Int. J. Mol. Sci. 2014, 15(5), 7699-7710; doi:10.3390/ijms15057699
Article

Development of a Multiplex and Cost-Effective Genotype Test toward More Personalized Medicine for the Antiplatelet Drug Clopidogrel

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Received: 17 March 2014; in revised form: 20 April 2014 / Accepted: 22 April 2014 / Published: 5 May 2014
(This article belongs to the collection Human Single Nucleotide Polymorphisms and Disease Diagnostics)
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Abstract: There has been a wide range of inter-individual variations in platelet responses to clopidogrel. The variations in response to clopidogrel can be driven by genetic polymorphisms involved in the pathway of absorption, distribution, metabolism, excretion, and the target receptor P2Y12. A set of genetic variants known for causing variations in clopidogrel responses was selected, which included CYP2C19*2, *3, *17, CYP2B6*4, *6, *9, CYP3A4*18, CYP3A5*3, MDR1 2677G > T/A, 3435C > T, and P2Y12 H2 (742T > C). The simultaneous detection of these 10 variants was developed by using a multiplex PCR and single-base extension (MSSE) methodology. The newly developed genotyping test was confirmed by direct DNA sequencing in the representative positive control samples and validated in an extended set of 100 healthy Korean subjects. Genotyping results from the developed MSSE exhibited a perfect concordance with the direct DNA sequencing data and all of variants tested in 100 healthy Korean subjects were in agreement with Hardy-Weinberg equilibrium (p > 0.05). The present molecular diagnostic studies provide an accurate, convenient, and fast genotyping method for the detection of multiple variants. This would be helpful for researchers, as well as clinicians, to use genetic information toward more personalized medicine of clopidogrel and other antiplatelet drugs in the future.
Keywords: clopidogrel; genotypes; CYP2C19; P2Y12; SNaPshot; pharmacogenetics
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Jeong, H.-E.; Lee, S.-J.; Cha, E.-Y.; Kim, E.-Y.; Kim, H.-S.; Song, Y.H.; Shin, J.-G. Development of a Multiplex and Cost-Effective Genotype Test toward More Personalized Medicine for the Antiplatelet Drug Clopidogrel. Int. J. Mol. Sci. 2014, 15, 7699-7710.

AMA Style

Jeong H-E, Lee S-J, Cha E-Y, Kim E-Y, Kim H-S, Song YH, Shin J-G. Development of a Multiplex and Cost-Effective Genotype Test toward More Personalized Medicine for the Antiplatelet Drug Clopidogrel. International Journal of Molecular Sciences. 2014; 15(5):7699-7710.

Chicago/Turabian Style

Jeong, Hye-Eun; Lee, Su-Jun; Cha, Eun-Young; Kim, Eun-Young; Kim, Ho-Sook; Song, Young H.; Shin, Jae-Gook. 2014. "Development of a Multiplex and Cost-Effective Genotype Test toward More Personalized Medicine for the Antiplatelet Drug Clopidogrel." Int. J. Mol. Sci. 15, no. 5: 7699-7710.


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