CYP2B6 G516T genotyping in a UK cohort of HIV-positive patients: polymorphism frequency and influence on efavirenz discontinuation.

Abstract:

OBJECTIVES:The nonnucleoside reverse transcriptase inhibitor (NNRTI) efavirenz undergoes phase I metabolism by the cytochrome P450 enzyme, CYP2B6. Previous studies outside of the United Kingdom have shown associations between the CYP2B6 polymorphism G516T and increased toxicity. This study aimed to develop a CYP2B6 G516T genotyping assay to identify individuals at risk of efavirenz toxicity. The frequency of this polymorphism in a UK HIV-infected population and its prevalence in individuals who had discontinued efavirenz were also to be assessed. METHODS:Genomic DNA from HIV-positive patients (n = 206) attending clinic at Southmead Hospital, North Bristol NHS Trust was extracted from spare blood taken for CD4 monitoring. An allele-specific polymerase chain reaction (PCR) method for the CYP2B6 G516T polymorphism was used to assign patients' genotypes. Patients' age, sex, ethnicity and drug history were also recorded. RESULTS:The G516T polymorphism was more prevalent in Blacks (16%; n = 10/63) than Caucasians (6%; n = 9/143). No significant difference in the distribution of genotypes between individuals who had discontinued efavirenz (n = 31) and individuals who had continued efavirenz (n = 74) was observed (chi(2); P = 0.63). CONCLUSIONS:A genotyping method for the CYP2B6 G516T method was used to assess the polymorphism frequency in a UK cohort of HIV-infected patients. The polymorphism was not more prevalent in individuals who had discontinued efavirenz. Reasons for drug discontinuation are likely to be multifactorial and as this study showed cannot be explained by this genetic difference alone. For this reason we do not advocate testing for this polymorphism in routine clinical practice at present.

journal_name

HIV Med

journal_title

HIV medicine

authors

Powers V,Ward J,Gompels M

doi

10.1111/j.1468-1293.2009.00718.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

520-3

issue

8

eissn

1464-2662

issn

1468-1293

pii

HIV718

journal_volume

10

pub_type

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