Individualized risk for statin-induced myopathy: current knowledge, emerging challenges and potential solutions.

Abstract:

:Skeletal muscle toxicity is the primary adverse effect of statins. In this review, we summarize current knowledge regarding the genetic and nongenetic determinants of risk for statin induced myopathy. Many genetic factors were initially identified through candidate gene association studies limited to pharmacokinetic (PK) targets. Through genome-wide association studies, it has become clear that SLCO1B1 is among the strongest PK predictors of myopathy risk. Genome-wide association studies have also expanded our understanding of pharmacodynamic candidate genes, including RYR2. It is anticipated that deep resequencing efforts will define new loci with rare variants that also contribute, and sophisticated computational approaches will be needed to characterize gene-gene and gene-environment interactions. Beyond environment, race is a critical covariate, and its influence is only partly explained by geographic differences in the frequency of known pharmacodynamic and PK variants. As such, admixture analyses will be essential for a full understanding of statin-induced myopathy.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Feng Q,Wilke RA,Baye TM

doi

10.2217/pgs.12.11

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

579-94

issue

5

eissn

1462-2416

issn

1744-8042

journal_volume

13

pub_type

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