SLCO1B1 and ABCB1 variants synergistically influence the atorvastatin treatment response in south Indian coronary artery disease patients: supplementary files
Introduction: Atorvastatin exhibits wide interindividual variability in treatment response, limiting the
drug efficacy in coronary artery disease patients. Aim: To study the effect of genetic variants involved
in atorvastatin transport/metabolism and correlate their lipid-lowering efficacy. Materials & methods:
Genotyping was performed using 5?-hydrolysis probe method (n = 412), and the study evaluated the
treatment response in 86 patients. Results: Significant reduction in total cholesterol and low-density
lipoprotein cholesterol (LDL-C) were observed in SLCO1B1-rs4149056, rs4363657 and ABCB1-rs1045642
genotypes. The combined genotypes of ABCB1 and SLCO1B1 showed a strong synergistic effect in reducing
the total cholesterol and LDL-C. Diabetes and smoking were observed to influence the LDL-C reduction.
Conclusion: The genetic variants of SLCO1B1 and ABCB1 predict the lipid-lowering efficacy of atorvastatin,
and this may be useful in genotype-guided statin therapy for coronary artery disease patients.