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Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study

Thesis (MSc (Genetics))--University of Stellenbosch, 2007.

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Main Author: Parathyras, John Burns
Other Authors: Warnich, L.
Format: Thesis
Language:English
Published: Stellenbosch : University of Stellenbosch 2008
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access_status_str Open Access
author Parathyras, John Burns
author2 Warnich, L.
author_browse Parathyras, John Burns
Warnich, L.
author_facet Warnich, L.
Parathyras, John Burns
author_sort Parathyras, John Burns
collection Thesis
dc_rights_str_mv University of Stellenbosch
description Thesis (MSc (Genetics))--University of Stellenbosch, 2007.
format Thesis
id oai:scholar.sun.ac.za:10019.1/2638
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:44:24.378Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2008
publishDateRange 2008
publishDateSort 2008
publisher Stellenbosch : University of Stellenbosch
publisherStr Stellenbosch : University of Stellenbosch
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/2638 Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study Parathyras, John Burns Warnich, L. Hillermann-Rebello, R. University of Stellenbosch. Faculty of Agrisciences. Dept. of Genetics. Dissertations -- Genetics Theses -- Genetics AIDS (Disease) -- South Africa Antiretroviral agents -- South Africa Pharmacogenetics -- South Africa HIV infections -- Treatment -- South Africa HIV infections -- South Africa -- Genetic aspects Thesis (MSc (Genetics))--University of Stellenbosch, 2007. The results of pharmacotherapy can vary both within and between different populations and ethnic groups. Although numerous factors are believed responsible for observed discrepancies in drug response, genetic differences, most often in the form of single nucleotide polymorphisms (SNPs), between individuals and ethnic groups are an important and at times predominant factor. The response to antiretroviral (ARV) drugs for the treatment of human immunodeficiency virus (HIV)-infection is not dissimilar. Marked variations in both ARV efficacy and occurrence of adverse drug reactions (ADRs) have been observed on both an individual and ethnic group level, which are largely attributed to polymorphisms within genes involved in the metabolism and transport of these compounds – such genes include the CYP2B6 and CYP3A4 genes, both members of the cytochrome P450 (CYP) gene superfamily, and the multidrug-resistance 1 (MDR1) gene encoding an efflux transporter protein, phosphoglycoprotein (PGP). An improved understanding of the genetic influences on ARV drug response could lead to improved therapies with fewer side-effects and minimised drug resistance. The main aim of this study was thus to investigate the genetic basis of observed differences in ARV therapy (ART) response in South African ethnic groups. Deoxyribonucleic acid (DNA) samples were collected from 206 HIV-positive individuals of Mixed-Ancestry and Xhosa ethnicity that were currently or prospectively receiving ART. Polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis was employed to screen the A-392G SNP in CYP3A4, the G516T and A785G SNPs in CYP2B6, and the T-129C, C1236T, G2677T/A and C3435T SNPs in MDR1. Hardy-Weinberg equilibrium (HWE) and haplotype analyses were subsequently performed on the resultant SNP genotype and ... Masters 2008-01-16T09:43:08Z 2010-06-01T08:54:13Z 2008-01-16T09:43:08Z 2010-06-01T08:54:13Z 2007-03 Thesis http://hdl.handle.net/10019.1/2638 en University of Stellenbosch 2438770 bytes application/pdf application/pdf Stellenbosch : University of Stellenbosch
spellingShingle Dissertations -- Genetics
Theses -- Genetics
AIDS (Disease) -- South Africa
Antiretroviral agents -- South Africa
Pharmacogenetics -- South Africa
HIV infections -- Treatment -- South Africa
HIV infections -- South Africa -- Genetic aspects
Parathyras, John Burns
Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title_full Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title_fullStr Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title_full_unstemmed Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title_short Molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in South Africa : a pharmacogenetics study
title_sort molecular genetic analysis of human immunodeficiency virus antiretroviral therapy response in south africa a pharmacogenetics study
topic Dissertations -- Genetics
Theses -- Genetics
AIDS (Disease) -- South Africa
Antiretroviral agents -- South Africa
Pharmacogenetics -- South Africa
HIV infections -- Treatment -- South Africa
HIV infections -- South Africa -- Genetic aspects
url http://hdl.handle.net/10019.1/2638
work_keys_str_mv AT parathyrasjohnburns moleculargeneticanalysisofhumanimmunodeficiencyvirusantiretroviraltherapyresponseinsouthafricaapharmacogeneticsstudy