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  • High-throughput framework f...
    Zheng, Neil S; Stone, Cosby A; Jiang, Lan; Shaffer, Christian M; Kerchberger, V Eric; Chung, Cecilia P; Feng, QiPing; Cox, Nancy J; Stein, C Michael; Roden, Dan M; Denny, Joshua C; Phillips, Elizabeth J; Wei, Wei-Qi

    PLOS genetics, 06/2021, Letnik: 17, Številka: 6
    Journal Article

    Understanding the contribution of genetic variation to drug response can improve the delivery of precision medicine. However, genome-wide association studies (GWAS) for drug response are uncommon and are often hindered by small sample sizes. We present a high-throughput framework to efficiently identify eligible patients for genetic studies of adverse drug reactions (ADRs) using "drug allergy" labels from electronic health records (EHRs). As a proof-of-concept, we conducted GWAS for ADRs to 14 common drug/drug groups with 81,739 individuals from Vanderbilt University Medical Center's BioVU DNA Biobank. We identified 7 genetic loci associated with ADRs at P < 5 × 10-8, including known genetic associations such as CYP2D6 and OPRM1 for CYP2D6-metabolized opioid ADR. Additional expression quantitative trait loci and phenome-wide association analyses added evidence to the observed associations. Our high-throughput framework is both scalable and portable, enabling impactful pharmacogenomic research to improve precision medicine.