CYPTAM - PacBio SMRT sequencing
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ABSTRACT: Pharmacogenomics is a key component of precision medicine. It promises to prevent adverse drug reactions and reduce ineffective treatment by individualizing the choice of drug and dose based on an individual’s genetic profile. The majority of commonly prescribed drugs are metabolized by a small set of Cytochrome P450 (CYP) enzymes. Currently, a subset of genetic biomarkers are used to categorize patients into predefined *-alleles to predict CYP450 enzyme activity. Yet, this approach cannot describe all genetic variability in drug response, with a large degree of unpredictability remaining. We have combined long-read PacBio sequencing with a neural network to improve phenotype prediction in pharmacogenetics.
For 566 breastcancer patients who have used the CYp2D6 substrate tamoxifen as adjuvant therapy, we have sequenced the full CYP2D6 locus using PacBio SMRT sequencing. CYP2D6 enzyme activity can be inferred from the tamoxifen metabolism by using the ratio between the metabolites endoxifen and desmethyltamoxifen (Metabolic ratio (MR)). This MR was used as a proxy for observed CYP2D6 enzyme activity and is regarded as the true phenotype. The PacBio sequencing + neural network approach explained 79% of the interindividual variability in CYP2D6 activity compared to 55% with the conventional approach.
PROVIDER: EGAS00001004224 | EGA |
REPOSITORIES: EGA
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