Lack of Association of the P450 Oxidoreductase *28 Single Nucleotide Polymorphism with the Lipid-Lowering Effect of Stat
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ORIGINAL RESEARCH ARTICLE
Lack of Association of the P450 Oxidoreductase *28 Single Nucleotide Polymorphism with the Lipid-Lowering Effect of Statins in Hypercholesterolemic Patients Georgia Ragia • Vana Kolovou • Anna Tavridou • Laure Elens • Alexandros D. Tselepis • Moses Elisaf • Ron H. N. Van Schaik • Genovefa Kolovou • Vangelis G. Manolopoulos
Ó Springer International Publishing Switzerland 2014
Abstract Background and Objective Inter-individual variability exists in the statin (HMG-CoA reductase inhibitor) lipidlowering response, which is partially attributed to genetic factors. The polymorphic enzyme P450 oxidoreductase (POR) transfers electrons from nicotinamide adenine dinucleotide phosphate (NADPH) to cytochrome P450 (CYP) 3A enzymes, which metabolize atorvastatin and simvastatin. The POR*28 allele is associated with increased activity of CYP3A enzymes. We analyzed the association of the POR*28 allele with response to atorvastatin and simvastatin. Methods A total of 207 atorvastatin-treated adults were included in the study. An independent population of 210 simvastatin-treated adults served as a replication cohort. Total cholesterol (TChol) and low-density lipoprotein cholesterol (LDL-C) were measured at baseline and after 6 months of treatment. The POR*28 allele was analyzed with a TaqManÒ assay.
Results The POR*28 allele was associated with a nonsignificant trend towards lower percentage mean reduction of TChol (-35.5 % in *1/*1, -33.7 % in *1/*28, and -29.5 % in *28/*28 individuals) and LDL-C (-42.6 % in *1/*1, -41.7 % in *1/*28, and -37.8 % in *28/*28 individuals) in response to atorvastatin. This trend was not observed in the replication cohort of simvastatin-treated patients. No sex–gene interaction was observed regarding the effect of the POR*28 allele on the statin lipid-lowering response in either statin-treated patient cohort. Conclusion The POR*28 allele was not associated with the lipid-lowering effect of atorvastatin and the results were replicated in an independent simvastatin-treated population. The hypothesized effect of the POR*28 allele on the lipid-lowering response to CYP3A-metabolized statins can potentially be masked by relevant confounding or uncontrolled factors; therefore, further studies in different populations are required.
G. Ragia A. Tavridou V. G. Manolopoulos (&) Laboratory of Pharmacology, Medical School, Democritus University of Thrace, Dragana Campus, 68100 Alexandroupolis, Greece e-mail: [email protected]
L. Elens Louvain Centre for Toxicology and Applied Pharmacology, Catholic University of Louvain, Brussels, Belgium
V. Kolovou G. Kolovou Onassis Cardiac Center, Athens, Greece A. Tavridou V. G. Manolopoulos Clinical Pharmacology Unit, Academic General Hospital of Alexandroupolis, Alexandroupolis, Greece L. Elens R. H. N. Van Schaik Department of Clinical Chemistry, Erasmus MC, Rotterdam, The Netherlands
A. D. Tselepis Department of Chemistry, University of Ioannina, Ioannina, Greece M. Elisaf Department of Internal Medicine, School of Medicine, Uni
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