Evidence map›Paper›PMID 40944712›Full record

ArticlePharmacogenomics

Pharmacogenomic variants affecting efficacy and safety of medicines acting on central nervous system among Sri Lankans.

Priyanga Ranasinghe, Charindie Peiris, Hajanthy Jeyapragasam, Nirmala D Sirisena, D P Bhagya Hendalage, Vajira H W Dissanayake

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Article in Pharmacogenomics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Priyanga RanasingheDepartment of Pharmacology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0002-1522-9276
Charindie PeirisDepartment of Pharmacology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0002-5372-9618
Hajanthy JeyapragasamDepartment of Pharmacology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0009-0002-0802-4712
Nirmala D SirisenaDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0003-0994-6954
D P Bhagya HendalageDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0009-0006-6228-6333
Vajira H W DissanayakeDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID 0000-0002-3264-6856

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnsuring the efficacy and safety of medicines acting on the central nervous system (CNS) remains a challenge due to their complex pharmacokinetics and inter-individual variability in response. We describe the frequencies of pharmacogenomic variants affecting CNS drug metabolism in a Sri Lankan population.

methodsPharmacogenomic data pertaining to genes of interest were obtained from the Pharmacogenomics Knowledgebase database. Pharmacokinetically relevant cytochrome P450 isoforms were selected. Their frequencies in Sri Lankans were obtained from an anonymized database derived from 690 participants, from the Human Genetics Unit, Faculty of Medicine, University of Colombo. Minor allele frequencies (MAFs) of these variants were calculated and compared with other populations.

resultsMAFs of

conclusionSri Lankans exhibit an increased susceptibility to adverse reactions with common antidepressants, antipsychotics, and analgesics and reduced efficacy to opioid analgesics. These findings highlight the need for population-specific pharmacogenomic guidelines.

Indexed as

Central Nervous SystemCentral Nervous System AgentsPharmacogenomic VariantsAdultCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6FemaleGene FrequencyHumansMalePharmacogeneticsPolymorphism, Single NucleotideSri LankaCentral Nervous System AgentsCYP2C19 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6CNS medicinesCYP2B6CYP2C19CYP2C9CYP2D6PharmacogenomicsSouth AsiaSri Lanka

Identifiers

PMID40944712
PMCPMC12582073

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.