Pharmacogenetic interactions of medications administered for weight loss in adults: a systematic review and meta-analysis

Author:

BouSaba Joelle1,Vosoughi Kia1,Dilmaghani Saam1,Prokop Larry J2,Camilleri Michael1ORCID

Affiliation:

1. Clinical Enteric Neuroscience Translational & Epidemiological Research (CENTER), Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN 55905, USA

2. Library, Public Service Department, Mayo Clinic, Rochester, MN 55905, USA

Abstract

Aim: To analyze roles of single nucleotide variants (SNVs) on weight loss with US FDA-approved medications. Materials & methods: We searched the literature up until November 2022. Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were followed. Results: 14 studies were included in qualitative analysis and seven in meta-analysis. SNVs in CNR1, GLP-1R, MC4R, TCF7L2, CTRB1/2, ADIPOQ, SORCS1 and ANKK1 were evaluated relative to weight loss with glucagon-like peptide-1 agonists (13 studies) or naltrexone–bupropion (one study). CNR1 gene (rs1049353), GLP-1R gene (rs6923761, rs10305420), TCF7L2 gene (rs7903146) were associated with weight loss in at least one study involving glucagon-like peptide-1 agonist(s). The meta-analysis did not identify any consistent effect of SNVs. Conclusion: Pharmacogenetic interactions for exenatide, liraglutide, naltrexone–bupropion and weight loss were identified, but the directionality was inconsistent.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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