Pharmacogenomic landscape of COVID-19 therapies from Indian population genomes

Author:

Sahana S1ORCID,Sivadas Ambily2,Mangla Mohit13,Jain Abhinav13,Bhoyar Rahul C1,Pandhare Kavita1,Mishra Anushree1,Sharma Disha1,Imran Mohamed13,Senthivel Vigneshwar13,Divakar Mohit Kumar13,Rophina Mercy13,Jolly Bani13,Batra Arushi13,Sharma Sumit1,Siwach Sanjay1,Jadhao Arun G4,Palande Nikhil V5,Jha Ganga Nath6,Ashrafi Nishat6,Mishra Prashant Kumar7,Vidhya AK8,Jain Suman9,Dash Debasis13,Kumar Nachimuthu Senthil10,Vanlallawma Andrew10,Sarma Ranjan Jyoti10,Chhakchhuak Lalchhandama11,Kalyanaraman Shantaraman12,Mahadevan Radha12,Kandasamy Sunitha12,Devi Pabitha12,Rajagopal Raskin Erusan12,Ramya J Ezhil12,Devi P Nirmala12,Bajaj Anjali13,Gupta Vishu13,Mathew Samatha13,Goswami Sangam13,Prakash Savinitha1,Joshi Kandarp1,Kumla Meya1,Sreedevi S13,Gajjar Devarshi14,Soraisham Ronibala15,Yadav Rohit13,Devi Yumnam Silla16,Gupta Aayush17,Mukerji Mitali13,Ramalingam Sivaprakash13,Binukumar BK13,Sivasubbu Sridhar13,Scaria Vinod13

Affiliation:

1. CSIR Institute of Genomics & Integrative Biology, Mathura Road, New Delhi, 110025, India

2. Division of Nutrition, St. John’s Research Institute, St. John’s National Academy of Health Sciences, Bangalore, India

3. Academy of Scientific & Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201002, India

4. Department of Zoology, RTM Nagpur University, Nagpur, Maharashtra, 440033, India

5. Department of Zoology, Shri Mathuradas Mohota College of Science, Nagpur, Maharashtra, 440009, India

6. Department of Anthropology, Vinoba Bhave University, Hazaribag, Jharkhand, 825301, India

7. Department of Biotechnology, Vinoba Bhave University, Hazaribag, Jharkhand, 825301, India

8. Department of Biochemistry, Dr. Kongu Science & Art College, Erode, Tamil Nadu, 638107, India

9. Thalassemia & Sickle cell Society, Hyderabad, Telangana, 500052, India

10. Department of Biotechnology, Mizoram University, Aizawl, Mizoram, 796004, India

11. Department of Pathology, Civil Hospital Aizawl, Mizoram, 796001, India

12. TVMC, Tirunelveli Medical College, Tirunelveli, Tamil Nadu, 627011, India

13. Department of Microbiology, St. Pious X Degree & PG College for Women, Hyderabad, Telangana, 500076, India

14. Department of Microbiology, The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat, 390002, India

15. Department of Dermatology, Venereology & Leprology, Regional Institute of Medical Sciences, Imphal, Manipur, 795004, India

16. CSIR- North East Institute of Science & Technology, Jorhat, Assam, 785006, India

17. Department of Dermatology, Dr. D.Y. Patil Medical College, Pune, Maharashtra, 411018, India

Abstract

Aim: Numerous drugs are being widely prescribed for COVID-19 treatment without any direct evidence for the drug safety/efficacy in patients across diverse ethnic populations. Materials & methods: We analyzed whole genomes of 1029 Indian individuals (IndiGen) to understand the extent of drug–gene (pharmacogenetic), drug–drug and drug–drug–gene interactions associated with COVID-19 therapy in the Indian population. Results: We identified 30 clinically significant pharmacogenetic variants and 73 predicted deleterious pharmacogenetic variants. COVID-19-associated pharmacogenes were substantially overlapped with those of metabolic disorder therapeutics. CYP3A4, ABCB1 and ALB are the most shared pharmacogenes. Fifteen COVID-19 therapeutics were predicted as likely drug–drug interaction candidates when used with four CYP inhibitor drugs. Conclusion: Our findings provide actionable insights for future validation studies and improved clinical decisions for COVID-19 therapy in Indians.

Funder

The council of scientific and industrial research, India

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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