دورية أكاديمية

SLCO1B1*5 is protective against non-senile cataracts in cohort prescribed statins: analysis in a British-South Asian cohort.

التفاصيل البيبلوغرافية
العنوان: SLCO1B1*5 is protective against non-senile cataracts in cohort prescribed statins: analysis in a British-South Asian cohort.
المؤلفون: Magavern EF; William Harvey Research Institute, Queen Mary University of London, London, EC1M 6BQ, UK., van Heel DA; Blizard Institute, Queen Mary University of London, London, E1 2AB, UK., Smedley D; William Harvey Research Institute, Queen Mary University of London, London, EC1M 6BQ, UK., Caulfield MJ; William Harvey Research Institute, Queen Mary University of London, London, EC1M 6BQ, UK. m.j.caulfield@qmul.ac.uk.
مؤلفون مشاركون: Genes & Health Research Team
المصدر: The pharmacogenomics journal [Pharmacogenomics J] 2023 Sep; Vol. 23 (5), pp. 134-139. Date of Electronic Publication: 2023 May 23.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Nature Pub. Group Country of Publication: United States NLM ID: 101083949 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-1150 (Electronic) Linking ISSN: 1470269X NLM ISO Abbreviation: Pharmacogenomics J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Avenet, NJ : Nature Pub. Group, c2001-
مواضيع طبية MeSH: Hydroxymethylglutaryl-CoA Reductase Inhibitors*/adverse effects , Cataract*/chemically induced , Cataract*/epidemiology , Cataract*/genetics, Humans ; Male ; Adult ; Female ; Genotype ; Liver-Specific Organic Anion Transporter 1/genetics
مستخلص: Background: Reported association between statin use and cataract risk is controversial. The SLCO1B1 gene encodes a transport protein responsible for statin clearance. The aim of this study was to investigate a possible association between the SLCO1B1*5 reduced function variant and cataract risk in statin users of South Asian ethnicity.
Methods: The Genes & Health cohort consists of British-Bangladeshi and British-Pakistani participants from East London, Manchester and Bradford, UK. SLCO1B1*5 genotype was assessed with the Illumina GSAMD-24v3-0-EA chip. Medication data from primary care health record linkage was used to compare those who had regularly used statins compared to those who had not. Multivariable logistic regression was used to test for association between statin use and cataracts, adjusting for population characteristics and potential confounders in 36,513 participants. Multivariable logistic regression was used to test association between SLCO1B1*5 heterozygotes or homozygotes and cataracts, in subgroups having been regularly prescribed statins versus not.
Results: Statins were prescribed to 35% (12,704) of participants (average age 41 years old, 45% male). Non-senile cataract was diagnosed in 5% (1686) of participants. An apparent association between statins and non-senile cataract (12% in statin users and 0.8% in non-statin users) was negated by inclusion of confounders. In those prescribed a statin, presence of the SLCO1B1*5 genotype was independently associated with a decreased risk of non-senile cataract (OR 0.7 (CI 0.5-0.9, p 0.007)).
Conclusions: Our findings suggest that there is no independent association between statin use and non-senile cataract risk after adjusting for confounders. Among statin users, the SLCO1B1*5 genotype is associated with a 30% risk reduction of non-senile cataracts. Stratification of on-drug cohorts by validated pharmacogenomic variants is a useful tool to support or repudiate adverse drug events in observational cohorts.
(© 2023. The Author(s).)
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معلومات مُعتمدة: United Kingdom WT_ Wellcome Trust; United Kingdom MRC_ Medical Research Council
المشرفين على المادة: 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors)
0 (SLCO1B1 protein, human)
0 (Liver-Specific Organic Anion Transporter 1)
تواريخ الأحداث: Date Created: 20230523 Date Completed: 20230920 Latest Revision: 20231015
رمز التحديث: 20231016
مُعرف محوري في PubMed: PMC10506906
DOI: 10.1038/s41397-023-00307-w
PMID: 37221222
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-1150
DOI:10.1038/s41397-023-00307-w