
*28 [A]* 28 [A]
Poor metabolizerPoor metabolizer
rs28934877rs28934877
*38 [G]* 38 [G]
..
rs55750087rs55750087
*29 [G]* 29 [G]
Poor metabolizerPoor metabolizer
rs4148323rs4148323
*6 [A]* 6 [A]
Irinotecan에 독성의 가능성 있음Potentially toxic to Irinotecan
rs34993780rs34993780
*7 [G]* 7 [G]
Poor metabolizerPoor metabolizer
rs10929302rs10929302
*93 [A]* 93 [A]
Irinotecan에 독성의 가능성 있음Potentially toxic to Irinotecan
rs3755319rs3755319
[G][G]
..
rs2003569rs2003569
[A][A]
..
CYP2E1CYP2E1
rs2031920rs2031920
*5 [T]* 5 [T]
..
rs6413432rs6413432
*6 [A]* 6 [A]
..
rs3813867rs3813867
*5A, *5B [C]* 5A, * 5B [C]
..
rs2070673rs2070673
*7, [A]* 7, [A]
..
rs2070875rs2070875
[G][G]
..
rs2515641rs2515641
[T][T]
..
CYP3A4CYP3A4
rs4987161rs4987161
*17 [C]* 17 [C]
Poor metabolizerPoor metabolizer
rs28371759rs28371759
*18 [C]* 18 [C]
Rapid metabolizerRapid metabolizer
rs2740574rs2740574
*1B [G]* 1B [G]
..
CYP3A5CYP3A5
rs776746rs776746
*3 [G]* 3 [G]
Poor metabolizerPoor metabolizer
rs55965422rs55965422
*5 [G]* 5 [G]
Poor metabolizerPoor metabolizer
rs10264272rs10264272
*6 [T]* 6 [T]
Poor metabolizerPoor metabolizer
rs41303343rs41303343
*7 [ins, T]* 7 [ins, T]
Poor metabolizerPoor metabolizer
rs28383479rs28383479
*9 [A]* 9 [A]
Poor metabolizerPoor metabolizer
rs41279854rs41279854
*10 [G]* 10 [G]
Poor metabolizerPoor metabolizer
CYP4B1CYP4B1
rs4646487rs4646487
[T][T]
Docetaxel, thalidomid에 독성의 가능성 있음Docetaxel, Possible toxicity to thalidomid
CYP4F2CYP4F2
rs2108622rs2108622
[T][T]
Poor metabolizer로서 고용량 warfarin 투약 대상High doses of warfarin as a poor metabolizer
CYP19A1CYP19A1
rs4646rs4646
[A][A]
..
rs6493497rs6493497
[A][A]
Hormone receptor-positive metastatic breast cancer 환자에서 anastrozole, exemestane, letrozole의 효과 높음Effects of anastrozole, exemestane, and letrozole in patients with hormone receptor-positive metastatic breast cancer
CYP1A2CYP1A2
rs762551rs762551
*1F [A]* 1F [A]
Poor metabolizerPoor metabolizer
rs2069526rs2069526
*1E [G]* 1E [G]
..
rs2470890rs2470890
*1B [C]* 1B [C]
..
rs2069522rs2069522
[C][C]
..
rs3743484rs3743484
[C][C]
..
rs72547513rs72547513
*11 [A]* 11 [A]
Poor metabolizerPoor metabolizer
rs72547511rs72547511
*15 [G]* 15 [G]
Poor metabolizerPoor metabolizer
rs72547515rs72547515
*16 [T]* 16 [T]
Poor metabolizerPoor metabolizer
rs55889066rs55889066
*5 [A]* 5 [A]
Poor metabolizerPoor metabolizer
rs28399424rs28399424
*6 [T]* 6 [T]
Poor metabolizerPoor metabolizer
rs72547517rs72547517
*8 [A]* 8 [A]
Poor metabolizerPoor metabolizer
rs2472304rs2472304
[A][A]
..
rs4646427rs4646427
[C][C]
..
rs2069521rs2069521
[A][A]
Poor metabolizerPoor metabolizer
CYP1B1CYP1B1
rs1056836rs1056836
*3 [G]* 3 [G]
Breast cancer 환자의 경우 paclitaxel 투약 시에 progression-free survival의 가능성 높음In patients with breast cancer, the probability of progression-free survival for paclitaxel is high
CYP2A6CYP2A6
rs28399468rs28399468
*10 [T]* 10 [T]
Poor metabolizerPoor metabolizer
rs28399433rs28399433
*13, *15 [G]* 13, * 15 [G]
Poor metabolizerPoor metabolizer
rs1809810rs1809810
*18 [T]* 18 [T]
Poor metabolizerPoor metabolizer
rs56256500rs56256500
*23 [A]* 23 [A]
Poor metabolizerPoor metabolizer
rs28399444rs28399444
*20 [del]* 20 [del]
Poor metabolizerPoor metabolizer
CYP2B6CYP2B6
rs12721655rs12721655
*8 [G]* 8 [G]
Poor metabolizerPoor metabolizer
rs1042389rs1042389
[C][C]
Carbamazepine에 의한 maculopapular exanthema 또는 hypersensitivity syndrome의 가능성이 있음Possible maculopapular exanthema or hypersensitivity syndrome by carbamazepine
rs34223104rs34223104
*22 [T]* 22 [T]
Rapid metabolizerRapid metabolizer
rs36079186rs36079186
*27 [C]* 27 [C]
Poor metabolizerPoor metabolizer
rs34097093rs34097093
*28 [T]* 28 [T]
Poor metabolizerPoor metabolizer
rs3211371rs3211371
*5A [T]* 5A [T]
Poor metabolizerPoor metabolizer
rs8192709rs8192709
*2 [T]* 2 [T]
조혈모세포 이식환자에서 hemorrhagic cystitis 발생 가능성 있음Possible hemorrhagic cystitis in patients with hematopoietic stem cell transplantation
rs28399499rs28399499
*18 [C]* 18 [C]
Poor metabolizerPoor metabolizer
rs58425034rs58425034
[C][C]
ALT 값이 높을 가능성 있음Possibly high ALT value
rs12721646rs12721646
[T][T]
ALT 값이 높을 가능성 있음Possibly high ALT value
CYP2C8CYP2C8
rs11572103rs11572103
*2 [T]* 2 [T]
Poor metabolizerPoor metabolizer
rs10509681rs10509681
*5 [del]* 5 [del]
Poor metabolizerPoor metabolizer
rs11572177rs11572177
[G][G]
..
rs1113129rs1113129
[C][C]
Paclitaxel에 의한 neurotoxicity 발생의 위험도가 낮음The risk of neurotoxicity by paclitaxel is low
rs1341164rs1341164
[C][C]
Docetaxel의 대사활성이 낮음Low metabolic activity of Docetaxel
CYP2C18CYP2C18
rs12777823rs12777823
[A][A]
CYP2C19 poor metabolizerCYP2C19 poor metabolizer
ABCB1ABCB1
rs1045642rs1045642
[T][T]
Poor metabolizerPoor metabolizer
rs1128503rs1128503
[T][T]
고용량 methadone 처방이 필요함High dose methadone prescription required
rs10280101rs10280101
[C][C]
Rapid metabolizerRapid metabolizer
rs7787082rs7787082
[A][A]
Rapid metabolizerRapid metabolizer
rs4148739rs4148739
[G][G]
Rapid metabolizerRapid metabolizer
rs11983225rs11983225
[C][C]
Rapid metabolizerRapid metabolizer
rs12720067rs12720067
[A][A]
Rapid metabolizerRapid metabolizer
rs3213619rs3213619
[C][C]
Poor metabolizerPoor metabolizer
rs2235015rs2235015
[T][T]
Rapid metabolizerRapid metabolizer
rs10276036rs10276036
[C][C]
..
rs35810889rs35810889
[C][C]
Poor metabolizerPoor metabolizer
rs35023033rs35023033
[T][T]
Poor metabolizerPoor metabolizer
rs28364274rs28364274
[A][A]
Rapid metabolizerRapid metabolizer
rs35730308rs35730308
[C][C]
Rapid metabolizerRapid metabolizer
rs2032582rs2032582
[T/A][T / A]
Poor metabolizerPoor metabolizer
rs3789243rs3789243
[T][T]
Poor metabolizerPoor metabolizer
ABCC1ABCC1
rs3784862rs3784862
[G][G]
methotrexate 독성이 낮음methotrexate low toxicity
rs246240rs246240
[A][A]
methotrexate 독성이 낮음methotrexate low toxicity
rs2238476rs2238476
[C][C]
methotrexate 독성이 낮음methotrexate low toxicity
rs35592rs35592
[T][T]
methotrexate 독성이 낮음methotrexate low toxicity
rs35605rs35605
[T][T]
..
rs2230671rs2230671
[A][A]
Citalopram의 치료효과가 높음Treatment effect of citalopram is high
rs212090rs212090
[A][A]
Citalopram의 치료효과가 높음Treatment effect of citalopram is high
rs35529209rs35529209
[A][A]
Decreased transport activityDecreased transport activity
rs4148356rs4148356
[A][A]
Decreased transport activityDecreased transport activity
rs45511401rs45511401
[T][T]
Doxorubicin에 의한 acute cardiotoxicity의 가능성이 있음Possibility of acute cardiotoxicity by Doxorubicin
rs119774rs119774
[A][A]
천식환자에서 montelukast 투약에 의한 치료효과가 높음Montelukast medication is effective in asthmatic patients
ABCC2ABCC2
rs717620rs717620
[A][A]
Poor metabolizerPoor metabolizer
rs3740066rs3740066
[A][A]
Poor metabolizerPoor metabolizer
rs8187710rs8187710
[A][A]
Poor metabolizerPoor metabolizer
rs2273697rs2273697
[A][A]
Carbamazepine 약물에 부작용 가능성 있음Possible Side Effects on Carbamazepine Drugs
rs17222723rs17222723
[A][A]
Non-Hodgkin lymphoma의 위험도가 있음Risk of non-Hodgkin lymphoma
rs12762549rs12762549
[G][G]
Docetaxel에 의한 leukopenia/neutropenia의 가능성 있음Possibility of leukopenia / neutropenia by Docetaxel
ABCC4ABCC4
rs1751034rs1751034
[C][C]
Poor metabolizerPoor metabolizer
rs9561778rs9561778
[T][T]
약물부작용Drug side effects
ABCC6ABCC6
rs2238472rs2238472
[A][A]
Docetaxel, thalidomide에 독성의 가능성 있음Docetaxel, Possible toxicity to thalidomide
ABCG2ABCG2
rs13120400rs13120400
[C][C]
Rapid metabolizerRapid metabolizer
rs17731538rs17731538
[A][A]
Poor metabolizerPoor metabolizer
rs2622604rs2622604
[T][T]
Irinotecan 투약환자에서 myelosuppression 발생의 가능성 있음Possible occurrence of myelosuppression in patients receiving Irinotecan
rs2231142rs2231142
[A][A]
통풍의 위험도가 높고, gefinitib 투약환자에서는 설사 발생의 가능성이 있음There is a high risk of gout, and patients with gefinitib may have diarrhea.
ABOABO
rs8176746rs8176746
[AA][AA]
ACE 유전자의 activity가 높으며, ACE inhibitor에 의한 혈압 저하의 효과가 높음ACE gene activity is high and blood pressure reduction by ACE inhibitor is high
rs495828rs495828
[GG][GG]
ACE 유전자의 activity가 높으며, ACE inhibitor에 의한 혈압 저하의 효과가 높음ACE gene activity is high and blood pressure reduction by ACE inhibitor is high
ACEACE
rs4341rs4341
[GG][GG]
Thiazide와 관련된 diabetes 발생의 가능성이 있음Possible risk of diabetes associated with thiazide
ADMADM
rs11042725rs11042725
[CC][CC]
Paroxetine의 치료효과가 낮음Treatment effect of paroxetine is low
ADRB2ADRB2
rs1042713rs1042713
[AA][AA]
천식환자에서 albuterol, salmeterol의 효과가 낮음Low effect of albuterol and salmeterol in asthmatic patients
rs1800888rs1800888
[T][T]
Coronary artery disease의 위험도가 높고, epineprin에 대한 binding affinity가 낮음The risk of coronary artery disease is high and the binding affinity for epineprin is low
ADRB3ADRB3
rs4994rs4994
[C][C]
Olanzapine에 의한 체중 증가의 가능성 있음Possible weight gain due to olanzapine
AGTR1AGTR1
rs5182rs5182
[C][C]
ACE inhibitor 치료를 받는 환자에서 myocardial infarction의 위험도가 낮음The risk of myocardial infarction is low in patients receiving ACE inhibitor therapy
AKT1AKT1
rs2494732rs2494732
[TT][TT]
First-episode schizophrenia 환자에서 risperidone의 치료 효과가 높음The treatment effect of risperidone was high in first-episode schizophrenia patients
ANKK1ANKK1
rs1800497rs1800497
[T][T]
Bupropion의 효과가 낮음Bupropion is less effective
AOX1AOX1
rs55754655rs55754655
[GG][GG]
염증성장질환 환자에서 azathioprine의 치료 효과가 낮음The treatment effect of azathioprine is low in patients with inflammatory growth disease
APOBAPOB
rs1367117rs1367117
[G][G]
HIV환자에서 ritonavir를 투약했을 때 hyperlipidemia의 발생 가능성 있음Possibility of hyperlipidemia when ritonavir is administered in HIV patients
APOC3APOC3
rs5128rs5128
[C][C]
HIV환자에서 ritonavir를 투약했을 때 hyperlipidemia의 발생 가능성 있음Possibility of hyperlipidemia when ritonavir is administered in HIV patients
rs2854117rs2854117
[A][A]
HIV환자에서 ritonavir를 투약했을 때 hyperlipidemia의 발생 가능성 있음Possibility of hyperlipidemia when ritonavir is administered in HIV patients
ARG1ARG1
rs2781659rs2781659
[G][G]
기관지확장제의 치료 효과가 낮음The effect of bronchodilator treatment is low
ATMATM
rs4585rs4585
[T][T]
Metformin의 치료효과가 낮음Metformin has low therapeutic effect
ATP7AATP7A
rs2227291rs2227291
[G][G]
Docetaxel, thalidomide에 독성의 가능성 있음Docetaxel, Possible toxicity to thalidomide
ATXN1ATXN1
rs179997rs179997
[G][G]
알코올의존도가 높고, naltrexone의 알콜중독 치료효과가 높음Alcohol dependence is high, and naltrexone is highly effective in treating alcoholism
BAT3BAT3
rs750332rs750332
[G][G]
Carbamazepine에 의한 Stevens-Johnson syndrome과 Toxic Epidermal Necrolysis의 가능성 있음Possible Stevens-Johnson syndrome and Toxic Epidermal Necrolysis by Carbamazepine
BCHEBCHE
rs1799807rs1799807
[G][G]
Succinylcholine, mivacurium의 치료효과 낮음Succinylcholine, mivacurium treatment is ineffective
rs28933390rs28933390
[T][T]
Succinylcholine, mivacurium의 치료효과 낮음Succinylcholine, mivacurium treatment is ineffective
rs28933389rs28933389
[T][T]
Succinylcholine, mivacurium의 치료효과 낮음Succinylcholine, mivacurium treatment is ineffective
BDKRB1BDKRB1
rs12050217rs12050217
[AA][AA]
Perindopril에 cardiac event 가능성 낮음Perindopril cardiac event is unlikely
BDKRB2BDKRB2
rs1799722rs1799722
[T][T]
ACE inhibitor에 의한 cough의 발생 가능성 높음Cough is likely to occur due to ACE inhibitors
C6orf10C6F10
rs3129900rs3129900
[G][G]
Lumiracoxib 효과 높음Lumiracoxib Effect High
CACNG2CACNG2
rs2284017rs2284017
[C][C]
Lithium에 Bipolar Disorder 가능성 있음Possible Bipolar Disorder in Lithium
rs2284018rs2284018
[C][C]
Lithium에 Bipolar Disorder 가능성 있음Possible Bipolar Disorder in Lithium
rs5750285rs5750285
[C}[C]
Lithium에 Bipolar Disorder 가능성 있음Possible Bipolar Disorder in Lithium
CATCAT
rs10836235rs10836235
[CC][CC]
Anthracyline에 cardiac damage 위험 가능성 있음Possible risk of cardiac damage to anthracyline
CBR1CBR1
rs9024rs9024
[GG][GG]
Doxorubicin이 빠르게 대사됨Fast metabolism of Doxorubicin
rs20572rs20572
[CC][CC]
Doxorubicin이 빠르게 대사됨Fast metabolism of Doxorubicin
CBR3CBR3
rs2835285rs2835285
[A][A]
Poor metabolizerPoor metabolizer
rs1056892rs1056892
[A][A]
Poor metabolizerPoor metabolizer
CCND1CCND1
rs17852153rs17852153
[G][G]
Colorectal cancer 환자의 경우 cetuximab 치료 시에 생존 가능성 높음Patients with colorectal cancer are more likely to survive treatment with cetuximab
CDACDA
rs2072671rs2072671
[A: AA][A: AA]
Poor metabolizer, 독성의 가능성 있음Poor metabolizer, possible toxicity
rs60369023rs60369023
[A: AA][A: AA]
Poor metabolizer, 독성의 가능성 있음Poor metabolizer, possible toxicity
rs532545rs532545
[AA][AA]
예후가 나쁨Poor prognosis
CETPCETP
rs708272rs708272
[T][T]
HDL 콜레스테롤 높을 가능성 있음Possible high HDL cholesterol
CHST3CHST3
rs4148943rs4148943
[CC][CC]
예후가 좋음Good prognosis
rs4148945rs4148945
[CC][CC]
예후가 좋음Good prognosis
rs4148950rs4148950
[AA][AA]
예후가 좋음Good prognosis
rs1871450rs1871450
[AA][AA]
예후가 좋음Good prognosis
rs730720rs730720
[AA][AA]
예후가 좋음Good prognosis
rs12418rs12418
[AA][AA]
예후가 좋음Good prognosis
CNTFCNTF
rs1800169rs1800169
[A][A]
Schizophrenia 환자의 경우 iloperidone의 효과 좋음Effect of iloperidone in schizophrenia patients
COMTCOMT
rs9332377rs9332377
[T][T]
Cisplatin에 의한 hearing loss의 가능성 있음Possibility of hearing loss by cisplatin
rs737865rs737865
[C: CG][C: CG]
금연에 bupropion 효과 좋음Good bupropion effect on smoking cessation
rs165599rs165599
[G: CG][G: CG]
금연에 bupropion 효과 좋음Good bupropion effect on smoking cessation
rs4680rs4680
[G][G]
Morphine 고용량 처방 대상High-dose prescription for Morphine
CRHR2CRHR2
rs2267715rs2267715
[G][G]
소아천식환자에서 salbutamol의 급성기관지수축 효과가 낮음The acute bronchoconstriction effect of salbutamol in pediatric asthmatics is low
rs2284220rs2284220
[G][G]
소아천식환자에서 salbutamol의 급성기관지수축 효과가 낮음The acute bronchoconstriction effect of salbutamol in pediatric asthmatics is low
rs7793837rs7793837
[T][T]
소아천식환자에서 salbutamol의 급성기관지수축 효과가 낮음The acute bronchoconstriction effect of salbutamol in pediatric asthmatics is low
CYTSACYTSA
rs5760410rs5760410
[G][G]
Methotrexate 부작용 가능성 있음Methotrexate Possible Side Effects
DRD2DRD2
rs4436578rs4436578
[C][C]
Schizophrenia 환자에서 clozapine, risperidone에 체중증가 가능성Possibility of weight gain for clozapine and risperidone in schizophrenia patients
rs1799978rs1799978
[G][G]
Schizophrenia 환자에서 risperidone을 처방받았을 경우 혈중 proractin의 농도가 높아져 hyperprolactinemia의 위험도가 높음When risperidone is prescribed in patients with schizophrenia, the risk of hyperprolactinemia is high due to elevated serum proractin levels
rs6277rs6277
[C][C]
Schizophrenia 환자에서 clozapine, risperidone에 체중증가 가능성. Methadone 효과 낮음Possibility of weight gain in clozapine and risperidone in schizophrenia patients. Low methadone effect
rs1076560rs1076560
[A][A]
Alcoholism 위험도 높음High Alcoholism Risk
DRD3DRD3
rs167771rs167771
[G][G]
정신질환자의 경우 risperidone 투약으로 extrapyramidal symptom의 가능성 있음Possibility of extrapyramidal symptom due to risperidone dose in mental patients
rs6280rs6280
[C][C]
Olanzapine의 치료효과가 높음Olanzapine has a high therapeutic effect
EGFREGFR
rs121434568rs121434568
[G][G]
암환자의 경우 erlotinib, gefitinib 효과 높음In patients with cancer, erlotinib, gefitinib
rs2227983rs2227983
[A][A]
암환자의 경우 erlotinib, gefitinib 효과 높음In patients with cancer, erlotinib, gefitinib
EPHX1EPHX1
rs1051740rs1051740
[CC][CC]
Carbamazepine 비활성 대사체 증가Carbamazepine inactive metabolite increase
rs2234922rs2234922
[GG][GG]
Carbamazepine 비활성 대사체 증가Carbamazepine inactive metabolite increase
ERBB2ERBB2
rs1136201rs1136201
[A][A]
Trastuzumab에 의한 cardiac toxicity 위험성 높음Risk of cardiac toxicity by trastuzumab
ERCC1ERCC1
rs3212986rs3212986
[T][T]
NSCLC에서 platinum 치료효과 좋음Platinum treatment is effective in NSCLC
rs11615rs11615
[T][T]
NSCLC에서 platinum 치료효과 좋음Platinum treatment is effective in NSCLC
ERCC2ERCC2
rs13181rs13181
[G][G]
대장암 환자의 경우 cisplatin, fluorouracil, leucovorin 투약 시 조기 재발의 가능성The possibility of early recurrence when cisplatin, fluorouracil, leucovorin is given in patients with colorectal cancer
F2F2
rs1799963rs1799963
[A][A]
Oral hormone replacement therapy에 의한 venous thromboembolism의 위험도가 높고, placental abruption의 위험도가 높음The risk of venous thromboembolism due to oral hormone replacement therapy is high and the risk of placental abruption is high
FDPSFDPS
rs2297480rs2297480
[CC][CC]
폐경기여성에 amino-bisphonates의 치료 효과 낮음Low efficacy of amino-bisphonates in postmenopausal women
FKBP5FKBP5
rs1360780rs1360780
[T][T]
항우울제의 치료효과 높음High therapeutic efficacy of antidepressants
rs3800373rs3800373
[G][G]
항우울제의 치료효과 높음High therapeutic efficacy of antidepressants
GGCXGGCX
rs699664rs699664
[A][A]
Warfarin does 증가 대상Warfarin does increases
GGHGGH
rs11545078rs11545078
[T][T]
Poor metabolizer. 독성 가능성 있음Poor metabolizer. Potentially toxic
rs3780126rs3780126
[C][C]
Pemetrexed, bevacizumab 치료효과 좋음Pemetrexed, bevacizumab Therapeutic Effect Good
rs11545077rs11545077
[A][A]
Pemetrexed, bevacizumab 치료효과 좋음Pemetrexed, bevacizumab Therapeutic Effect Good
GNB3GNB3
rs5443rs5443
[T][T]
Clozapine에 체중증가의 가능성이 있고, triptans의 효과 좋음Clozapine has the potential to gain weight, and the effectiveness of triptans
GRIK2GRIK2
rs2518224rs2518224
{C]{C}
Depression 환자의 경우 citalopram에 부작용Adverse effects on citalopram in patients with depression
GRIK4GRIK4
rs1954787rs1954787
[T][T]
Citalopram 치료효과 낮음Low citalopram treatment
GSK3BGSK3B
rs334558rs334558
[A: AAGA][A: AAGA]
Citalopram, fluoxetine 효과 낮음Citalopram, low fluoxetine effect
rs13321783rs13321783
[T: AAGA][T: AAGA]
Citalopram, fluoxetine 효과 낮음Citalopram, low fluoxetine effect
rs2319398rs2319398
[G: AAGA][G: AAGA]
Citalopram, fluoxetine 효과 낮음Citalopram, low fluoxetine effect
rs6808874rs6808874
[A: AAGA][A: AAGA]
Citalopram, fluoxetine 효과 낮음Citalopram, low fluoxetine effect
GSTM3GSTM3
rs1799735rs1799735
[ins, G][ins, G]
Cisplatin, cyclophosphamide에 thrombocytopenia, anemia, neuropathy 등의 부작용 가능성 낮음Cisplatin, cyclophosphamide, thrombocytopenia, anemia, neuropathy, etc.
GSTP1GSTP1
rs1138272rs1138272
[T][T]
Thiotepa 효과 좋음Thiotepa effective
rs1695rs1695
[G][G]
예후가 좋음Good prognosis
HLA-EHLA-E
rs1059510rs1059510
[A][A]
Carbamazepine에 maculopapular exanthema의 위험도 높음High risk of maculopapular exanthema in Carbamazepine
HMGCRHMGCR
rs12654264rs12654264
[AA][AA]
Statin에 대장암 발생 가능성 낮음Statin is unlikely to develop colorectal cancer
rs3846662rs3846662
[TT][TT]
Statin 효과 낮음Low statin effect
HSPA1LHSPA1L
rs2227956rs2227956
[C][C]
Carbamazepine 과민성 낮음Low Carbamazepine Sensitivity
rs2075800rs2075800
[A][A]
Carbamazepine에 maculopapular exanthema 위험도 높음Higher risk of maculopapular exanthema in Carbamazepine
HTR1AHTR1A
rs6295rs6295
[G][G]
항우울제 치료효과 높음Antidepressant treatment is effective
rs10042486rs10042486
[C][C]
항우울제 치료효과 높음Antidepressant treatment is effective
rs1364043rs1364043
[T][T]
항우울제 치료효과 높음Antidepressant treatment is effective
HTR2AHTR2A
rs9316233rs9316233
[GG][GG]
Escitalopram 치료효과 높음Escitalopram treatment efficacy is high
rs7997012rs7997012
[A][A]
Citalopram의 치료효과 높음Treatment efficacy of citalopram is high
rs6311rs6311
[T][T]
항우울제 치료효과 낮음Antidepressant treatment is ineffective
rs6314rs6314
[T}[T}
Paroxetine 치료효과 높음Paroxetine Therapeutic Effect High
rs6313rs6313
[T][T]
Antipsychotic drug 효과 낮음. Olanzapine에 체중 증가 가능성 있음Low antipsychotic drug effect. Olanzapine is likely to gain weight
HTR2CHTR2C
rs1414334rs1414334
[C}[C]
Clozapine, risperidone에 대사증후군 발생 가능성 높음Clozapine, risperidone likely to develop metabolic syndrome
rs518147rs518147
[G][G]
Olanzapine에 체중 증가 가능성 있음Olanzapine is likely to gain weight
rs3813928rs3813928
[A}[A]
Risperidone 효과 낮음Low Risperidone Effect
rs6318rs6318
[C][C]
Olanzapine에 체중 증가 가능성 있음Olanzapine is likely to gain weight
rs3813929rs3813929
[C][C]
Olanzapine에 체중 증가 가능성 있음Olanzapine is likely to gain weight
HTR3BHTR3B
rs2276307rs2276307
[G][G]
Statin에 근육통 가능성 있음Possible muscle aches in statin
HTR7HTR7
rs1935349rs1935349
[A][A]
Statin에 근육통 가능성 있음Possible muscle aches in statin
IL1BIL1B
rs16944rs16944
[A][A]
HCV에 PEG-IFNalpha/RBV 효과가 상대적으로 낮음Relatively low PEG-IFNalpha / RBV effect on HCV
IL28BIL28B
rs8099917rs8099917
[G][G]
HCV에 PEG-IFNalpha/RBV 효과가 상대적으로 낮음Relatively low PEG-IFNalpha / RBV effect on HCV
rs12980275rs12980275
[A][A]
Hepatitis C virus의 자연치유 가능성 높음Natural healing potential of hepatitis C virus is high
rs8105790rs8105790
[C][C]
HCV에 PEG-IFNalpha/RBV 효과가 상대적으로 낮음Relatively low PEG-IFNalpha / RBV effect on HCV
rs11881222rs11881222
[G][G]
HCV에 PEG-IFNalpha/RBV 효과가 상대적으로 낮음Relatively low PEG-IFNalpha / RBV effect on HCV
rs7248668rs7248668
[A][A]
HCV에 PEG-IFNalpha/RBV 효과가 상대적으로 낮음Relatively low PEG-IFNalpha / RBV effect on HCV
ITGB3ITGB3
rs5918rs5918
[C][C]
Aspirin의 치료효과 낮음Low efficacy of aspirin treatment
ITPAITPA
rs1127354rs1127354
[A][A]
HCV에 Ribavirin을 투약할 경우 anemia의 가능성 있음, ALL 환자가 mercaptopurine 치료를 받는 경우 neutropenia의 가능성The possibility of anemia when administering Ribavirin to HCV, the possibility of neutropenia when ALL patients are receiving mercaptopurine treatment
KCNH2KCNH2
rs3815459rs3815459
[A][A]
심전도에서 long QT의 경향The tendency of long QT in ECG
rs3807375rs3807375
[A][A]
심전도에서 long QT의 경향The tendency of long QT in ECG
rs12720441rs12720441
[T][T]
Poor metabolizerPoor metabolizer
KCNJ11KCNJ11
rs5219rs5219
[T][T]
Repaglinide에 공복혈당, 식후혈당, 당화혈색소의 수치 상승Increase in fasting blood glucose, postprandial blood glucose, and glycated hemoglobin in repaglinide
KNG1KNG1
rs4686799rs4686799
[T][T]
이뇨제에 aldosterone response 증가Increased aldosterone response to diuretics
rs5030062rs5030062
[A][A]
이뇨제에 aldosterone response 증가Increased aldosterone response to diuretics
rs698078rs698078
[C][C]
이뇨제에 aldosterone response 증가Increased aldosterone response to diuretics
LDLRLDLR
rs688rs688
[T][T]
Atenolol에 혈압 상승 가능성 있음Possible blood pressure rise at Atenolol
LEMD2LEMD2
rs2395402rs2395402
[C][C]
Carbamazepine에 과민증후군 가능성 있음Carbamazepine has potential for hypersensitivity syndrome
LRP2LRP2
rs2075252rs2075252
[A][A]
Cisplatin에 청각장애 가능성 있음Possible hearing loss in cisplatin
LTC4SLTC4S
rs730012rs730012
[C][C]
천식 환자의 경우 montelukast에 증상악화 가능성 있음In asthmatic patients, the symptoms may worsen in montelukast.
METTL21AMETTL21A
rs7569963rs7569963
[G][G]
우울증 환자의 경우 citalopram에 suicide 가능성 있음Possibility of suicide in citalopram in patients with depression
rs4675690rs4675690
[T][T]
우울증 환자의 경우 citalopram에 suicide 가능성 있음Possibility of suicide in citalopram in patients with depression
MICAMICA
rs2848716rs2848716
[G][G]
Carbamazepine에 Stevens-Johnson syndrome과 Toxic Epidermal Necrolysis의 가능성 있음Possible Stevens-Johnson syndrome and Toxic Epidermal Necrolysis in Carbamazepine
MLH1MLH1
rs1800734rs1800734
[G][G]
Hodgkin lymphoma 환자의 경우 methylating 치료 시에 암발생의 위험도 높음In patients with Hodgkin lymphoma, the risk of developing cancer is high during methylating treatment
MTHFRMTHFR
rs1801131rs1801131
[C][C]
Folic acid, methotrexate에 예후가 좋지 못하며, 부작용 가능성 있음Folic acid, methotrexate have poor prognosis and possible side effects
rs1801133rs1801133
[T][T]
MTHFR의 활성이 낮고, methotrexate에 예후가 좋지 못하며, 부작용 발생 가능성 있음Low activity of MTHFR, poor prognosis of methotrexate, possible side effects
NEFMNEFM
rs1379357rs1379357
[C][C]
Schizophrenia 환자의 경우 risperidone에 조기반응Early response to risperidone in schizophrenia patients
NOS1APNOS1AP
rs10918594rs10918594
[GG][GG]
Longr QT interval과 연관. ,Isradipine에 QT와의 상관성은 사라짐Associated with Longr QT interval. , Isradipine has no correlation with QT
rs10494366rs10494366
[GG][GG]
Longr QT interval과 연관. ,Isradipine에 QT와의 상관성은 사라짐Associated with Longr QT interval. , Isradipine has no correlation with QT
NOS3NOS3
rs2070744rs2070744
[CC][CC]
유방종양환자에 cyclophosphamide, doxorubicin, fluorouracil, methotrexate 투약에 재발의 가능성 증가Increased likelihood of recurrence in cyclophosphamide, doxorubicin, fluorouracil, and methotrexate medication in breast tumor patients
NPPANPPA
rs5065rs5065
[GG][GG]
GG 유전형을 가진 사람은 chlorthalidone에 효과가 좋고, AA 유전형을 가진 사람은 calcium channel blocker (amlodipine)의 효과가 좋음People with GG genotype have a good effect on chlorthalidone, and people with AA genotype have a good effect of calcium channel blocker (amlodipine).
NQO1NQO1
rs1800566rs1800566
*2 [T]* 2 [T]
Poor metabolizerPoor metabolizer
NR1I2NR1I2
rs1464603rs1464603
[C][C]
Oral midazolam clearance와 연관Associated with oral midazolam clearance
NTRK1NTRK1
rs2768759rs2768759
[C][C]
Poor metabolizerPoor metabolizer
OPRM1OPRM1
rs1799971rs1799971
[G][G]
알코올의존도가 높고, naltrexone의 알콜중독 치료효과가 높음Alcohol dependence is high, and naltrexone is highly effective in treating alcoholism
P2RY1P2RY1
rs701265rs701265
[G][G]
Adenosine diphosphate에 의한 항혈소판응집효과 저항성 있음Adenosine diphosphate resistance to anti-platelet aggregation
rs1065776rs1065776
[T][T]
Aspirin에 의한 항혈소판응집효과에 저항성 있음Resistant to anti-platelet aggregation by aspirin
P2RY12P2RY12
rs2046934rs2046934
[C][C]
Enzyme 활성이 낮고, clopidogrel의 대사효율이 낮음Low enzyme activity and low metabolism of clopidogrel
PTGS1PTGS1
rs3842787rs3842787
[T][T]
Clopidogrel을 복용하지 않고 관상동맥시술을 할 경우 출혈의 위험성 있음Risk of bleeding when performing coronary artery bypass without clopidogrel
PTGS2PTGS2
rs20417rs20417
[C][C]
Rofecoxib에 치과치료 후 항염증-항진통의 가능성 낮음Anti-inflammatory after dental treatment in Rofecoxib - low likelihood of anti-analgesia
RGS4RGS4
rs951439rs951439
[TT][TT]
Risperidone 효과 좋음Risperidone effect is good
rs2661319rs2661319
[AA][AA]
Risperidone 효과 좋음Risperidone effect is good
rs2842030rs2842030
[GG][GG]
Risperidone 효과 좋음Risperidone effect is good
SCN5ASCN5A
rs12053903rs12053903
[TT][TT]
QT interval이 짧은 것으로 보고됨. Class i, iii antiarrhythmics, antipsychotics, Beta blocking agents, qt-prolonging drug의 투약 시 주의QT interval reported to be short. Class i, iii antiarrhythmics, antipsychotics, beta blocking agents, qt-prolonging drug
rs1805124rs1805124
[GG][GG]
QT interval이 짧은 것으로 보고됨. Class i, iii antiarrhythmics, antipsychotics, Beta blocking agents, qt-prolonging drug의 투약 시 주의QT interval reported to be short. Class i, iii antiarrhythmics, antipsychotics, beta blocking agents, qt-prolonging drug
rs7626962rs7626962
[TT][TT]
QT interval이 짧은 것으로 보고됨. Class i, iii antiarrhythmics, antipsychotics, Beta blocking agents, qt-prolonging drug의 투약 시 주의QT interval reported to be short. Class i, iii antiarrhythmics, antipsychotics, beta blocking agents, qt-prolonging drug
SLC10A1SLC10A1
rs2296651rs2296651
[T][T]
Decreased enzyme activityDecreased enzyme activity
SLC10A2SLC10A2
rs2301159rs2301159
[T][T]
Docetaxel 독성Docetaxel toxicity
SLC19A1SLC19A1
rs1051266rs1051266
[AA][AA]
Psoriasis, Rheumatoid Arthritis 환자는 methotrexate 독성 가능성 높음Psoriasis, Rheumatoid Arthritis Patients are more likely to have methotrexate toxicity
SLC1A1SLC1A1
rs2228622rs2228622
[A: ACG][A: ACG]
향정신성약물에 의한 강박증상의 가능성이 있음Possibility of OCD due to psychotropic drugs
rs3780413rs3780413
[C: ACG][C: ACG]
향정신성약물에 의한 강박증상의 가능성이 있음Possibility of OCD due to psychotropic drugs
rs3780412rs3780412
[G: ACG][G: ACG]
향정신성약물에 의한 강박증상의 가능성이 있음Possibility of OCD due to psychotropic drugs
SLC22A1SLC22A1
rs34059508rs34059508
[A][A]
Metformin 수송효율 낮음Metformin transport efficiency is low
rs12208357rs12208357
[T][T]
Metformin 수송효율 낮음Metformin transport efficiency is low
SLC22A16SLC22A16
rs714368rs714368
[G][G]
Doxorubicin 수송효율이 낮아 exposure 정도가 큼Doxorubicin transport efficiency is low and exposure is high
SLC22A2SLC22A2
rs316019rs316019
*4 [G]* 4 [G]
Metformin 수송효율 높고, cisplatin에 의한 nephrotoxicity의 가능성 낮음Metformin transport efficiency is high and nephrotoxicity by cisplatin is unlikely
rs8177517rs8177517
[C][C]
Decreased transport activityDecreased transport activity
rs8177507rs8177507
[T][T]
..
rs8177516rs8177516
*7 [T]* 7 [T]
Decreased transport activityDecreased transport activity
SLC28A2SLC28A2
rs2413775rs2413775
[A][A]
Increased enzyme activityIncreased enzyme activity
SLC28A3SLC28A3
rs11568388rs11568388
[A][A]
Reduced enzyme activityReduced enzyme activity
SLCO1B1SLCO1B1
rs56199088rs56199088
*10 [G]* 10 [G]
Decreased transport activityDecreased transport activity
rs2306283rs2306283
*1B [C]* 1B [C]
Decreased transport activityDecreased transport activity
rs56101265rs56101265
*2 [C]* 2 [C]
Decreased transport activityDecreased transport activity
rs72559745rs72559745
*3 [G]* 3 [G]
Decreased transport activityDecreased transport activity
rs56061388rs56061388
*3 [C]* 3 [C]
Decreased transport activityDecreased transport activity
rs4149056rs4149056
*5 [C]* 5 [C]
Statin 부작용 가능성 있음Possible side effects of statin
rs59502379rs59502379
*9 [C]* 9 [C]
Decreased transport activityDecreased transport activity
rs4149081rs4149081
[A][A]
Decreased transport activityDecreased transport activity
rs11045879rs11045879
[C][C]
Decreased transport activityDecreased transport activity
SLCO1B3SLCO1B3
rs11045585rs11045585
[C][C]
Enzyme 활성이 낮고, clopidogrel의 대사효율 낮음Low enzyme activity and low metabolism of clopidogrel
SLCO2B1SLCO2B1
rs12422149rs12422149
[A][A]
Rapid metabolizer. Montelukast 치료효과 낮음Rapid metabolizer. Montelukast treatment is ineffective
ST6GAL1ST6GAL1
rs10937275rs10937275
[A][A]
Flucloxacillin에 간손상 가능성 있음Possible liver damage to Flucloxacillin
SULT1C4SULT1C4
rs1402467rs1402467
[G][G]
Castration-resistant prostate cancer 환자의 경우 thalidomide 치료효과 높음The effect of thalidomide treatment in castration-resistant prostate cancer patients
TCF7L2TCF7L2
rs12255372rs12255372
[T][T]
Type 2 diabetes의 가능성 높으며, sulfonylureas 치료효과 낮음Type 2 diabetes is likely, and sulfonylureas is ineffective
TNFTNF
rs1800629rs1800629
[A][A]
Carbamazepine 과민반응Carbamazepine hypersensitivity
TP53TP53
rs1042522rs1042522
[G][G]
Paclitaxel, cisplatin 치료효과 낮음Paclitaxel, low efficacy of cisplatin treatment
UGT1A7UGT1A7
rs7586110rs7586110
[G][G]
Irinotecan에 anemia 가능성 있음Possible anemia in Irinotecan
UGT1A8UGT1A8
rs1042597rs1042597
[C][C]
Rapid metabolizerRapid metabolizer
UGT2B10UGT2B10
rs7657958rs7657958
[A][A]
Rapid metabolizerRapid metabolizer
UGT2B15UGT2B15
rs1902023rs1902023
*2 [G]* 2 [G]
Increased activityIncreased activity
UGT2B17UGT2B17
rs6552182rs6552182
*2 [Gain]* 2 [Gain]
Poor metabolizerPoor metabolizer
ULK3ULK3
rs2290573rs2290573
[CC][CC]
Imatinib에 예후가 좋지 않음Imatinib has poor prognosis
VDRVDR
rs1544410rs1544410
[A][A]
Clodronate 치료효과 낮음Clodronate treatment is ineffective
또한, 본 발명은 본 발명에 따른 상기 약물유전형 분석방법을 이용한 개체의 약물유전형 진단 결과로 하기 [표 3]을 이용하여 약물의 반응을 예측할 수 있으나, 하기의 약물에 한정되는 것은 아니며 약물유전자가 대사하는 약물에 대하여 확장할 수 있다.In addition, the present invention can predict the response of a drug using the drug genotypic diagnosis result of the individual using the drug genotyping assay according to the present invention, but the drug is not limited to the following drugs, It can be extended against metabolizing drugs.
GeneGene
관련 약물Related drugs
CYP2D6CYP2D6
aripiprazole, atomoxetine, carvedilol, clomipramine, codeine, desipramine, flecainide, fluoxetine, haloperidol, imipramine, loratadine, metoprolol, mirtazapine, nortriptyline, paroxetine, perhexilline, propafenone, tamoxifen, tolterodine, tramadol, venlafaxine, zuclopenthixolaripiprazole, atorvastatin, paroxetine, perhexilline, propafenone, tamoxifen, tolterodine, tramadol, venlafaxine, zuclopenthixol,
CYP2C9CYP2C9
acenocoumarol, celecoxib, clopidogrel, flurbiprofen, glibenclamide, glimepiride, glipizide, ibuprofen, lornoxican, losartan, nateglinide, phenprocoumon, phenytoin, phenobarbital, piroxicam, tenoxicam, tolbutamide, torasemide, warfarinacenocoumarol, celecoxib, clopidogrel, flurbiprofen, glibenclamide, glimepiride, glipizide, ibuprofen, lornoxican, losartan, nateglinide, phenprocoumon, phenytoin, phenobarbital, piroxicam, tenoxicam, tolbutamide, torasemide, warfarin
VKORC1VKORC1
acenocoumarol, phenprocoumon, warfarinacenocoumarol, phenprocoumon, warfarin
CYP2C19CYP2C19
amitriptyline, cilostazol, citalopram, clobazam, clomipramine, clopidogrel, diazepam, escitalopram, gliclazide, glipizide, imipramine, lansoprazole, mephenytoin, nelfinavir, omeprazole, pantoprazole, phenobarbital, proguanil, quazepam, tamoxifen, trimipramine, voriconazoleamitriptyline, cilostazol, citalopram, clobazam, clomipramine, clopidogrel, diazepam, escitalopram, gliclazide, glipizide, imipramine, lansoprazole, mephenytoin, nelfinavir, omeprazole, pantoprazole, phenobarbital, proguanil, quazepam, tamoxifen, trimipramine, voriconazole
DPYDDPYD
capecitabine, fluorouracil, tegafurcapecitabine, fluorouracil, tegafur
G6PDG6PD
chloroquine, dapsone, primaquine, rasburicasechloroquine, dapsone, primaquine, rasburicase
HLA-B*1502HLA-B * 1502
carbamazepine, phenytoincarbamazepine, phenytoin
HLA-B*5701HLA-B * 5701
abacavirabacavir
NAT1NAT1
isosorbidedinitrate, rifampinisosorbidedinitrate, rifampin
NAT2NAT2
isoniazid, isosorbidedinitrate, rifampinisoniazid, isosorbidedinitrate, rifampin
TPMTTPMT
azathioprine, cisplatin, mercaptopurine, thioguanineazathioprine, cisplatin, mercaptopurine, thioguanine
UGT1A1UGT1A1
atazanavir, ezetimibe, irinotecan, raloxifeneatazanavir, ezetimibe, irinotecan, raloxifene
CYP2E1CYP2E1
acetaminophen, caffeine, chlorzoxazone, disulfiram, tamoxifenacetaminophen, caffeine, chlorzoxazone, disulfiram, tamoxifen
CYP3A4CYP3A4
amlodipine, docetaxel, nifedipine, sirolimus, tacrolimusamlodipine, docetaxel, nifedipine, sirolimus, tacrolimus
CYP3A5CYP3A5
amlodipine, cilostazol, cyclosporine, nimodipine, paclitaxel, risperidone, sirolimus, tacrolimus, verapamilamlodipine, cilostazol, cyclosporine, nimodipine, paclitaxel, risperidone, sirolimus, tacrolimus, verapamil
CYP4B1CYP4B1
docetaxel, thalidomidedocetaxel, thalidomide
CYP4F2CYP4F2
acenocoumarol, warfarinacenocoumarol, warfarin
CYP19A1CYP19A1
anastrozole, exemestane, letrozoleanastrozole, exemestane, letrozole
CYP1A2CYP1A2
caffeine, clozapine, leflunomide, olanzapinecaffeine, clozapine, leflunomide, olanzapine
CYP1B1CYP1B1
docetaxel, paclitaxeldocetaxel, paclitaxel
CYP2A6CYP2A6
nicotinenicotine
CYP2B6CYP2B6
bupropion, carbamazepine, cyclophosphamide, efavirenz, mephenytoin, nevirapine, nicotinebupropion, carbamazepine, cyclophosphamide, efavirenz, mephenytoin, nevirapine, nicotine
CYP2C8CYP2C8
amiodarone, amodiaquine, cerivastatin, docetaxel, ibuprofen, paclitaxel, repaglinide, rosiglitazoneamiodarone, amodiaquine, cerivastatin, docetaxel, ibuprofen, paclitaxel, repaglinide, rosiglitazone
CYP2C18CYP2C18
clopidogrelclopidogrel
ABCB1ABCB1
amitriptyline, amlodipine, atorvastatin, bupropion, calcein, carbamazepine, citalopram, clobazam, clonazepam, clopidogrel, cyclosporine, cytarabine, daunorubicin, dicloxacillin, digoxin, doxorubicin, efavirenz, epirubicin, etoposide, ezetimibe, fexofenadine, gabapentin, idarubicin, irinotecan, lamotrigine, lansoprazole, levetiracetam, loperamide, lopinavir, methadone, methotrexate, nelfinavir, nevirapine, nortriptyline, olanzapine, paclitaxel, paroxetine, phenobarbital, phenytoin, prednisone, rhodamine123, rifampin, risperidone, ritonavir, SN-38, tacrolimus, tipifarnib, topiramate, valinomycin, valproicacid, venlafaxine, verapamil, vigabatrin, vinblastineepirubicin, etoposide, ezetimibe, fexofenadine, gabapentin, idarubicin, irinotecan, lamotrigine, cyclophosphamide, cyclophosphamide, paclitaxel, paroxetine, phenobarbital, phenytoin, prednisone, rhodamine123, rifampin, risperidone, ritonavir, SN-38, tacrolimus, tipifarnib, topiramate, valinomycin, valproicacid, venlafaxine, verapamil, vigabatrin, vinblastine
ABCC1ABCC1
citalopram, doxorubicin, irinotecan, methotrexate, montelukast, SN-38citalopram, doxorubicin, irinotecan, methotrexate, montelukast, SN-38
ABCC2ABCC2
carbamazepine, cyclosporine, docetaxel, doxorubicin, ezetimibe, irinotecan, lopinavir, mycophenolatemofetil, mycophenolicacid, SN-38carbamazepine, cyclosporine, docetaxel, doxorubicin, ezetimibe, irinotecan, lopinavir, mycophenolatemofetil, mycophenolicacid, SN-38
ABCC4ABCC4
cyclophosphamide, tenofovircyclophosphamide, tenofovir
ABCC6ABCC6
docetaxel, thalidomidedocetaxel, thalidomide
ABCG2ABCG2
atorvastatin, diflomotecan, fluvastatin, gefinitib, imatinib, irinotecan, lamivudine, leflunomide, methotrexate, rosuvastatin, sulfasalazineatorvastatin, diflomotecan, fluvastatin, gefinitib, imatinib, irinotecan, lamivudine, leflunomide, methotrexate, rosuvastatin, sulfasalazine
ABOABO
ACE inhibitor, captopril, nitroprusside, perindoprilACE inhibitor, captopril, nitroprusside, perindopril
ACEACE
thiazidethiazide
ADMADM
paroxetineparoxetine
ADRB2ADRB2
albuterol, salmeterolalbuterol, salmeterol
ADRB3ADRB3
olanzapineolanzapine
AGTR1AGTR1
captopril, enalapril, fosinopril, imidapril, lisinoprilcaptopril, enalapril, fosinopril, imidapril, lisinopril
AKT1AKT1
risperidonerisperidone
ANKK1ANKK1
bupropionbupropion
AOX1AOX1
azathioprineazathioprine
APOBAPOB
Irbesartan, ritonavirIrbesartan, ritonavir
APOC3APOC3
ritonavirritonavir
ARG1ARG1
budesonide, fluticasonepropionate, nedocromil, salbutamolbudesonide, fluticasonepropionate, nedocromil, salbutamol
ATMATM
metforminmetformin
ATP7AATP7A
docetaxel, thalidomidedocetaxel, thalidomide
ATXN1ATXN1
naltrexonenaltrexone
BAT3BAT3
carbamazepinecarbamazepine
BCHEBCHE
mivacurium, succinylcholinemivacurium, succinylcholine
BDKRB1BDKRB1
perindoprilperindopril
BDKRB2BDKRB2
ACE inhibitor, captopril, nitroprusside, perindoprilACE inhibitor, captopril, nitroprusside, perindopril
C6orf10C6F10
lumiracoxiblumiracoxib
CACNG2CACNG2
lithiumlithium
CATCAT
anthracylineanthracyline
CBR1CBR1
doxorubicindoxorubicin
CBR3CBR3
daunorubicin, doxorubicindaunorubicin, doxorubicin
CCND1CCND1
cetuximabcetuximab
CDACDA
azacitidine, capecitabine, cisplatin, cytarabine, fluorouracil, gemcitabine, valproic acidazacitidine, capecitabine, cisplatin, cytarabine, fluorouracil, gemcitabine, valproic acid
CETPCETP
hmg coa reductase inhibitors, atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatinhmg coa reductase inhibitors, atorvastatin, fluvastatin, lovastatin, pitavastatin, pravastatin, rosuvastatin, simvastatin
CHST3CHST3
docetaxel, thalidomidedocetaxel, thalidomide
CNTFCNTF
iloperidone, iloperidone,
COMTCOMT
bupropion, cisplatin, methylphenidate, morphinebupropion, cisplatin, methylphenidate, morphine
CRHR2CRHR2
salbutamolsalbutamol
CYTSACYTSA
methotrexate메트 로스
DRD2DRD2
clozapine, ethanol, methadone, olanzapine, risperidoneclozapine, ethanol, methadone, olanzapine, risperidone
DRD3DRD3
olanzapine, risperidoneolanzapine, risperidone
EGFREGFR
erlotinib, gefitiniberlotinib, gefitinib
EPHX1EPHX1
carbamazepinem phenytoincarbamazepine phenytoin
ERBB2ERBB2
trastuzumabtrastuzumab
ERCC1ERCC1
platinumplatinum
ERCC2ERCC2
fluorouracil, leucovorinfluorouracil, leucovorin
F2F2
hormonehormone
FDPSFDPS
alendronate, ibandronate, pamidronate, risedronate, zoledronatealendronate, ibandronate, pamidronate, risedronate, zoledronate
FKBP5FKBP5
desipramine, fluoxetine, mirtazapine, venlafaxinedesipramine, fluoxetine, mirtazapine, venlafaxine
GGCXGGCX
warfarinwarfarin
GGHGGH
bevacizumab, methotrexate, pemetrexedbevacizumab, methotrexate, pemetrexed
GNB3GNB3
clozapine, nortriptyline, olanzapine, sildenafil, triptansclozapine, nortriptyline, olanzapine, sildenafil, tryptans
GRIK2GRIK2
citalopramcitalopram
GRIK4GRIK4
citalopramcitalopram
GSK3BGSK3B
citalopram, fluoxetinecitalopram, fluoxetine
GSTM3GSTM3
cisplatin, cyclophosphamidecisplatin, cyclophosphamide
GSTP1GSTP1
cisplatin, cyclophosphamide, doxorubicin, etoposide, fluorouracil, oxaliplatin, pyrimethamine, thiotepacisplatin, cyclophosphamide, doxorubicin, etoposide, fluorouracil, oxaliplatin, pyrimethamine, thiotepa
HLA-EHLA-E
CarbamazepineCarbamazepine
HMGCRHMGCR
pravastatin, simvastatinpravastatin, simvastatin
HSPA1LHSPA1L
CarbamazepineCarbamazepine
HTR1AHTR1A
fluvoxamine, paroxetinefluvoxamine, paroxetine
HTR2AHTR2A
amitriptyline, aripiprazole, citalopram, citalopram, escitalopram, olanzapine, paroxetine, paroxetine, perphenazine, risperidone, venlafaxineamitriptyline, aripiprazole, citalopram, citalopram, escitalopram, olanzapine, paroxetine, paroxetine, perphenazine, risperidone, venlafaxine
HTR2CHTR2C
clozapine, olanzapine, perphenazine, risperidoneclozapine, olanzapine, perphenazine, risperidone
HTR3BHTR3B
statinstatin
HTR7HTR7
statinstatin
IL1BIL1B
clodronate, etidronic acid, risedronate, tiludronateclodronate, etidronic acid, risedronate, tiludronate
IL28BIL28B
interferon alfa-2a, PEG-IFNalpha/RBV, recombinant, ribavirininterferon alpha-2a, PEG-IFNalpha / RBV, recombinant, ribavirin
ITGB3ITGB3
aspirinaspirin
ITPAITPA
mercaptopurine, ribavirinmercaptopurine, ribavirin
KCNH2KCNH2
amiodaroneamiodarone
KCNJ11KCNJ11
repagliniderepaglinide
KNG1KNG1
candesartan, hydrochlorothiazidecandesartan, hydrochlorothiazide
LDLRLDLR
atenololatenolol
LEMD2LEMD2
carbamazepinecarbamazepine
LRP2LRP2
cisplatincisplatin
LTC4SLTC4S
aspirin, montelukastaspirin, montelukast
METTL21AMETTL21A
citalopramcitalopram
MICAMICA
carbamazepinecarbamazepine
MLH1MLH1
dacarbazine, procarbazinedacarbazine, procarbazine
MTHFRMTHFR
folic acid, methotrexatefolic acid, methotrexate
NEFMNEFM
risperidonerisperidone
NOS1APNOS1AP
isradipine, verapamilisradipine, verapamil
NOS3NOS3
cyclophosphamide, doxorubicin, fluorouracil, methotrexatecyclophosphamide, doxorubicin, fluorouracil, methotrexate
NPPANPPA
amlodipine, chlorthalidone amlodipine, chlorthalidone
NQO1NQO1
epirubicinepirubicin
NR1I2NR1I2
midazolammidazolam
NTRK1NTRK1
aspirinaspirin
OPRM1OPRM1
alfentanil, naltrexone, tramadolalfentanil, naltrexone, tramadol
P2RY1P2RY1
aspirinaspirin
P2RY12P2RY12
clopidogrelclopidogrel
PTGS1PTGS1
aspirin, clopidogrelaspirin, clopidogrel
PTGS2PTGS2
ibuprofen, rofecoxibibuprofen, rofecoxib
RGS4RGS4
risperidonerisperidone
SCN5ASCN5A
class i, iii antiarrhythmics, antipsychotics, Beta blocking agents, qt-prolonging drugsclass i, iii antiarrhythmics, antipsychotics, beta blocking agents, qt-prolonging drugs
SLC10A1SLC10A1
rosuvastatinrosuvastatin
SLC10A2SLC10A2
docetaxeldocetaxel
SLC19A1SLC19A1
methotrexate메트 로스
SLC1A1SLC1A1
clozapine, olanzapine, risperidoneclozapine, olanzapine, risperidone
SLC22A1SLC22A1
metformin, MPP+metformin, MPP +
SLC22A16SLC22A16
doxorubicindoxorubicin
SLC22A2SLC22A2
amantadine, cimetidine, cisplatin, citalopram, imatinib, metformin, oxaliplatin, procainamide, quinidineamantadine, cimetidine, cisplatin, citalopram, imatinib, metformin, oxaliplatin, procainamide, quinidine
SLC28A2SLC28A2
gemcitabinegemcitabine
SLC28A3SLC28A3
cladribine, fludarabinecladribine, fludarabine
SLCO1B1SLCO1B1
atorvastatin, caspofungin, ezetimibe, fexofenadine, fluvastatin, irinotecan, lopinavir, methotrexate, mycophenolatemofetil, mycophenolic acid, nateglinide, pitavastatin, pravastatin, repaglinide, rifampicin, rosuvastatin, simvastatin, sirolimus, SN-38, tacrolimus, torasemideniacinide, pitavastatin, pravastatin, repaglinide, rifampicin, rosuvastatin, simvastatin, sirolimus, SN-38, tacrolimus, torasemide, atorvastatin, caspofungin, ezetimibe, fexofenadine, fluvastatin, irinotecan, lopinavir, methotrexate, mycophenolol
SLCO1B3SLCO1B3
docetaxel, clopidogreldocetaxel, clopidogrel
SLCO2B1SLCO2B1
montelukastmontelukast
ST6GAL1ST6GAL1
flucloxacillinflucloxacillin
SULT1C4SULT1C4
thalidomidethalidomide
TCF7L2TCF7L2
sulfonylureassulfonylureas
TNFTNF
carbamazepinecarbamazepine
TP53TP53
cisplatin, paclitaxelcisplatin, paclitaxel
UGT1A7UGT1A7
irinotecanirinotecan
UGT1A8UGT1A8
cyclosporine, mycophenolatemofetil, mycophenolic acidcyclosporine, mycophenolatemofetil, mycophenolic acid
UGT2B10UGT2B10
nicotinenicotine
UGT2B15UGT2B15
lorazepamlorazepam
UGT2B17UGT2B17
steroidsteroid
ULK3ULK3
imatinibimatinib
VDRVDR
clodronate, etidronateclodronate, etidronate
본 발명에 따른 개인의 약물유전형을 대용량으로 분석하기 위한 Glass microbead assay 방법 및 SNaPshot 방법은 상기 약물대사 유전자 조합의 하나 이상의 단일염기다형성(Single Nucleotide Polymorphism, SNP)에 대한 프라이머 및 프로브를 포함한다.The glass microbead assay method and the SNaPshot method for analyzing an individual's drug genotype according to the present invention include primers and probes for single nucleotide polymorphism (SNP) of one or more of the drug metabolizing gene combinations.
상기 프라이머 및 프로브는 당업자가 용이하게 설계할 수 있다.
The primers and probes can be easily designed by those skilled in the art.
이하, 본 발명을 실시예에 의해 더욱 상세히 설명한다.Hereinafter, the present invention will be described in more detail by way of examples.
단, 하기의 실시예는 발명을 예시하는 것일 뿐, 본 발명의 내용이 하기의 실시예에 의해 제한되는 것은 아니다.
It should be noted, however, that the present invention is not limited by the following examples.
한국인의 약물유전형 분석Analysis of drug genotypes in Koreans
<1-1> 한국인의 <1-1> Korean people
DNADNA
시료 확보 Sample collection
한국인 155명(남자 78명, 여자 77명)의 DNA 시료를 확보하였다(질병관리본부 생물자원은행, 호흡기질환유전체센터에서 분양받음).DNA samples from 155 Koreans (78 males and 77 females) were obtained from the Center for Disease Control and Prevention of the Breast Cancer Genome Center.
DNA 농도와 질을 사전에 조사하여 실험의 성공가능성을 높였다. DNA 시료를 분양받기 위해 IRB(Institutional Review Board) 심의를 거쳤으며, 생명윤리 규정을 준수하였다. DNA 지노타이핑(genotyping) 실험을 성공적으로 수행하기 위해 피코그린(Picogreen)을 이용한 형광측정법으로 DNA 농도를 측정하였으며, 이때 각 시료당 250 ng(5 ul)의 DNA를 사용하였다. 피코그린을 이용한 DNA 농도 측정 시 표준곡선(standard curve)을 작성하였다. 표준 DNA의 농도가 희석배율에 따라 정확히 플랏팅(plotting)된 것을 확인한 후 실제 농도를 산출하였다. 또한, 전기영동을 이용한 DNA 분해(degradation) 여부를 확인함으로써 농도측정으로 확인할 수 없는 DNA의 특성을 총체적으로 파악하여 유전자형 데이타의 질을 극대화하였다.DNA concentration and quality were investigated in advance to increase the likelihood of success of the experiment. In order to receive the DNA samples, the Institutional Review Board (IRB) was reviewed and the bioethical code was observed. To successfully carry out the DNA genotyping experiment, DNA concentration was measured by fluorescence measurement using Picogreen, and 250 ng (5 ul) of DNA was used for each sample. A standard curve was prepared for the measurement of DNA concentration using pico green. The actual concentration was calculated after confirming that the concentration of the standard DNA was accurately plotted according to the dilution ratio. In addition, by confirming the degradation of DNA using electrophoresis, the characteristics of DNA which can not be confirmed by concentration measurement were grasped as a whole and the quality of genotype data was maximized.
<1-2> 약물의 효과, 이상반응 예측, 약동학적 반응 관련 유전자의 <1-2> Drug effects, prediction of adverse events, pharmacokinetic response
SNPSNP
선발 및 Selection and
프로브Probe
판넬의Panel
제작 making
392개의 SNP를 선발하였다. 구체적으로, 약물의 효과, 이상반응 예측, 약동학적 반응 관련 유전자의 SNP를 선발하기 위해, 우선 미국 FDA에서 선정한 약물유전체 유전자의 SNP, 문헌조사를 통해 확인된 기능성 SNP 및 한국인에서 발굴된 SNP 중에서 비동일(non-synonymous), 프레임쉬프트(frame-shift) SNP를 선발(Pharmacogenetics DB, NCBI SNP DB 및 한국 식품의약품안전평가원 DB에서 입수함)한 다음, 대상 유전자 및 SNP의 타당성을 검토하여 SNP를 선발한 다음, 프로브의 제작 가능여부를 분석하여 근접(60 bp) SNP 존재, 반복서열 및 Tm limit, Tri-allele인 SNP를 최종 제작 리스트에서 제외시킴으로써, 총 392개의 SNP를 선발하였다. 그런 다음, 상기 392개 SNP로 구성된 2개의 프로브 판넬(panel)을 제작하였다.392 SNPs were selected. Specifically, in order to select the SNPs of drug-related effects, adverse reaction predictions, and pharmacokinetic response-related genes, SNPs of drug gene genes selected by the US FDA, functional SNPs identified through literature review, SNPs were selected by examining the validity of target genes and SNPs after selecting non-synonymous, frame-shifted SNPs (available from Pharmacogenetics DB, NCBI SNP DB, and Korea Food & Drug Safety Assessment Database) A total of 392 SNPs were selected by analyzing the probable possibility of the probe and excluding the proximity (60 bp) SNP presence, repeat sequence, Tm limit, and tri-allele SNP from the final production list. Then, two probe panels composed of 392 SNPs were prepared.
구체적으로, ADT 스코링 시스템(scoring system)(Illumina, U.S.A)을 이용하여 각 유전형 별로 프로브의 제작 가능여부를 분석하였으며, 이를 통과한 378개 표4의 SNP를 Glass microbead assay를 위한 프로브 세트를 제작하였다. Specifically, the possibility of producing probes for each type of genotype was analyzed using an ADT scoring system (Illumina, USA). 378 SNPs in Table 4 were passed through the probe set for glass microbead assay Respectively.
Glass microbead assay 방법을 적용한 유전형 리스트List of genotypes using Glass microbead assay
GeneGene
SNP IDSNP ID
관용명A common name
CYP2D6CYP2D6
rs1135840rs1135840
*2A, 4180G>C* 2A, 4180G > C
rs28371525rs28371525
*41, 2988G>A* 41, 2988G > A
CYP2D6_2CYP2D6_2
*60, 1887insTA* 60, 1887
rs5030867rs5030867
*7, 2935A>C* 7, 2935A > C
rs5030865rs5030865
*8, 1758G>T* 8, 1758G > T
rs5030656rs5030656
*9, 2615_2617delAAG* 9, 2615_2617delAAG
CYP2C9CYP2C9
rs28371685rs28371685
*11, R335W* 11, R335W
rs9332239rs9332239
*12, 50338C>T* 12, 50338C> T
rs72558187rs72558187
*13, 3276T>C* 13, 3276T > C
rs72558190rs72558190
*15, 9100C>A * 15, 9100C> A
rs72558193rs72558193
*18, 47391A>C* 18, 47391A > C
rs1799853rs1799853
*2, Arg144Cys* 2, Arg144Cys
rs72558188rs72558188
*25, 353_362delAGAAATGGAA* 25, 353_362delAGAAATGGAA
rs1057910rs1057910
*3, 3531_3540delAGAAATGGAA * 3, 3531_3540delAGAAATGGAA
rs9332131rs9332131
*6, 818delA* 6, 818delA
rs9332092rs9332092
..
rs9332096rs9332096
..
rs9332098rs9332098
..
rs4918758rs4918758
*1C, C1188T* 1C, C1188T
VKORC1VKORC1
rs9934438rs9934438
C6484T, 1173C>TC6484T, 1173C > T
rs8050894rs8050894
*2, 1542G>C, 6853G>C* 2, 1542G > C, 6853G > C
rs2359612rs2359612
*2, 2255C>T, 7566C>T* 2, 2255C > T, 7566C > T
rs7200749rs7200749
*3F, 3462C>T, 8773C>T* 3F, 3462C > T, 8773C > T
rs7294rs7294
3730G>A3730G> A
rs17708472rs17708472
*4, 6009C>T, 698C>T* 4, 6009C > T, 698C > T
CYP2C19CYP2C19
rs12248560rs12248560
*17, -806C>T* 17, -806C > T
rs4244285rs4244285
*2, G681A* 2, G681A
rs4986893rs4986893
*3, G636A* 3, G636A
rs28399504rs28399504
*4, A1G* 4, A1G
rs41291556rs41291556
*8, 12711T>C, W120R* 8, 12711T > C, W120R
rs17885098rs17885098
*2, *4, 99C>T* 2, * 4, 99C > T
rs11568732rs11568732
-888T/G-888T / G
rs4986894rs4986894
-97T/C-97T / C
rs17886522rs17886522
G417GG417G
rs17878649rs17878649
IVS1-47G/AIVS1-47G / A
rs4417205rs4417205
IVS5-51C/GIVS5-51C / G
rs4917623rs4917623
IVS7-106T/CIVS7-106T / C
rs11188072rs11188072
*17, -3402C>T* 17, -3402C > T
rs56337013rs56337013
*5A, 1297C>T, R433W* 5A, 1297C > T, R433W
DPYDDPYD
rs3918290rs3918290
*2A, IVS14+1G>A* 2A, IVS14 + 1G > A
rs1801268rs1801268
*10, 2983G>T, V995F* 10, 2983G > T, V995F
rs1801159rs1801159
*5, I543V, A1627G* 5, I543V, A1627G
rs72549309rs72549309
*7, 295delTCAT* 7, 295delTCAT
rs1801266rs1801266
*8, R235W* 8, R235W
rs1801265rs1801265
*9A, C29R, T85C* 9A, C29R, T85C
rs1801267rs1801267
*9B, 2657G>A, R886H* 9B, 2657G > A, R886H
rs2297595rs2297595
496A>G, Met166Val 496A > G, Met166Val
DPYD_2DPYD_2
-268C/A-268C / A
rs1042482rs1042482
3651G/A3651G / A
rs291593rs291593
3858T/C3858T / C
DPYD_1DPYD_1
N151DN151D
DPYD_3DPYD_3
S811SS811S
DPYD_4DPYD_4
T735AT735A
rs56279424rs56279424
..
G6PDG6PD
rs2230037rs2230037
1311C>T 1311C> T
rs1050828rs1050828
202G>A 202G> A
rs1050829rs1050829
376A>G 376A> G
rs34193178rs34193178
H350DH350D
rs2472393rs2472393
IVS1+2955A/GIVS1 + 2955A / G
rs743544rs743544
IVS1-773C/TIVS1-773C / T
HLA-B*1502HLA-B * 1502
rs3130690rs3130690
HLA-B*1502 HLA-B * 1502
rs3909184rs3909184
HLA-B*1502 HLA-B * 1502
rs2844682rs2844682
HLA-B*1502 HLA-B * 1502
HLA-B*5701HLA-B * 5701
rs2395029rs2395029
HLA-B*5701 HLA-B * 5701
NAT1NAT1
rs4986988rs4986988
*11, c.-344C>T* 11, c.-344C > T
rs4986989rs4986989
*11, c.-40A>T* 11, c.-40A > T
rs4986990rs4986990
*11, c.459G>A, p.T153T* 11, c.459G > A, p.T153T
rs4986783rs4986783
*11, c.640T>G, p.S214A* 11, c.640T > G, p.S214A
rs5030839rs5030839
*15, c.559C>T, p.R187X* 15, c.559C > T, p.R187X
rs56379106rs56379106
*17, c.190C>T, p.R64W* 17, c.190C> T, p.R64W
rs56318881rs56318881
*19, c.97C>T, p.R33X* 19, c.97C > T, p.R33X
rs56172717rs56172717
*22, c.752A>T, p.D251V* 22, c.752A > T, p.D251V
rs55793712rs55793712
*5, c.884A>G* 5, c.884A> G
rs72554612rs72554612
*5, c.976delA* 5, c.976delA
NAT2NAT2
rs1799929rs1799929
*11, *5B * 11, * 5B
rs1041983rs1041983
*13, *5G, *6A * 13, * 5G, * 6A
rs1805158rs1805158
*19, 190C>T, R64W* 19, 190C > T, R64W
rs1799930rs1799930
*5E, *6A* 5E, * 6A
rs1799931rs1799931
*7, G286E, *6I* 7, G286E, * 6I
rs4986996rs4986996
*12D* 12D
rs4646241rs4646241
..
rs4646242rs4646242
..
rs4646243rs4646243
..
rs4646246rs4646246
..
TPMTTPMT
rs1800460rs1800460
*3B* 3B
rs1142345rs1142345
*3C, C240Y, 18485A>G* 3C, C240Y, 18485A> G
rs75543815rs75543815
*6, 15327A>T* 6, 15327A> T
rs1800462rs1800462
*2, 238G>C, A80P* 2, 238G > C, A80P
rs12201199rs12201199
..
rs1800584rs1800584
*4 *4
UGT1A1UGT1A1
rs4124874rs4124874
*60, -3263T>G* 60, -3263T> G
rs887829rs887829
*28* 28
rs28934877rs28934877
*38* 38
rs55750087rs55750087
*29, R367G* 29, R367G
rs4148323rs4148323
*6, Gly71Arg* 6, Gly71Arg
rs34993780rs34993780
*7* 7
rs10929302rs10929302
*93, -3156G>A* 93, -3156G > A
rs3755319rs3755319
..
rs2003569rs2003569
..
CYP2E1CYP2E1
rs2031920rs2031920
*5, -1053C>T* 5, -1053C > T
rs6413432rs6413432
*6, 7632T>A* 6, 7632T> A
rs3813867rs3813867
*5A, *5B* 5A, * 5B
rs2070673rs2070673
*7, -333T>A* 7, -333T> A
rs2070875rs2070875
..
rs2515641rs2515641
..
CYP3A4CYP3A4
rs4987161rs4987161
*17, F189S, 670T>C* 17, F189S, 670T > C
rs28371759rs28371759
*18, L293P (T>C)* 18, L293P (T > C)
rs2740574rs2740574
*1B, -392A>G* 1B, -392A> G
CYP3A5CYP3A5
rs776746rs776746
*3, 6986A>G* 3, 6986A> G
rs55965422rs55965422
*5, 12952T>C* 5, 12952T> C
rs10264272rs10264272
*6, 14690G>A* 6, 14690G > A
rs41303343rs41303343
*7, 27131_27132insT* 7, 27131_27132insT
rs28383479rs28383479
*9, 19386G>A* 9, 19386G> A
rs41279854rs41279854
*10, 29753T>C* 10, 29753T> C
CYP4B1CYP4B1
rs4646487rs4646487
Arg173Trp Arg173Trp
CYP4F2CYP4F2
rs2108622rs2108622
V433M V433M
CYP19A1CYP19A1
rs4646rs4646
..
rs6493497rs6493497
..
CYP1A2CYP1A2
rs762551rs762551
*1F, -163C>A* 1F, -163C > A
rs2069526rs2069526
*K, *1E, -739T>G* K, * 1E, -739T> G
rs2470890rs2470890
*1B, 5347T>C* 1B, 5347T > C
rs2069522rs2069522
..
rs3743484rs3743484
..
rs72547513rs72547513
*11, F186L, 558C>A* 11, F186L, 558C > A
rs72547511rs72547511
*15, P42R, 125C>G* 15, P42R, 125C> G
rs72547515rs72547515
*16, R377Q, 2473G>A* 16, R377Q, 2473G > A
rs55889066rs55889066
*5, C406Y, 3497G>A* 5, C406Y, 3497G > A
rs28399424rs28399424
*6, R431W, 5090C>T* 6, R431W, 5090C > T
rs72547517rs72547517
*8, R456H, 5166G>A* 8, R456H, 5166G > A
rs2472304rs2472304
..
rs4646427rs4646427
..
rs2069521rs2069521
..
CYP1B1CYP1B1
rs1056836rs1056836
*3, 4326C>G, L432V* 3, 4326C> G, L432V
CYP2A6CYP2A6
rs28399468rs28399468
*10, 6600G>T* 10, 6600G > T
rs28399433rs28399433
*13, *15, -48T>G* 13, * 15, -48T> G
rs28399444rs28399444
*20, 2141_2142delAA* 20, 2141_2142delAA
CYP2B6CYP2B6
rs12721655rs12721655
*8, 415A>G, K192E* 8, 415A > G, K192E
rs1042389rs1042389
..
rs34223104rs34223104
*22, -82C>T* 22, -82C > T
rs36079186rs36079186
*27, 593T>C, M198T* 27, 593T > C, M198T
rs34097093rs34097093
*28, 1132C>T, R378X* 28, 1132C> T, R378X
rs3211371rs3211371
*1C, *5, *7 , 1459C>T, Arg487Cys* 1C, * 5, * 7, 1459C > T, Arg487Cys
rs8192709rs8192709
*2, 64C>T* 2, 64C > T
rs28399499rs28399499
*18, 983T>C, I328T* 18, 983T > C, I328T
rs58425034rs58425034
c.646-159G>Cc.646-159G> C
rs12721646rs12721646
c.646-17C>Tc.646-17C> T
CYP2C8CYP2C8
rs11572103rs11572103
*2, I269F, A805T* 2, I269F, A805T
rs10509681rs10509681
*5, 2189delA* 5, 2189delA
rs11572177rs11572177
..
rs1113129rs1113129
..
rs1341164rs1341164
..
CYP2C18CYP2C18
rs12777823rs12777823
..
ABCB1ABCB1
rs1045642rs1045642
3435C>T3435C> T
rs1128503rs1128503
Gly412Gly Gly412Gly
rs10280101rs10280101
..
rs7787082rs7787082
..
rs4148739rs4148739
..
rs11983225rs11983225
..
rs12720067rs12720067
..
rs3213619rs3213619
-129T>C-129T> C
rs2235015rs2235015
287-25G>T287-25G> T
rs10276036rs10276036
IVS9-44a>GIVS9-44a> G
rs35810889rs35810889
M89T M89T
rs35023033rs35023033
R669C R669C
rs28364274rs28364274
V1251I V1251I
rs35730308rs35730308
W1108R W1108R
rs3789243rs3789243
..
ABCC1ABCC1
rs3784862rs3784862
..
rs246240rs246240
..
rs2238476rs2238476
..
rs35592rs35592
16081823T>C16081823T> C
rs35605rs35605
1684C>T1684C> T
rs2230671rs2230671
4002G>A4002G> A
rs212090rs212090
5462T>A5462T> A
rs35529209rs35529209
Ala989ThrAla989Thr
rs4148356rs4148356
Arg723GlnArg723Gln
rs45511401rs45511401
Gly671Val Gly671Val
rs119774rs119774
..
ABCC2ABCC2
rs717620rs717620
-24C>T-24C> T
rs3740066rs3740066
3972C>T3972C> T
rs8187710rs8187710
Cys1515Tyr Cys1515Tyr
rs2273697rs2273697
V417I V417I
rs17222723rs17222723
Val1188Glu Val1188Glu
rs12762549rs12762549
..
ABCC4ABCC4
rs1751034rs1751034
3463 A>G3463 A> G
rs9561778rs9561778
c.3366+1243G>T c.3366 + 1243G > T
ABCC6ABCC6
rs2238472rs2238472
Arg1268Gln Arg1268Gln
ABCG2ABCG2
rs13120400rs13120400
..
rs17731538rs17731538
..
rs2622604rs2622604
..
rs2231142rs2231142
Q141KQ141K
ABOABO
rs8176746rs8176746
..
rs495828rs495828
..
ACEACE
rs4341rs4341
..
ADMADM
rs11042725rs11042725
-1923C>A-1923C> A
ADRB2ADRB2
rs1042713rs1042713
Arg16GlyArg16Gly
rs1800888rs1800888
Thr164IleThr164Ile
ADRB3ADRB3
rs4994rs4994
Trp64ArgTrp64Arg
AGTR1AGTR1
rs5182rs5182
573C>T 573C> T
AKT1AKT1
rs2494732rs2494732
..
ANKK1ANKK1
rs1800497rs1800497
..
AOX1AOX1
rs55754655rs55754655
Asn1135Ser Asn1135Ser
APOBAPOB
rs1367117rs1367117
711C>T711C> T
APOC3APOC3
rs5128rs5128
3238C>G3238C> G
rs2854117rs2854117
-482C>T-482C> T
ARG1ARG1
rs2781659rs2781659
..
ATMATM
rs4585rs4585
..
ATP7AATP7A
rs2227291rs2227291
Val767Leu Val767Leu
ATXN1ATXN1
rs179997rs179997
A-241GA-241G
BAT3BAT3
rs750332rs750332
..
BCHEBCHE
rs1799807rs1799807
Asp70Gly Asp70Gly
rs28933390rs28933390
Gly390Val Gly390Val
rs28933389rs28933389
Thr243Met Thr243Met
BDKRB1BDKRB1
rs12050217rs12050217
..
BDKRB2BDKRB2
rs1799722rs1799722
C-58TC-58T
C6orf10C6F10
rs3129900rs3129900
..
CACNG2CACNG2
rs2284017rs2284017
..
rs2284018rs2284018
..
rs5750285rs5750285
..
CATCAT
rs10836235rs10836235
c.66+78C>T c.66 + 78C> T
CBR1CBR1
rs9024rs9024
1096G>A 1096G> A
rs20572rs20572
627C>T, A209A 627C> T, A209A
CBR3CBR3
rs2835285rs2835285
Val93Ile Val93Ile
rs1056892rs1056892
Val244Met Val244Met
CCND1CCND1
rs17852153rs17852153
870G>A 870G> A
CDACDA
rs2072671rs2072671
Lys27Gln, K27QLys27Gln, K27Q
rs60369023rs60369023
c.208G>A, Ala70Thr c.208G > A, Ala70Thr
rs532545rs532545
-451C>T -451C> T
CETPCETP
rs708272rs708272
Taq1BTaq1B
CHST3CHST3
rs4148943rs4148943
c.*1278C>T c. * 1278C> T
rs4148945rs4148945
c.*1361C>T c. * 1361C> T
rs4148950rs4148950
c.*3477G>A c. * 3477G> A
rs1871450rs1871450
c.*3785G>A c. * 3785G> A
rs730720rs730720
c.*4533C>T c. * 4533C> T
rs12418rs12418
c.*4785G>A c. * 4785G> A
CNTFCNTF
rs1800169rs1800169
FS63TERFS63TER
COMTCOMT
rs9332377rs9332377
..
rs737865rs737865
..
rs165599rs165599
..
rs4680rs4680
Val158MetVal158Met
CRHR2CRHR2
rs2267715rs2267715
..
rs2284220rs2284220
..
rs7793837rs7793837
..
CYTSACYTSA
rs5760410rs5760410
g.4205975G>Ag.4205975G> A
DRD2DRD2
rs4436578rs4436578
..
rs1799978rs1799978
A-241GA-241G
rs6277rs6277
C957TC957T
rs1076560rs1076560
..
DRD3DRD3
rs167771rs167771
..
rs6280rs6280
Ser9Gly Ser9Gly
EGFREGFR
rs121434568rs121434568
L858RL858R
rs2227983rs2227983
R497KR497K
EPHX1EPHX1
rs1051740rs1051740
Y113H, 337T>CY113H, 337T > C
rs2234922rs2234922
H139R, 416A>GH139R, 416A > G
ERBB2ERBB2
rs1136201rs1136201
Ile655ValIle655Val
ERCC1ERCC1
rs3212986rs3212986
8092C>A 8092C> A
rs11615rs11615
19007T>C, Asn118Asn 19007T > C, Asn118Asn
ERCC2ERCC2
rs13181rs13181
2251A>C, Lys751Gln2251A > C, Lys751Gln
F2F2
rs1799963rs1799963
..
FDPSFDPS
rs2297480rs2297480
..
FKBP5FKBP5
rs1360780rs1360780
..
rs3800373rs3800373
..
GGCXGGCX
rs699664rs699664
8016G>A8016G> A
GGHGGH
rs11545078rs11545078
452C>T452C> T
rs3780126rs3780126
c.109+1307G>C c.109 + 1307G > C
rs11545077rs11545077
Ala31Thr Ala31Thr
GNB3GNB3
rs5443rs5443
Ser275Ser Ser275Ser
GRIK2GRIK2
rs2518224rs2518224
..
GRIK4GRIK4
rs1954787rs1954787
..
GSK3BGSK3B
rs334558rs334558
-50T>C -50T> C
rs13321783rs13321783
IVS7+9227A>GIVS7 + 9227A> G
rs2319398rs2319398
IVS7+11660G>TIVS7 + 11660G > T
rs6808874rs6808874
IVS11+4251T>A IVS11 + 4251T > A
GSTM3GSTM3
rs1799735rs1799735
Intron6, 3 bp deletionIntron6, 3 bp deletion
GSTP1GSTP1
rs1138272rs1138272
C341T, A114VC341T, A114V
rs1695rs1695
*B, Ile105Val* B, Ile105Val
HLA-EHLA-E
rs1059510rs1059510
Asn98AsnAsn98Asn
HMGCRHMGCR
rs12654264rs12654264
..
rs3846662rs3846662
..
HSPA1LHSPA1L
rs2227956rs2227956
..
rs2075800rs2075800
E602KE602K
HTR1AHTR1A
rs6295rs6295
..
rs10042486rs10042486
..
rs1364043rs1364043
..
HTR2AHTR2A
rs9316233rs9316233
..
rs7997012rs7997012
Intron5, 2 variantIntron 5, 2 variant
rs6311rs6311
-1438G>A-1438G> A
rs6314rs6314
C1354TC1354T
rs6313rs6313
102C>T102C> T
HTR2CHTR2C
rs1414334rs1414334
..
rs518147rs518147
-697G/C-697G / C
rs3813928rs3813928
c.-995G>Ac.-995G > A
rs6318rs6318
Cys23SerCys23Ser
rs3813929rs3813929
-759C>T-759C> T
HTR3BHTR3B
rs2276307rs2276307
..
HTR7HTR7
rs1935349rs1935349
..
IL1BIL1B
rs16944rs16944
-511C/T -511C / T
IL28BIL28B
rs8099917rs8099917
..
rs12980275rs12980275
..
rs8105790rs8105790
..
rs11881222rs11881222
..
rs7248668rs7248668
..
ITGB3ITGB3
rs5918rs5918
Leu33ProLeu33Pro
ITPAITPA
rs1127354rs1127354
P32T P32T
KCNH2KCNH2
rs3815459rs3815459
..
rs3807375rs3807375
..
rs12720441rs12720441
R784W R784W
KCNJ11KCNJ11
rs5219rs5219
Lys23Glu, E23KLys23Glu, E23K
KNG1KNG1
rs4686799rs4686799
..
rs5030062rs5030062
..
rs698078rs698078
..
LDLRLDLR
rs688rs688
16730C>T16730C> T
LEMD2LEMD2
rs2395402rs2395402
..
LRP2LRP2
rs2075252rs2075252
..
LTC4SLTC4S
rs730012rs730012
-444C -444C
METTL21AMETTL21A
rs7569963rs7569963
..
rs4675690rs4675690
..
MICAMICA
rs2848716rs2848716
..
MLH1MLH1
rs1800734rs1800734
-93-93
MTHFRMTHFR
rs1801131rs1801131
1298A>C1298A> C
rs1801133rs1801133
Ala222ValAla222Val
NEFMNEFM
rs1379357rs1379357
..
NOS1APNOS1AP
rs10918594rs10918594
..
rs10494366rs10494366
..
NOS3NOS3
rs2070744rs2070744
-786T>C-786T> C
NPPANPPA
rs5065rs5065
T2238C T2238C
NQO1NQO1
rs1800566rs1800566
*2, c.558C>T* 2, c.558C > T
NTRK1NTRK1
rs2768759rs2768759
..
OPRM1OPRM1
rs1799971rs1799971
A118GA118G
P2RY1P2RY1
rs701265rs701265
..
rs1065776rs1065776
893C>T 893C> T
P2RY12P2RY12
rs2046934rs2046934
T744CT744C
PTGS1PTGS1
rs3842787rs3842787
P17LP17L
PTGS2PTGS2
rs20417rs20417
-765G>C-765G> C
RGS4RGS4
rs951439rs951439
..
rs2661319rs2661319
..
rs2842030rs2842030
..
SCN5ASCN5A
rs12053903rs12053903
..
rs1805124rs1805124
H558R H558R
rs7626962rs7626962
S1103Y S1103Y
SLC10A1SLC10A1
rs2296651rs2296651
800C>T800C> T
SLC10A2SLC10A2
rs2301159rs2301159
c.*755C>T c. * 755C> T
SLC19A1SLC19A1
rs1051266rs1051266
Arg27His, c.*746C>TArg27His, c. * 746C > T
SLC1A1SLC1A1
rs2228622rs2228622
..
rs3780413rs3780413
..
rs3780412rs3780412
..
SLC22A1SLC22A1
rs34059508rs34059508
1393G>A, G465R1393G > A, G465R
rs12208357rs12208357
148C>T, R61C148C > T, R61C
SLC22A16SLC22A16
rs714368rs714368
146A>G, His49Arg 146A > G, His49Arg
SLC22A2SLC22A2
rs316019rs316019
*4, A270S* 4, A270S
rs8177517rs8177517
K432QK432Q
rs8177507rs8177507
M165IM165I
rs8177516rs8177516
*7, R400C* 7, R400C
SLC28A2SLC28A2
rs2413775rs2413775
16334845T>A16334845T> A
SLC28A3SLC28A3
rs11568388rs11568388
1099G>A1099G> A
SLCO1B1SLCO1B1
rs56199088rs56199088
*10, D655G* 10, D655G
rs2306283rs2306283
*1B, N130D* 1B, N130D
rs56101265rs56101265
*2, F73L* 2, F73L
rs72559745rs72559745
*3, E156G* 3, E156G
rs56061388rs56061388
*3, V82A* 3, V82A
rs4149056rs4149056
*5, c.521T>C* 5, c.521T > C
rs59502379rs59502379
*9, G488A* 9, G488A
rs4149081rs4149081
intronic A/Gintronic A / G
rs11045879rs11045879
intronic C/Tintronic C / T
SLCO1B3SLCO1B3
rs11045585rs11045585
..
SLCO2B1SLCO2B1
rs12422149rs12422149
Arg312GlnArg312Gln
ST6GAL1ST6GAL1
rs10937275rs10937275
--
SULT1C4SULT1C4
rs1402467rs1402467
p.Asp5Glu p.Asp5Glu
TCF7L2TCF7L2
rs12255372rs12255372
..
TNFTNF
rs1800629rs1800629
-308G>A-308G> A
TP53TP53
rs1042522rs1042522
Arg72ProArg72Pro
UGT1A7UGT1A7
rs7586110rs7586110
-57T>G-57T> G
UGT1A8UGT1A8
rs1042597rs1042597
*2, c.518C>G, Ala173Gly* 2, c.518C > G, Ala173Gly
UGT2B10UGT2B10
rs7657958rs7657958
Asp67Tyr taggingAsp67Tyr tagging
UGT2B15UGT2B15
rs1902023rs1902023
*2, Y85D* 2, Y85D
UGT2B17UGT2B17
rs6552182rs6552182
*2, CNV* 2, CNV
ULK3ULK3
rs2290573rs2290573
..
VDRVDR
rs1544410rs1544410
BsmI BsmI
또한, ADT 스코어링에서 대용량분석법 적용이 어려운 하기 표 5에 나타낸 14개의 SNP는 SNaPshot(single base extension) 분석을 위한 프로브 세트를 제작하였다.In addition, the 14 SNPs shown in Table 5, which are difficult to apply the large-scale analysis method in the ADT scoring, produced a probe set for SNaPshot (single base extension) analysis.
SNaPshot 방법을 적용한 유전형 리스트List of genotypes applying SNaPshot method
유전자gene
SNP IDSNP ID
관용명A common name
CYP2DCYP2D
rs1065852rs1065852
*10, *36, *49, 100C>T* 10, * 36, * 49, 100C > T
rs16947rs16947
*2, 2850C>T* 2, 2850C > T
rs1135822rs1135822
*49, 1611T>A* 49, 1611T> A
rs35742686rs35742686
*3, 2549delA* 3, 2549delA
rs3892097rs3892097
*4, 1846G>A* 4, 1846G > A
rs5030655rs5030655
*6, 1707delT* 6, 1707delT
rs79738337rs79738337
*60, 2303C>T* 60, 2303C > T
rs1058164rs1058164
, *4, *8, *10, 1661G>C, * 4, * 8, * 10, 1661G > C
CYP2A6CYP2A6
rs56256500rs56256500
*23, R203C, 607C>T* 23, R203C, 607C > T
rs1809810rs1809810
*18, 5668A>T* 18, 5668A> T
CYP2C19CYP2C19
rs3758580rs3758580
*2, 80160C>T* 2, 80160C > T
DPYDDPYD
rs72981743rs72981743
-243G/A-243G / A
NR1I2NR1I2
rs1464603rs1464603
g.252A>Gg.252A> G
ABCB1ABCB1
rs2032582rs2032582
..
<1-3> 선발된 <1-3> Selected
SNPSNP
의 of
지노타이핑Zino typing
((
genotypinggenotyping
) 분석) analysis
378개의 SNP는 상기 제작된 프로브 세트를 이용하여 Glass microbead assay 방법으로 지노타이핑을 수행하였다. 상기 지노타이핑 분석은 다음과 같이 수행하였다.378 SNPs were genotyped by the Glass microbead assay method using the prepared probe set. The Zino typing analysis was performed as follows.
상기 Glass microbead assay는 길이 240 micron, 지름 28 micron의 실린더 형태의 유리 마이크로비드(glass microbead)인 베라코드 비드(Veracode bead)를 이용하여 378개 SNP 마커의 유전자형 정보를 확인한 후, 고처리 이중 칼라 레이저 분석기인 BeadXpress 리더기를 통해 상기 마이크로 비드의 코드 및 형광 신호를 스캐닝한 다음, 베라코드 비드에 기록된 코드와 시료의 ID를 비교함으로써 자동으로 유전자형을 결정하는 것이다.The above-mentioned Glass microbead assay was carried out by verifying the genotype information of 378 SNP markers using Veracode bead, which is a cylindrical glass microbead having a length of 240 microns and a diameter of 28 microns, The microbead code and fluorescent signal are scanned through a BeadXpress reader, which is an analyzer, and then the genotype is automatically determined by comparing the code recorded in the veracode bead with the ID of the sample.
구체적으로, 프로브 판넬을 이용하여 스트렙타비딘(streptavidin)과 바이오틴(biotin)을 넣어 DNA를 활성화시키고 활성화된 DNA에 대립유전자 특이적 올리고(allele specific oligo), 유전자좌 특이적 올리고(locus specific oligo), 유니보셜 PCR 프라이머(universal PCR primer oligo pool)를 넣어 혼성화(hybridization)시켰다. 그런 다음, 각 SNP에 특이적으로 결합된 올리고 및 프라이머를 신장(extension), 연결(ligation) 과정을 거쳐 PCR 반응을 하고 각 DNA, SNP 별로 특이적으로 생성된 형광 프로브를 베라코드(veracode)에 붙인 후, BeadXpress를 이용하여 각 시료별로 형광이미지를 구현하였다. 각 SNP의 유전자형은 자동으로 결정되며, 이러한 유전자형 결과를 이용하여 약물대사관련 유전자형 분포도를 작성하였다.Specifically, streptavidin and biotin were added using a probe panel to activate DNA, and allele specific oligos, locus specific oligos, and oligonucleotides were added to the activated DNA, A universal PCR primer oligo pool was added to hybridize. Then, oligonucleotides and primers specifically bound to each SNP were subjected to extension and ligation to perform PCR, and fluorescence probes specifically generated for each DNA and SNP were amplified by veracode After that, fluorescence image was implemented for each sample using BeadXpress. Genotypes of each SNP were determined automatically, and drug metabolism related genotype distributions were generated using these genotype results.
그런 다음, 유전자형 데이타를 분석하기 위해, 각 SNP의 클러스터 이미지(cluster image)를 검토하여 유전자형 클러스터링(genotype clustering)이 정확히 구성되었는지 확인하고 수정한 다음, 게놈스투디오 소프트웨어(GenomeStudio software)를 이용하여 SNP 빈도, HWE, 염색체, 위치에 대한 정보를 분석하였다.Then, in order to analyze the genotyping data, a cluster image of each SNP was examined to confirm whether or not the genotype clustering was correctly configured, and then the genotype clustering was performed using GenomeStudio software, , HWE, chromosome, and location.
또한, 14개의 SNP는 상기 제작된 프로브 세트를 이용하여 SNaPshot(single base extension) 분석법으로 지노타이핑을 수행하였다.In addition, 14 SNPs were genotyped by SNaPshot (single base extension) analysis using the prepared probe set.
구체적으로, SNaPshot 분석법은, 우선 게놈 DNA를 프라이머를 이용하여 PCR을 수행하여 증폭시킨 후, dNTP 및 프라이머를 제거한 다음, 정제된 주형을 획득하였다. 그런 다음, 열 사이클링(thermal cycling)을 통해 신장시킨 후, 통합되지 않은 ddNTP들을 제거하였다. 그런 다음, DNA 분석기를 이용하여 전기영동한 후, GeneScan 및 Genotyper 소프트웨어로 데이타를 분석하였다.Specifically, in the SNaPshot analysis method, first, genomic DNA was amplified by performing PCR using a primer, followed by removal of dNTP and primer, and then a purified template was obtained. It was then expanded by thermal cycling, and then unincorporated ddNTPs were removed. Then, electrophoresis was performed using a DNA analyzer, and data were analyzed with GeneScan and Genotyper software.
CYP2D6 유전자의 SNaPshot 프라이머 및 프로브 정보SNaPshot primer and probe information of CYP2D6 gene
구분division
프라이머primer
& &
프로브Probe
서열 order
길이Length
(크기)(size)
PCRPCR
CYP2D6_P3_F CYP2D6_P3_F
GTTATCCCAGAAGGCTTTGCAGGCTTCA (서열번호 1)GTTATCCCAGAAGGCTTTGCAGGCTTCA (SEQ ID NO: 1)
(5,101)(5,101)
CYP2D6_P3_R CYP2D6_P3_R
GCCGACTGAGCCCTGGGAGGTAGGTA (서열번호 2)GCCGACTGAGCCCTGGGAGGTAGGTA (SEQ ID NO: 2)
SNaPshotSNaPshot
rs1065852rs1065852
AACGCTGGGCTGCACGCTAC (서열번호 3)AACGCTGGGCTGCACGCTAC (SEQ ID NO: 3)
00
rs16947rs16947
tCAGAGAACAGGTACCACCACTATGC (서열번호 4)tCAGAGAACAGGTACCACCACTATGC (SEQ ID NO: 4)
66
rs1135822rs1135822
TTTTTTTTTTTCGGGCCCATAGCGCGCCAGGA (서열번호 5)TTTTTTTTTTTCGGGCCCATAGCGCGCCAGGA (SEQ ID NO: 5)
22
rs35742686rs35742686
(T)10CCAGCTGGATGAGCTGCTAACTGAGCAC (서열번호 6)(T) 10CCAGCTGGATGAGCTGCTAACTGAGCAC (SEQ ID NO: 6)
88
rs3892097rs3892097
(T)20CCTTACCCGCATCTCCCACCCCCA (서열번호 7)(T) 20CCTTACCCGCATCTCCCACCCCCA (SEQ ID NO: 7)
44
rs5030655rs5030655
(T)24GCCTGGGCAAGAAGTCGCTGGAGCAG (서열번호 8)(T) 24GCCTGGGCAAGAAGTCGCTGGAGCAG (SEQ ID NO: 8)
00
rs79738337rs79738337
(T)31GGCAAGGAGAGAGGGTGGAGGCTGG (서열번호 9)(T) 31GGCAAGGAGAGAGGGTGGAGGCTGG (SEQ ID NO: 9)
66
rs1058164rs1058164
(T)41CGAGCAGAGGCGCTTCTCCGT (서열번호 10)(T) 41CGAGCAGAGGCGCTTCTCCGT (SEQ ID NO: 10)
22
DPYD(-243G/A), CYP2A6(R203C, 5668A>T), NR1I2(g.252A>G), CYP2C19(80160C>T), ABCB1(rs2032582) 유전자의 SNaPshot 프라이머 및 프로브 정보SNaPshot primer and probe information of DPYD (-243G / A), CYP2A6 (R203C, 5668A> T), NR1I2 (g.252A> G), CYP2C19 (80160C> T), ABCB1 (rs2032582)
유전자gene
SNPSNP
IDID
관용명A common name
명칭designation
프라이머primer
//
프로브Probe
서열 order
길이Length
DPYDDPYD
rs72981743rs72981743
-243G/A-243G / A
PCR Primer (F)PCR Primer (F)
CGAAAACAGGCAGACTAGGGCGAAAACAGGCAGACTAGGG
200200
PCR Primer (R)PCR Primer (R)
AGAGCGGGTGCTCTACTCCAGAGCGGGTGCTCTACTCC
SNaPshot ProbeSNaPshot Probe
TCTGCTTGCAGGCTGGGGCGCTCTGCTTGCAGGCTGGGGCGC
2121
CYP2A6CYP2A6
rs56256500rs56256500
*23, R203C,
607C>T* 23, R203C,
607C > T
PCR Primer (F)PCR Primer (F)
AGTTGGCAGGTTGTGGTAGGAGTTGGCAGGTTGTGGTAGG
175175
PCR Primer (R)PCR Primer (R)
CTCCAATGTCATCAGCTCCACTCCAATGTCATCAGCTCCA
SNaPshot ProbeSNaPshot Probe
GAACTGGAAGATTCCTAGCATCATGCGAACTGGAAGATTCCTAGCATCATGC
2626
NR1I2NR1I2
rs1464603rs1464603
g.252A>Gg.252A> G
PCR Primer (F)PCR Primer (F)
GACCAGCCCACACTCTGAACGACCAGCCCACACTCTGAAC
191191
PCR Primer (R)PCR Primer (R)
CAAATCTGCCGTGTATGTGGCAAATCTGCCGTGTATGTGG
SNaPshot ProbeSNaPshot Probe
CTGGGGGACAGGTCAAGCTGAGGCCCTGAGACTGGGGGACAGGTCAAGCTGAGGCCCTGAGA
3131
CYP2A6CYP2A6
rs1809810rs1809810
*18, 5668A>T* 18, 5668A> T
PCR Primer (F)PCR Primer (F)
TCCAGCCCCTGTGTACTTTCTCCAGCCCCTGTGTACTTTC
180180
PCR Primer (R)PCR Primer (R)
AAACTGCCCCTTCTCATTCAAAACTGCCCCTTCTCATTCA
SNaPshot ProbeSNaPshot Probe
t(7)CAACTTCCTCCTCCCTACCAGGGCACCGAAGTGTt (7) CAACTTCCTCCTCCCTACCAGGGCACCGAAGTGT
3838
ABCB1ABCB1
rs2032582rs2032582
..
PCR Primer (F)PCR Primer (F)
TTGAAATGAAAATGTTGTCTGGATTGAAATGAAAATGTTGTCTGGA
198198
PCR Primer (R)PCR Primer (R)
AAAAGATTGCTTTGAGGAATGGAAAAGATTGCTTTGAGGAATGG
SNaPshot ProbeSNaPshot Probe
t(13)CAAGCACTGAAAGATAAGAAAGAACTAGAAGGTt (13) CAAGCACTGAAAGATAAGAAAGAACTAGAAGGT
3838
CYP2C19CYP2C19
rs375880rs375880
*2, 8160C>T* 2, 8160C > T
PCR Primer (F)PCR Primer (F)
TTCATGTACCCCTGAATTGCTTTCATGTACCCCTGAATTGCT
166166
PCR Primer (R)PCR Primer (R)
CATCTGTGTAGGGCATGTGGCATCTGTGTAGGGCATGTGG
SNaPshot ProbeSNaPshot Probe
t(24)GCATGCAGGGGCTCCGGTTTCTGCCAACt (24) GCATGCAGGGGCTCCGGTTTCTGCCAAC
3333
총 141개 유전자의 392개 유전자형을 성공적으로 지노타이핑하였다. Glass microbead assay의 유전자형 콜레이트(call rate)는 99.99%(58,739 유전자형/ 378 SNPs x 155 샘플)로 매우 높은 수준의 지노타이핑 성공률을 보였다. 또한, SNaPshot 분석법의 유전자형 콜레이트(call rate)는 100%를 보였다. 총 392개의 SNP의 유전자형 클러스터 및 SNaPshot 이미지를 각각 확인하여 유전자형이 정확히 분리됨을 확인한 후, SNP별 유전자형의 통계분석을 수행하였다.
A total of 392 genotypes of 141 genes were successfully genotyped. The genotype call rate of the glass microbead assay was 99.99% (58,739 genotypes / 378 SNPs x 155 samples), indicating a very high success rate of genotype typing. In addition, the genotype call rate of the SNaPshot method was 100%. A total of 392 SNP genotype clusters and SNaPshot images were confirmed, and genotypes were confirmed to be correctly separated, and statistical analysis of SNP genotypes was performed.
CYP2D6CYP2D6
유전자의 약물유전형 분석 Drug genotype analysis of genes
한국인 155명에서 CYP2D6 유전자의 14개의 SNP를 지노타이핑하여 *2A, *3, *4, *5, *6, *7, *8, *9, *10A, *14A, *34, *39, *41, *49, *60의 총 15종의 약물유전형을 검사하였다. CYP2D6는 다양한 약물(atomoxetine, clomipramine, codeine, desipramine, fluoxetine, imipramine, metoprolol, nortriptyline, tamoxifen, venlafaxine)의 대사와 관련성이 있는 것으로 알려져 있다.In 155 Koreans, 14 SNPs of the CYP2D6 gene were genotyped and typed as 2A, * 3, * 4, * 5, * 6, * 7, * 8, * 9, * 10A, * 14A, * 34, * 41, * 49, * 60 were examined for 15 types of drug genotypes. CYP2D6 is known to be associated with the metabolism of various drugs (atomoxetine, clomipramine, codeine, desipramine, fluoxetine, imipramine, metoprolol, nortriptyline, tamoxifen, and venlafaxine).
CYP2D6의 약물유전형 및 SNP 리스트Drug type and SNP list of CYP2D6
약물유전형Drug Genotype
관용명A common name
rsrs
##
약물 반응 예측Predict drug response
*2A* 2A
2850C>T2850C> T
rs16947rs16947
NormalNormal
4180G>C4180G > C
rs1135840rs1135840
*3* 3
2549delA2549delA
rs35742686rs35742686
Poor metabolizer(PM)Poor metabolizer (PM)
*4*4
1846G>A1846G> A
rs3892097rs3892097
Poor metabolizer(PM)Poor metabolizer (PM)
*5* 5
CYP2D6 deletedCYP2D6 deleted
..
Poor metabolizer(PM)Poor metabolizer (PM)
*6* 6
1707delT1707delT
rs5030655rs5030655
Poor metabolizer(PM)Poor metabolizer (PM)
*7* 7
2935A>C2935A> C
rs5030867rs5030867
Poor metabolizer(PM)Poor metabolizer (PM)
*8*8
1758G>T1758G> T
rs5030865rs5030865
Poor metabolizer(PM)Poor metabolizer (PM)
*9* 9
2615_2617delAAG2615_2617delAAG
rs5030656rs5030656
Poor metabolizer(PM)Poor metabolizer (PM)
*10A* 10A
100C>T100C > T
rs1065852rs1065852
Poor metabolizer(PM)Poor metabolizer (PM)
4180G>C4180G > C
rs1135840rs1135840
*14A* 14A
1758G>T1758G> T
rs5030865rs5030865
Poor metabolizer(PM)Poor metabolizer (PM)
100C>T100C > T
rs1065852rs1065852
1611T>A1611T> A
rs1135822rs1135822
4180G>C4180G > C
rs1135840rs1135840
*34* 34
2850C>T2850C> T
rs16947rs16947
--
*39* 39
1661G>C1661G > C
rs1058164rs1058164
NormalNormal
4180G>C4180G > C
rs1135840rs1135840
*41* 41
2988G>A2988G> A
rs28371525rs28371525
Poor metabolizer(PM)Poor metabolizer (PM)
*49* 49
100C>T100C > T
rs1065852rs1065852
Poor metabolizer(PM)Poor metabolizer (PM)
1611T>A1611T> A
rs1135822rs1135822
4180G>C4180G > C
rs1135840rs1135840
*60* 60
2303C>T2303C> T
rs79738337rs79738337
--
1887insTA1887insTA
CYP2D6_2CYP2D6_2
CYP2D6의 SNP 지노타이핑 결과SNP genotype typing results of CYP2D6
SNPSNP
관용명A common name
RiskRisk
alleleallele
MajorMajor
> >
MinorMinor
유전자형 (# 샘플)Genotype (# samples)
총(n)Total (n)
MAFMAF
HWEHWE
rs1065852rs1065852
*10, *36, *49, 100C>T* 10, * 36, * 49, 100C > T
*10 [T]* 10 [T]
C>TC> T
CC (53)CC 53,
CT (60) The CT (60)
TT (42)TT (42)
155155
0.4650.465
0.0060.006
rs16947rs16947
*2, 2850C>T* 2, 2850C > T
*2 [T]* 2 [T]
C>TC> T
CC (124)CC 124,
CT (27)CT (27)
TT (4)TT (4)
155155
0.1130.113
0.1050.105
rs1135822rs1135822
*49, 1611T>A* 49, 1611T> A
*49 [A]* 49 [A]
T>AT> A
TT (153)TT 153
TA (2) TA (2)
AA (0)AA (O)
155155
0.0060.006
0.9360.936
rs35742686rs35742686
*3, 2549delA* 3, 2549delA
*3 [del]* 3 [del]
ins>delins> del
ins (155)ins (155)
insdel (0)insdel (0)
del (0)del (0)
155155
0.0000.000
1.0001,000
rs3892097rs3892097
*4, 1846G>A* 4, 1846G > A
*4 [A]* 4 [A]
G>AG> A
GG (154)GG (154)
GA (1) GA (1)
AA (0)AA (O)
155155
0.0030.003
0.9680.968
rs5030655rs5030655
*6, 1707delT* 6, 1707delT
*6 [del]* 6 [del]
ins>delins> del
ins (155)ins (155)
insdel (0)insdel (0)
del (0)del (0)
155155
0.0000.000
1.0001,000
rs79738337rs79738337
*60, 2303C>T* 60, 2303C > T
*60 [T]* 60 [T]
C>TC> T
CC (149)CC 149
CT (6)CT (6)
TT (0)TT (0)
155155
0.0190.019
0.8060.806
rs1058164rs1058164
*2, *4, *8, *10, 1661G>C* 2, * 4, * 8, * 10, 1661G > C
*2, *4, *8, *10 [C]* 2, * 4, * 8, * 10 [C]
C>GC> G
CC (69)CC (69)
CG (52)CG 52,
GG (34)GG (34)
155155
0.3870.387
0.0000.000
rs1135840rs1135840
*2A, 4180G>C* 2A, 4180G > C
*2A [G]* 2A [G]
C>GC> G
CC (76)CC (76)
CG (53) CG (53)
GG (26)GG (26)
155155
0.3390.339
0.0030.003
rs28371525rs28371525
*41, 2988G>A* 41, 2988G > A
*41 [A]* 41 [A]
G>AG> A
GG (155)GG (155)
GA (0)GA (0)
AA (0)AA (O)
155155
0.0000.000
1.0001,000
CYP2D6_2CYP2D6_2
*60, 1887insTA* 60, 1887
*60 [ins]* 60 [ins]
del>insdel ins
del (155)del (155)
delins (0)delins (0)
ins (0)ins (0)
155155
0.0000.000
1.0001,000
rs5030867rs5030867
*7, 2935A>C* 7, 2935A > C
*7 [C]* 7 [C]
A>CA> C
AA (155)AA (155)
AC (0)AC (O)
CC (0)CC (0)
155155
0.0000.000
1.0001,000
rs5030865rs5030865
*8, 1758G>T* 8, 1758G > T
*8 [T]* 8 [T]
C>TC> T
CC (151)CC 151,
CT (4)CT (4)
TT (0)TT (0)
155155
0.0130.013
0.8710.871
rs5030656rs5030656
*9, 2615_2617delAAG* 9, 2615_2617delAAG
*9 [del]* 9 [del]
ins>delins> del
ins (155)ins (155)
insdel (0)insdel (0)
del (0)del (0)
155155
0.0000.000
1.0001,000
CYP2D6 유전자의 약물유전형 검사 결과, *1/*1, *1/*34, *1/*39, *2A/*34/*39, *34/*34, *39/*39와 같은 광범위한 대사군(extensive metabolizer)은 56명(36.1%)이 발견되었고, 중간 대사군(Intermediate metabolizer)은 *1/*10A, *4/*10A, *8/*34, *8*34/*34, *10A/*34, *10A/*34/*49, *10A/*39, *8/*10A/*34, *10A/*10A 등으로 99명(63.9%)에서 발견되었으며, *3, *5, *6, *7, *9, *14A, *41, *49와 같은 약한 대사군(poor metabolizer)은 한국인 155명에서 발견되지 않았다(표 9).Drug genotyping of the CYP2D6 gene results in extensive metabolism such as * 1 / * 1, * 1 / * 34, * 1 / * 39, * 2A / * 34 / * 39, * 34 / * 34, * 39 / * 39 The extensive metabolizer was found in 56 patients (36.1%) and the intermediate metabolizer was * 1 / * 10A, * 4 / * 10A, * 8 / * 34, * 8 * 34 / * 34, (63.9%) with * 10A / * 34, * 10A / * 34 / * 49, * 10A / * 39, * 8 / * 10A / * 34, Weak metabolizers such as * 5, * 6, * 7, * 9, * 14A, * 41 and * 49 were not found in 155 Korean patients (Table 9).
CYP2D6의 약물유전형 빈도Drug genotype frequency of CYP2D6
CYP2D6CYP2D6
대립유전자 Allele
샘플Sample
비율ratio
약물 반응 예측Predict drug response
*1/*1* 1 / * 1
1212
7.7%7.7%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*1/*34* 1 / * 34
88
5.2%5.2%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*1/*39* 1 / * 39
1313
8.4%8.4%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*1/*10A* 1 / * 10A
4141
26.5%26.5%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*2A/*34/*39* 2A / * 34 / * 39
1One
0.6%0.6%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*4/*10A* 4 / * 10A
1One
0.6%0.6%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*8/*34* 8 / * 34
1One
0.6%0.6%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*8*34/*34* 8 * 34 / * 34
1One
0.6%0.6%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*10A/*34* 10A / * 34
1414
9.0%9.0%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*10A/*34/*49* 10A / * 34 / * 49
1One
0.6%0.6%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*10A/*39* 10A / * 39
22
1.3%1.3%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*8/*10A/*34* 8 / * 10A / * 34
22
1.3%1.3%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*10A/*10A* 10A / * 10A
3636
23.2%23.2%
Intermediate Metabolizer(IM)Intermediate Metabolizer (IM)
*34/*34* 34 / * 34
33
1.9%1.9%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*39/*39* 39 / * 39
1919
12.3%12.3%
Extensive Metabolizer(EM)Extensive Metabolizer (EM)
*3, *5, *6, *7, *9, *14A, *41, *49* 3, * 5, * 6, * 7, * 9, * 14A, * 41, * 49
00
0.0%0.0%
Poor Metabolizer(PM)Poor Metabolizer (PM)
*60* 60
00
0.0%0.0%
--
CYP2C9CYP2C9
및 And
VKORC1VKORC1
유전자의 약물유전형 분석 Drug genotype analysis of genes
한국인 155명에서 CYP2C9의 13개의 SNP 및 VKORC1의 6개의 SNP를 지노타이핑하였다. CYP2C9 및 VKORC1는 와파린(warfarin)(혈액응고제)의 투약량과 관련성이 있는 것으로 알려져 있다.In 155 Koreans, 13 SNPs of CYP2C9 and 6 SNPs of VKORC1 were genotyped. CYP2C9 and VKORC1 are known to be related to the dose of warfarin (blood coagulant).
CYP2C9의 *2, *3 유전형과 VKORC1의 rs8050894 유전다형을 분석한 결과, VKORC1-CYP2C9 유전형이 CC:*1/*1인 사람이 1명(0.7%), CG:*1/*1이 26명(16.8%), GG:*1/*1이 118명(76.1%), CG:*1/*3가 1명(0.6%), GG:*1/*3가 9명(5.8%)으로 분석되었다. CC 또는 CG:*1/*1 유전형은 5 ~ 7 mg/day의 와파린(warfarin) 투약량(dose)이 권장되고, GG:*1/*1, CG:*1/*3인 사람은 3 ~ 4 mg/day, GG:*1/*3인 사람은 0.5 ~ 2 mg/day의 와파린 투약량이 적절한 것으로 분석되었다(표 11).Analysis of genetic polymorphisms of CYP2C9 * 2, * 3 and rs8050894 of VKORC1 revealed that 1 (0.7%) of the individuals with CC: * 1 / * 1 and CG: * 1 / * 1 were individuals with VKORC1-CYP2C9 genotype GG: * 1 / * 3: 9 (5.8%), CG: * 1 / * 3 was one (0.6% Respectively. CC or CG: * 1 / * 1 is recommended for warfarin doses of 5-7 mg / day and GG: * 1 / * 1 and CG: * 1 / * 3 is recommended for 3- 4 mg / day, and GG: * 1 / * 3 was appropriate for warfarin doses of 0.5 to 2 mg / day (Table 11).
CYP2C9, VKORC1의 약물유전형 빈도 및 유전형에 따른 와파린 투약량 평가Assessment of warfarin dosage according to drug genotype frequency and genotype of CYP2C9, VKORC1
CYP2C9*1/*1 CYP2C9 * 1 / * 1
CYP2C9*1/*2CYP2C9 * 1 / * 2
CYP2C9*1/*3CYP2C9 * 1 / * 3
CYP2C9*2/*2CYP2C9 * 2 / * 2
CYP2C9*2/*3CYP2C9 * 2 / * 3
CYP2C9*3/*3CYP2C9 * 3 / * 3
VKORC1
(rs8050894)VKORC1
(rs8050894)
Freq.Freq.
DoseDose
Freq.Freq.
DoseDose
Freq.Freq.
DoseDose
Freq.Freq.
DoseDose
Freq.Freq.
DoseDose
Freq.Freq.
DoseDose
CCCC
1
(0.6%)One
(0.6%)
5~75 ~ 7
00
5~75 ~ 7
00
3~43 to 4
00
3~43 to 4
00
3~43 to 4
00
0.5~20.5 to 2
CGCG
26
(16.8%)26
(16.8%)
5~75 ~ 7
00
3~43 to 4
1
(0.6%)One
(0.6%)
3~43 to 4
00
3~43 to 4
00
0.5~20.5 to 2
00
0.5~20.5 to 2
GGGG
118
(76.1%)118
(76.1%)
3~43 to 4
00
3~43 to 4
9
(5.8%)9
(5.8%)
0.5~20.5 to 2
00
0.5~20.5 to 2
00
0.5~20.5 to 2
00
0.5~20.5 to 2
CYP2C9, VKORC1의 SNP 지노타이핑 결과Genotype typing result of SNP of CYP2C9, VKORC1
유전자gene
SNPSNP
IDID
관용명A common name
MajorMajor
>>
MinorMinor
MajorMajor
HeteroHetero
MinorMinor
MAFMAF
HWEHWE
VKORC1VKORC1
rs9934438rs9934438
C6484T, 1173C>TC6484T, 1173C > T
A>GA> G
126126
2222
22
0.0900.090
0.3680.368
rs8050894rs8050894
*2, 1542G>C, 6853G>C* 2, 1542G > C, 6853G > C
G>CG> C
126126
2323
1One
0.0930.093
0.9640.964
rs2359612rs2359612
*2, 2255C>T, 7566C>T* 2, 2255C > T, 7566C > T
A>GA> G
126126
2323
1One
0.0900.090
0.9640.964
rs7200749rs7200749
3F, 3462C>T, 8773C>T3F, 3462C > T, 8773C > T
G>AG> A
150150
00
00
0.0000.000
1.0001,000
rs7294rs7294
3730G>A3730G> A
G>AG> A
127127
2222
1One
0.0900.090
0.9650.965
rs17708472rs17708472
*4, 6009C>T, 698C>T* 4, 6009C > T, 698C > T
G>AG> A
149149
1One
00
0.0000.000
0.9670.967
CYP2C9CYP2C9
rs28371685rs28371685
*11, R335W* 11, R335W
C>TC> T
150150
00
00
0.0000.000
1.0001,000
rs9332239rs9332239
*12, 50338C>T* 12, 50338C> T
C>TC> T
150150
00
00
0.0000.000
1.0001,000
rs72558187rs72558187
*13, 3276T>C* 13, 3276T > C
T>CT > C
150150
00
00
0.0070.007
1.0001,000
rs72558190rs72558190
*15, 9100C>A * 15, 9100C> A
C>AC> A
150150
00
00
0.0000.000
1.0001,000
rs72558193rs72558193
*18, 47391A>C* 18, 47391A > C
A>CA> C
150150
00
00
0.0000.000
1.0001,000
rs1799853rs1799853
*2, Arg144Cys* 2, Arg144Cys
C>TC> T
150150
00
00
0.0000.000
1.0001,000
rs72558188rs72558188
*25, 353_362delAGAAATGGAA* 25, 353_362delAGAAATGGAA
ins>delins> del
150150
00
00
0.0000.000
1.0001,000
rs1057910rs1057910
*3, 42614A>C* 3, 42614A> C
A>CA> C
137137
1313
00
0.0320.032
0.5790.579
rs9332131rs9332131
*6, 818delA* 6, 818delA
ins>del (A>G)ins> del (A> G)
150150
00
00
0.0000.000
1.0001,000
rs9332092rs9332092
..
T>CT > C
137137
1313
00
0.0320.032
0.5790.579
rs9332096rs9332096
..
C>TC> T
129129
2020
1One
0.0810.081
0.8160.816
rs9332098rs9332098
..
G>AG> A
137137
1313
00
0.0320.032
0.5790.579
rs4918758rs4918758
*1C, C1188T* 1C, C1188T
T>CT > C
4545
7777
2828
0.3950.395
0.6240.624
CYP2C19CYP2C19
유전자의 약물유전형 분석 Drug genotype analysis of genes
한국인 155명에서 CYP2C19 유전자의 *2, *3, *4, *5A, *8, *17 SNP를 지노타이핑하였다. CYP2C19는 클로피도그렐(Clopidogrel)의 효과와 관련성이 있는 것으로 알려져 있다.In 155 Koreans, Zino was typed in * 2, * 3, * 4, * 5A, * 8, and * 17 SNP of the CYP2C19 gene. CYP2C19 is known to be associated with the effect of clopidogrel.
그 결과, 야생형(wild type)이 67명(43.2%)으로 가장 많이 발견되었고, *1/*2, *1/*3, *2/*3인 사람은 각각 51, 17, 9명 발견되었으며 이 사람들은 클로피도그렐(Clopidogrel)의 효과가 낮은 것으로 예측되었으며, 클로피도그렐 효과가 매우 낮은 것으로 예측되는 유전형 *2/*2은 11명(7.1%) 발견되었다(표 13).As a result, wild type (67.2%) was found to be the most common, and 51, 17 and 9 persons were found to be * 1 / * 2, * 1 / * 3, * 2 / * 3 respectively These people were predicted to have low clopidogrel efficacy and 11 (7.1%) genotype * 2 / * 2 predicted to have very low clopidogrel effects (Table 13).
CYP2C19의 약물유전형 빈도 및 유전형에 따른 클로피도그렐 효능Clopidogrel efficacy according to drug genotype frequency and genotype of CYP2C19
CYP2C19CYP2C19
유전자형 조합 Genotype combination
FreqFreq
. (%). (%)
약물 효능Drug efficacy
CYP2C19*1/*1CYP2C19 * 1 / * 1
67 (43.2%)67 (43.2%)
전형적인 크로로피도그렐 효능Typical Chloropedogrel efficacy
CYP2C19*1/*2CYP2C19 * 1 / * 2
51 (32.9%)51 (32.9%)
감소된 크로로피도그렐 효능Reduced Chloropedogrel efficacy
CYP2C19*1/*3CYP2C19 * 1 / * 3
17 (11.0%)17 (11.0%)
CYP2C19*2/*3CYP2C19 * 2 / * 3
9 (5.8%)9 (5.8%)
CYP2C9*2/*2CYP2C9 * 2 / * 2
11 (7.1%)11 (7.1%)
매우 감소된 크로로피도그렐 효능Very Reduced Chloropedogrel Efficiency
CYP2C19의 SNP 지노타이핑 결과SNP genotype typing results of CYP2C19
SNPSNP
IDID
관용명A common name
MajorMajor
>>
MinorMinor
MajorMajor
HeteroHetero
MinorMinor
MAFMAF
HWEHWE
rs12248560rs12248560
*17, -806C>T* 17, -806C > T
C>TC> T
131131
1818
1One
0.0260.026
0.6620.662
rs4244285rs4244285
*2, G681A* 2, G681A
G>AG> A
6464
7878
88
0.2650.265
0.0110.011
rs4986893rs4986893
*3, G636A* 3, G636A
G>AG> A
128128
2121
1One
0.0850.085
0.8910.891
rs28399504rs28399504
*4, A1G* 4, A1G
A>GA> G
149149
1One
00
0.0000.000
0.9670.967
rs41291556rs41291556
*8, 12711T>C, W120R* 8, 12711T > C, W120R
T>CT > C
150150
00
00
0.0000.000
1.0001,000
rs17885098rs17885098
*2, *4, *99C>T* 2, * 4, * 99C > T
C>TC> T
139139
1111
00
0.1270.127
0.6410.641
rs3758580rs3758580
2, 80160C>T2, 80160C> T
C>TC> T
8787
5454
99
0.2400.240
0.8720.872
rs11568732rs11568732
-888T/G-888T / G
T>GT> G
113113
3434
33
0.1270.127
0.8140.814
rs4986894rs4986894
-97T/C-97T / C
T>CT > C
6464
7878
88
0.2650.265
0.0110.011
rs17886522rs17886522
G417GG417G
A>CA> C
128128
2121
1One
0.0850.085
0.8910.891
rs17878649rs17878649
IVS1-47G/AIVS1-47G / A
G>AG> A
128128
2121
1One
0.0850.085
0.8910.891
rs4417205rs4417205
IVS5-51C/GIVS5-51C / G
C>GC> G
6464
7878
88
0.2650.265
0.0110.011
rs4917623rs4917623
IVS7-106T/CIVS7-106T / C
C>TC> T
4242
7878
3030
0.4200.420
0.5670.567
rs11188072rs11188072
*17, -3402C>T* 17, -3402C > T
C>TC> T
146146
44
00
0.0260.026
0.8690.869
rs56337013rs56337013
*5A, 1297C>T, R433W* 5A, 1297C > T, R433W
C>TC> T
150150
00
00
0.0000.000
1.0001,000
HLAHLA
-B*1502 유전자의 약물유전형 분석-B * 1502 gene analysis of drug genotypes
한국인 155명에서 HLA-B*1502 유전자의 rs3909184 및 rs2844682 SNP를 지노타이핑하였다. HLA-B*1502는 카르바마제핀(Carbamazepine)(항간질약)의 부작용인 스티븐슨-존슨 증후군(Stevens-Johnson syndrome) 및 독성표피용해(Toxic Epidermal Necrolysis)와 관련성이 있는 것으로 알려져 있다.
In 155 Koreans, rs3909184 and rs2844682 SNPs of the HLA-B * 1502 gene were genotyped. HLA-B * 1502 is known to be associated with Stevens-Johnson syndrome and Toxic Epidermal Necrolysis, which are side effects of Carbamazepine (an antiepileptic drug).
HLA-B*1502의 약물유전형 빈도 및 유전형에 따른 카르바마제핀의 부작용 위험도The risk of adverse effects of carbamazepine on drug genotype frequency and genotype of HLA-B * 1502
rs2844682rs2844682
rs3909184rs3909184
HLAHLA
-B*1502 유형-B * Type 1502
FreqFreq
. (%). (%)
결과result
CCCC
CCCC
없음none
94 (60.6%)94 (60.6%)
낮은 위험Low risk
CCCC
CGCG
없음none
32 (20.6%)32 (20.6%)
낮은 위험Low risk
CCCC
GGGG
없음none
4 (2.6%)4 (2.6%)
낮은 위험Low risk
CTCT
CCCC
없음none
38 (24.5%)38 (24.5%)
낮은 위험Low risk
CTCT
CGCG
결정 불가능Decision impossible
4 (2.6%)4 (2.6%)
..
CTCT
GGGG
*1502 (1 카피)* 1502 (1 copy)
00
높은 위험High risk
TTTT
CCCC
없음none
2 (1.3%)2 (1.3%)
낮은 위험Low risk
TTTT
CGCG
*1502 (1 카피)* 1502 (1 copy)
1 (0.6%)1 (0.6%)
높은 위험High risk
TTTT
GGGG
*1502 (2 카피)* 1502 (2 copies)
00
높은 위험High risk
TPMTTPMT
유전자의 약물유전형 분석 Drug genotype analysis of genes
한국인 155명에서 TPMT 유전자의 *2, *3B, *3C, *4, *6 SNP를 지노타이핑하였다. TPMT는 면역억제제인 아자티오프린(Azathioprine), 멀캅토퓨린(Mercaptopurine), 티오구아닌(Thioguanine) 및 플루오르우라실(Fluorouracil)의 부작용과 관련성이 있는 것으로 알려져 있다.In 155 Koreans, Zinot typed * 2, * 3B, * 3C, * 4, and * 6 SNP of TPMT gene. TPMT is known to be associated with side effects of the immunosuppressants azathioprine, mercaptopurine, thioguanine and fluorouracil.
그 결과, *1/*3C, *1/*6 유전형이 9명에서 발견되었으며, 이 사람들은 약물 독성(Drug toxicity)이 예측되었다(표 16).As a result, * 1 / * 3C, * 1 / * 6 genotypes were found in 9 people, and they were expected to have drug toxicity (Table 16).
유전형에 따른 Fluorouracil 부작용 위험도 분석Risk Analysis of Fluorouracil Adverse Effect According to Genotype
TPMTTPMT
유전자형 조합 Genotype combination
FreqFreq
. (%). (%)
효소 활성Enzyme activity
결과result
*1/*1* 1 / * 1
146 (94.2%)146 (94.2%)
정상normal
전형적인 약물 효능Typical drug efficacy
*1/*3B or *1/*3C* 1 / * 3B or * 1 / * 3C
7 (4.5%)7 (4.5%)
감소decrease
증가된 약물 독성Increased drug toxicity
*1/*6* 1 / * 6
2 (1.3%)2 (1.3%)
염기서열분석(Sequence analysis (
SequencingSequencing
)을 이용한 유전자형 정확도 검증) Genotype accuracy verification
Glass microbead assay방법을 이용하여 확보한 유전자형 결과를 동일한 샘플에서 직접염기서열분석(direct sequencing) 방법을 통해 재분석함으로써 유전자형의 정확도를 검증하였다.The genotype results obtained using the Glass microbead assay method were re-analyzed by direct sequencing method in the same sample to verify the genotype accuracy.
20개의 SNP[CYP3A4의 rs2740574A>G, CYP2C8의 rs10509681A>G (K329R), CYP2B6의 rs28399499T>C (I328T), UGT2B15의 rs1902023 G>T (D85Y), CYP3A5의 rs10264272C>T 및 rs28383479G>A (A337T), DPYD의 rs1801159A>G (I543V) 및 rs1801159A (I543V), NAT2의 rs1799931G>A (G286E), TMPT의 rs1800460G>A (A154T) 및 rs1142345T>C(Y240C), 및 UGT1A1의 rs4148323G>A (R71G) 포함]를 직접염기서열분석을 수행하고 Glass microbead assay 분석 결과와 비교하였다.20 SNPs (rs2740574A> C of CYP3A4> rs10509681A> G (K329R) of CYP2C8, rs28399499T> C (I328T) of CYP2B6, rs1902023 G> T (D85Y) of UGT2B15, rs10264272C> T and rs28383479G> A (A337T) of CYP3A5, , Rs1801159A> G (I543V) and rs1801159A (I543V) of DPYD, rs1799931G> A (G286E) of NAT2, rs1800460G> A (A154T) and rs1142345T> C (Y240C) of TMPT, and rs4148323G> A (R71G) of UGT1A1. ] Were directly sequenced and compared with those of Glass microbead assay.
그 결과, 총 3100개 유전자형(20 SNPs x 155 샘플) 모두 일치하여 정확도 100%를 보였다.
As a result, a total of 3100 genotypes (20 SNPs x 155 samples) were matched and 100% accuracy was obtained.