Pharmacogenetics of ustekinumab in patients with moderate-to-severe plaque psoriasis

Pharmacogenomics. 2017 Jan;18(2):157-164. doi: 10.2217/pgs-2016-0122. Epub 2016 Dec 15.

Abstract

Aim/Materials & methods: Few studies have evaluated the influence of pharmacogenetics in psoriatic patients treated with ustekinumab. We evaluated 121 polymorphisms to study a possible association between these SNPs and the response to ustekinumab (PASI75 at 4 months; n = 69).

Results/conclusion: The adjusted results (false discovery rate) showed an association between five SNPs in TNFRSF1A, HTR2A, NFKBIA, ADAM33 and IL13 genes, and poor response to ustekinumab. Furthermore, six SNPs in CHUK, C17orf51, ZNF816A, STAT4, SLC22A4 and Corf72 genes were associated with better response to ustekinumab. However, there was no significant association between response to ustekinumab and SNPs in HLA-C as it has been recently described. Finally, a higher weight was obtained in nonresponders than responders (p = 0.018). Further studies would be necessary to be closer to personalized medicine.

Keywords: pharmacogenetics; psoriasis; ustekinumab.

MeSH terms

  • Adult
  • Dermatologic Agents / therapeutic use*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pharmacogenetics / methods*
  • Polymorphism, Single Nucleotide / genetics
  • Psoriasis / diagnosis
  • Psoriasis / drug therapy*
  • Psoriasis / genetics*
  • Severity of Illness Index*
  • Ustekinumab / therapeutic use*

Substances

  • Dermatologic Agents
  • Ustekinumab