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Pharmacoresponse in genetic generalized epilepsy: a genome-wide association study

  • Aim: Pharmacoresistance is a major burden in epilepsy treatment. We aimed to identify genetic biomarkers in response to specific antiepileptic drugs (AEDs) in genetic generalized epilepsies (GGE). Materials & methods: We conducted a genome-wide association study (GWAS) of 3.3 million autosomal SNPs in 893 European subjects with GGE – responsive or nonresponsive to lamotrigine, levetiracetam and valproic acid. Results: Our GWAS of AED response revealed suggestive evidence for association at 29 genomic loci (p <10-5) but no significant association reflecting its limited power. The suggestive associations highlight candidate genes that are implicated in epileptogenesis and neurodevelopment. Conclusion: This first GWAS of AED response in GGE provides a comprehensive reference of SNP associations for hypothesis-driven candidate gene analyses in upcoming pharmacogenetic studies.

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Author:Stefan Wolking, Herbert Schulz, Anne T, Nies, Mark McCormack, Elke Schäffeler, Pauls Auce, Andreja Avbersek, Felicitas Becker, Karl Martin KleinORCiD, Martin Krenn, Rikke S. MøllerORCiDGND, Marina Nikanorova, Sarah Weckhuysen, Gianpiero L. CavalleriORCiD, Norman Delanty, Chantal Depondt, Michael R. Johnson, Bobby P. C. Koeleman, Wolfram S. Kunz, Anthony G. Marson, Josemir W. Sander, Graeme J. Sills, Pasquale StrianoORCiDGND, Federico J. ZaraORCiD, Fritz ZimprichORCiDGND, Yvonne G. Weber, Roland Krause, Sanjay M. SisodiyaORCiD, Matthias Schwab, Thomas Sander, Holger LercheORCiDGND
URN:urn:nbn:de:hebis:30:3-547170
DOI:https://doi.org/10.2217/pgs-2019-0179
ISSN:1744-8042
ISSN:1462-2416
Parent Title (English):Pharmacogenomics
Publisher:Future Medicine
Place of publication:London
Document Type:Article
Language:English
Date of Publication (online):2020/04/20
Date of first Publication:2020/04/20
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Contributing Corporation:EpiPGx Consortium
Release Date:2020/10/27
Tag:GWAS; antiepileptic drugs; genetic generalized epilepsy; lamotrigine; levetiracetam; pharmacoresistance; valproic acid
Volume:21
Issue:5
Page Number:11
First Page:325
Last Page:335
HeBIS-PPN:472986511
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoDeutsches Urheberrecht