ArticleFrontiers in pharmacology2026
Population prevalence of high-risk pharmacogenetic configurations in a healthy older Australian reference cohort.
Article in Frontiers in pharmacology, 2026. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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6 authors.
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Abstract
Recent advances in pharmacogenomic guidelines, regulatory labelling, and clinical implementation are supporting broader adoption of pharmacogenetic testing. We analysed whole-genome sequencing data from 3,205 participants in the Medical Genome Reference Bank, a healthy older Australian reference cohort predominantly of European ancestry, to characterise established and novel pharmacogenetic variation. Overall, 1,303 participants (40.7%) carried at least one confirmed homozygous ClinPGx/PharmGKB Level 1A high-risk configuration. A further 399 participants (12.4%) carried at least one potential-trans, phase-unresolved configuration. After accounting for overlap, 1,566 participants (48.9%) had either a confirmed homozygous or potential-trans, phase-unresolved configuration, representing an upper-bound estimate of potential biallelic involvement rather than confirmed biallelic prevalence. Confirmed homozygous configurations occurred in two or more high-risk pharmacogenes in 255 participants (8.0%) and in three or more genes in 22 participants (0.7%); the corresponding upper-bound estimates were 377 (11.8%) and 45 (1.4%), respectively. None of 409 candidate potential-trans participant-gene configurations could be directly resolved as cis or trans from available phase information. A total of 140 novel predicted loss-of-function participant-gene category records were identified across the high-risk pharmacogene set. Within
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