PMID- 29681852 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 9 DP - 2018 TI - Genotypic and Phenotypic Factors Influencing Drug Response in Mexican Patients With Type 2 Diabetes Mellitus. PG - 320 LID - 10.3389/fphar.2018.00320 [doi] LID - 320 AB - The treatment of Type 2 Diabetes Mellitus (T2DM) consists primarily of oral antidiabetic drugs (OADs) that stimulate insulin secretion, such as sulfonylureas (SUs) and reduce hepatic glucose production (e.g., biguanides), among others. The marked inter-individual differences among T2DM patients' response to these drugs have become an issue on prescribing and dosing efficiently. In this study, fourteen polymorphisms selected from Genome-wide association studies (GWAS) were screened in 495 T2DM Mexican patients previously treated with OADs to find the relationship between the presence of these polymorphisms and response to the OADs. Then, a novel association screening method, based on global probabilities, was used to globally characterize important relationships between the drug response to OADs and genetic and clinical parameters, including polymorphisms, patient information, and type of treatment. Two polymorphisms, ABCC8-Ala1369Ser and KCNJ11-Glu23Lys, showed a significant impact on response to SUs. Heterozygous ABCC8-Ala1369Ser variant (A/C) carriers exhibited a higher response to SUs compared to homozygous ABCC8-Ala1369Ser variant (A/A) carriers (p-value = 0.029) and to homozygous wild-type genotypes (C/C) (p-value = 0.012). The homozygous KCNJ11-Glu23Lys variant (C/C) and wild-type (T/T) genotypes had a lower response to SUs compared to heterozygous (C/T) carriers (p-value = 0.039). The screening of OADs response related genetic and clinical factors could help improve the prescribing and dosing of OADs for T2DM patients and thus contribute to the design of personalized treatments. FAU - Sanchez-Ibarra, Hector E AU - Sanchez-Ibarra HE AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. FAU - Reyes-Cortes, Luisa M AU - Reyes-Cortes LM AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. FAU - Jiang, Xian-Li AU - Jiang XL AD - Evolutionary Information Laboratory, Department of Biological Sciences, University of Texas at Dallas, Richardson, TX, United States. FAU - Luna-Aguirre, Claudia M AU - Luna-Aguirre CM AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. FAU - Aguirre-Trevino, Dionicio AU - Aguirre-Trevino D AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. FAU - Morales-Alvarado, Ivan A AU - Morales-Alvarado IA AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. FAU - Leon-Cachon, Rafael B AU - Leon-Cachon RB AD - Departamento de Ciencias Basicas, Centro de Diagnostico Molecular y Medicina Personalizada, Vicerrectoria de Ciencias de la Salud, Universidad de Monterrey, Monterrey, Mexico. FAU - Lavalle-Gonzalez, Fernando AU - Lavalle-Gonzalez F AD - Servicio de Endocrinologia, Hospital Universitario Dr. Jose E. Gonzalez, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico. FAU - Morcos, Faruck AU - Morcos F AD - Evolutionary Information Laboratory, Department of Biological Sciences, University of Texas at Dallas, Richardson, TX, United States. AD - Center for Systems Biology, University of Texas at Dallas, Richardson, TX, United States. FAU - Barrera-Saldana, Hugo A AU - Barrera-Saldana HA AD - Molecular Genetics Laboratory, Vitagenesis, S.A. de C.V., Monterrey, Mexico. AD - Tecnologico de Monterrey, Monterrey, Mexico. LA - eng PT - Journal Article DEP - 20180406 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC5898372 OTO - NOTNLM OT - Mexican OT - biguanides OT - diabetes OT - direct coupling analysis OT - direct information OT - pharmacogenetics OT - pharmacogenomics OT - sulfonylureas EDAT- 2018/04/24 06:00 MHDA- 2018/04/24 06:01 PMCR- 2018/04/06 CRDT- 2018/04/24 06:00 PHST- 2018/01/19 00:00 [received] PHST- 2018/03/20 00:00 [accepted] PHST- 2018/04/24 06:00 [entrez] PHST- 2018/04/24 06:00 [pubmed] PHST- 2018/04/24 06:01 [medline] PHST- 2018/04/06 00:00 [pmc-release] AID - 10.3389/fphar.2018.00320 [doi] PST - epublish SO - Front Pharmacol. 2018 Apr 6;9:320. doi: 10.3389/fphar.2018.00320. eCollection 2018.