Impact of SNP-SNP interaction among ABCB1, ARRB2, DRD1 and OPRD1 on methadone dosage requirement in Han Chinese patients

Pharmacogenomics. 2017 Dec;18(18):1659-1670. doi: 10.2217/pgs-2017-0072. Epub 2017 Nov 27.

Abstract

Aim: To evaluate the potential association of the genetic polymorphisms in ABCB1, ARRB2, DRD1 and OPRD1 genes with methadone dosage requirement among Han Chinese opioid-dependent patients.

Materials & methods: Eight SNPs in ABCB1, ARRB2, DRD1 and OPRD1 genes were selected and genotyped using Sequenom MassARRAY platform among 257 methadone maintenance treatment patients. The required information about stable methadone dose, urine analysis for opioid and socio-demographic characteristics was collected. Generalized multifactor dimensionality reduction method was performed to analyze the SNP-SNP interaction.

Results: We found that patients carrying the rs529520TG genotype of OPRD1 probably required higher methadone treatment dosage. A 3-locus SNP-SNP interaction pattern (rs1128503 in ABCB1, rs529520 in OPRD1 and rs1045280 in ARRB2) was significantly associated with the methadone dosage requirement (p = 0.029).

Conclusion: Our results suggested that specific OPRD1 variants and interaction among polymorphisms in ABCB1, OPRD1 and ARRB2 genes contributes to methadone dosage requirement in Han Chinese opioid-dependent patients.

Keywords: Han Chinese; SNP–SNP interaction; methadone dosage requirement.

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • Adult
  • Analgesics, Opioid / adverse effects
  • Asian People / genetics*
  • Female
  • Genotype
  • Humans
  • Male
  • Methadone / administration & dosage*
  • Middle Aged
  • Opiate Substitution Treatment / methods
  • Opioid-Related Disorders / drug therapy
  • Opioid-Related Disorders / genetics
  • Polymorphism, Single Nucleotide / genetics*
  • Receptors, Dopamine D1 / genetics*
  • Receptors, Opioid, delta / genetics*
  • beta-Arrestin 2 / genetics*

Substances

  • ABCB1 protein, human
  • ARRB2 protein, human
  • ATP Binding Cassette Transporter, Subfamily B
  • Analgesics, Opioid
  • DRD1 protein, human
  • OPRD1 protein, human
  • Receptors, Dopamine D1
  • Receptors, Opioid, delta
  • beta-Arrestin 2
  • Methadone