The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing
Clopidogrel is widely used worldwide as an antiplatelet therapy in patients with acute coronary disease. Genetic factors influence interindividual variability in response. Some studies have explored the polygenic contributions in the drug response, generating pharmacogenomic risk scores (PgxPRS). Im...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2024
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/44844
- Acceso en línea:
- https://doi.org/10.1371/journal.pone.0306445
https://repository.urosario.edu.co/handle/10336/44844
- Palabra clave:
- Clopidogrel
Antiplatelet therapy
- Rights
- License
- Attribution-NonCommercial-NoDerivatives 4.0 International
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dc.title.spa.fl_str_mv |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
title |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
spellingShingle |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing Clopidogrel Antiplatelet therapy |
title_short |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
title_full |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
title_fullStr |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
title_full_unstemmed |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
title_sort |
The polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencing |
dc.subject.spa.fl_str_mv |
Clopidogrel Antiplatelet therapy |
topic |
Clopidogrel Antiplatelet therapy |
description |
Clopidogrel is widely used worldwide as an antiplatelet therapy in patients with acute coronary disease. Genetic factors influence interindividual variability in response. Some studies have explored the polygenic contributions in the drug response, generating pharmacogenomic risk scores (PgxPRS). Importantly, these factors are less explored in underrepresented populations, such as Latin-American countries. Identifying patients at risk of high-on-treatment platelet reactivity (HTPR) is highly valuable in translational medicine. In this study we used a custom next-generation sequencing (NGS) panel composed of 91 single nucleotide polymorphisms (SNPs) and 28 genes related to clopidogrel metabolism, to analyze 70 patients with platelet reactivity values, assessed through closure time (CT). Our results demonstrated the association of SNPs with HTPR and non-HTPR, revealing the strongest associations with rs2286823 (OR: 5,0 |
publishDate |
2024 |
dc.date.created.spa.fl_str_mv |
2024-07-01 |
dc.date.issued.spa.fl_str_mv |
2024-07-01 |
dc.date.accessioned.none.fl_str_mv |
2025-01-26T18:36:54Z |
dc.date.available.none.fl_str_mv |
2025-01-26T18:36:54Z |
dc.type.spa.fl_str_mv |
article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1371/journal.pone.0306445 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/44844 |
url |
https://doi.org/10.1371/journal.pone.0306445 https://repository.urosario.edu.co/handle/10336/44844 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.spa.fl_str_mv |
PLOS ONE |
dc.rights.spa.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.rights.acceso.spa.fl_str_mv |
Abierto (Texto Completo) |
dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc-sa/4.0/ |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International Abierto (Texto Completo) http://creativecommons.org/licenses/by-nc-sa/4.0/ http://purl.org/coar/access_right/c_abf2 |
dc.format.mimetype.spa.fl_str_mv |
application/pdf |
dc.publisher.spa.fl_str_mv |
PLOS ONE |
dc.source.spa.fl_str_mv |
PLOS ONE |
institution |
Universidad del Rosario |
dc.source.instname.spa.fl_str_mv |
instname:Universidad del Rosario |
dc.source.reponame.spa.fl_str_mv |
reponame:Repositorio Institucional EdocUR |
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2567857f-27c3-45ea-be56-9e7e013d2a4783a24198-3b76-4613-a120-6710b677d5b40ede7676-8461-418f-9cc7-75a7d06c64397a4030d1-8e99-414b-81b3-79dbbaab4451fe4a8297-aac6-4353-a34f-b43c72f06520ea93335a-89d2-4271-b607-86f6886df3d2682778faa63ada-cc17-4820-9159-c0dcbe5dd5e16c2bd0c9-423f-4075-9d0c-e785da2dba675248352660096ae304e-c37d-450e-b682-a189bcf5e334460cea7b-0030-4e0a-9544-fcb2a72c0831d0a49fdb-b6f3-43c2-8f18-dbf804d8e49ff4a57ac3-6a71-4e2f-8819-fa39ce825c4008c3f421-fc37-4c4f-8b8c-c1448bdc9567520948256002025-01-26T18:36:54Z2025-01-26T18:36:54Z2024-07-012024-07-01Clopidogrel is widely used worldwide as an antiplatelet therapy in patients with acute coronary disease. Genetic factors influence interindividual variability in response. Some studies have explored the polygenic contributions in the drug response, generating pharmacogenomic risk scores (PgxPRS). Importantly, these factors are less explored in underrepresented populations, such as Latin-American countries. Identifying patients at risk of high-on-treatment platelet reactivity (HTPR) is highly valuable in translational medicine. In this study we used a custom next-generation sequencing (NGS) panel composed of 91 single nucleotide polymorphisms (SNPs) and 28 genes related to clopidogrel metabolism, to analyze 70 patients with platelet reactivity values, assessed through closure time (CT). Our results demonstrated the association of SNPs with HTPR and non-HTPR, revealing the strongest associations with rs2286823 (OR: 5,095% CI: 1,02–24,48p: 0,03), rs2032582 (OR: 4,4195% CI: 1,20–16,12p: 0,019), and rs1045642 (OR: 3,3895% CI: 0,96–11,9p: 0,05). Bivariate regression analysis demonstrated the significant association of several SNPs with the CT value, a “surrogate” biomarker of clopidogrel response. Exploratory results from the LASSO regression model showed a high discriminatory capacity between HTPR and non-HTPR patients (AUC: 0,955), and the generated PgxPRS demonstrated a significant negative association between the risk score, CT value, and the condition of HTPR and non-HTPR. To our knowledge, our study addresses for the first time the analysis of the polygenic contribution in platelet reactivity using NGS and establishes PgxPRS derived from the LASSO model. Our results demonstrate the polygenic implication of clopidogrel response and offer insights applicable to the translational medicine of antiplatelet therapy in an understudied population.application/pdfhttps://doi.org/10.1371/journal.pone.0306445https://repository.urosario.edu.co/handle/10336/44844engPLOS ONEPLOS ONEAttribution-NonCommercial-NoDerivatives 4.0 InternationalAbierto (Texto Completo)http://creativecommons.org/licenses/by-nc-sa/4.0/http://purl.org/coar/access_right/c_abf2PLOS ONEinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURClopidogrelAntiplatelet therapyThe polygenic implication of clopidogrel responsiveness: Insights from platelet reactivity analysis and next-generation sequencingarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Echeverría, OmarAngulo-Aguado, MarianaVela, RicardoCalderón-Ospina, CarlosParra, KatherineContreras, NoraMorel, AdrienCabrera, RodrigoRestrepo Fernández, Carlos MartínRamírez Santana, Heily CarolinaOrtega-Recalde, Oscar Rojas-Quintana, Manuel EduardoMurcia, LuisaGaviria-Sabogal, Cristian CamiloValero, NattalyFonseca Mendoza, Dora JanethORIGINALThe_polygenic_implication_of_clopidogrel_responsiveness.pdfapplication/pdf1948398https://repository.urosario.edu.co/bitstreams/f4e0eab4-a898-4171-b539-76c2ffbe81c9/download3c30034adbd904a430445c7e8b5ce7ceMD51TEXTThe_polygenic_implication_of_clopidogrel_responsiveness.pdf.txtThe_polygenic_implication_of_clopidogrel_responsiveness.pdf.txtExtracted texttext/plain83308https://repository.urosario.edu.co/bitstreams/e7473ede-87cf-4a03-a32b-e89fb318993b/download52195315408426d39f2cdd0cbc61c9d4MD52THUMBNAILThe_polygenic_implication_of_clopidogrel_responsiveness.pdf.jpgThe_polygenic_implication_of_clopidogrel_responsiveness.pdf.jpgGenerated Thumbnailimage/jpeg4436https://repository.urosario.edu.co/bitstreams/80457184-3132-4561-87ad-421285eb0bf5/download725b15608a334eebc850796a2270afd9MD5310336/44844oai:repository.urosario.edu.co:10336/448442025-03-05 09:03:07.592http://creativecommons.org/licenses/by-nc-sa/4.0/Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttps://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |