Skip to main content
Log in

Variability of CYP2C8 Polymorphisms in Three Jordanian Populations: Circassians, Chechens and Jordanian-Arabs

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

CYP2C8 is a member of Cytochrome P450 enzymes system. It plays an important role in metabolizing a wide range of exogenous and endogenous compounds. CYP2C8 is involved in the metabolism of more than 100 drugs, typical substrates include: anticancer agents, antidiabetic agents, antimalarial agents, lipid lowering drugs and many others that constitute 20% of clinically prescribed drugs. Genetic variations of CYP2C8 have been reported with different frequencies in different populations. These genetic polymorphisms can lead to differences in the efficacy and safety of different types of medications metabolized by CYP2C8. The aim of this study was to investigate the allele frequencies of CYP2C8*3 (rs10509681 and rs11572080) and CYP2C8*4 (rs1058930) polymorphisms in three populations living in Jordan; Circassians and Chechens and Jordanian-Arabs and compare those frequencies with other populations. A total of 200 healthy Jordanians, 93 Circassians and 88 Chechens were included in this study. Genotyping of CYP2C8*3 and CYP2C8*4 polymorphisms was done by using polymerase chain reaction (PCR) followed by Restriction Fragment Length Polymorphism (RFLP). Using the Chi-square test, we found that the prevalence of CYP2C8*3 and *4 among the three populations were significantly different. Moreover, the mutant allele CYP2C8*3 (416A) was only detected in the Jordanian-Arab population with an allele frequency of 0.082, while the mutant allele CYP2C8*4 (792G) was detected with frequencies of 0.065, 0.122, 0.017 in Jordanian-Arabs, Circassians and Chechens, respectively. As our results show, CYP2C8*3 was undetectable in our Circassians and Chechens samples, on the other hand, Circassians had the highest allele frequency of CYP2C8*4 compared to Chechens and Jordanian-Arabs. These genetic variations of the gene encoding the CYP2C8 drug metabolizing enzymes can lead to clinical differences in drug metabolism and ultimately variations in drug effectiveness and toxicities. This study provides evidence for the importance of personalized medicine in these populations and can be the foundation for future clinical studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Evans DA, Clarke CA. Pharmacogenetics. Br Med Bull. 1961;17:234–40.

    Article  CAS  PubMed  Google Scholar 

  2. Lee S-J, Lee S-S, Shin J-G. Chapter 6A. Pharmacogenetics of cytochrome P450. In: Bertino JS, DeVane CL, Fuhr U, Kashuba AD, Ma JD, editors. Pharmacogenomics Introd Clin Perspect. New York, NY: The McGraw-Hill Companies; 2013.

  3. Totah RA, Rettie AE. Cytochrome P450 2C8: substrates, inhibitors, pharmacogenetics, and clinical relevance. Clin Pharmacol Ther. 2005;77:341–52.

    Article  CAS  PubMed  Google Scholar 

  4. Daily EB, Aquilante CL. Cytochrome P450 2C8 pharmacogenetics: a review of clinical studies. Pharmacogenomics. 2009;10:1489–510.

    Article  CAS  PubMed  Google Scholar 

  5. Yasar U, Lundgren S, Eliasson E, Bennet A, Wiman B, de Faire U, et al. Linkage between the CYP2C8 and CYP2C9 genetic polymorphisms. Biochem Biophys Res Commun. 2002;299:25–8.

    Article  CAS  PubMed  Google Scholar 

  6. Backman JT, Filppula AM, Niemi M, Neuvonen PJ. Role of cytochrome P450 2C8 in drug metabolism and interactions. Pharmacol Rev. 2016;68(1):168–241.

    Article  PubMed  Google Scholar 

  7. Johnson BM, Stier BA, Caltabiano S. Effect of food and gemfibrozil on the pharmacokinetics of the novel prolyl hydroxylase inhibitor GSK1278863. Clin Pharmacol Drug Dev. 2014;3:109–17.

    Article  CAS  PubMed  Google Scholar 

  8. Gibbons JA, de Vries M, Krauwinkel W, Ohtsu Y, Noukens J, van der Walt J-S, et al. Pharmacokinetic drug interaction studies with enzalutamide. Clin Pharmacokinet. 2015;54:1057–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Filppula AM, Laitila J, Neuvonen PJ, Backman JT. Reevaluation of the microsomal metabolism of montelukast: major contribution by CYP2C8 at clinically relevant concentrations. Drug Metab Dispos Biol Fate Chem. 2011;39:904–11.

    Article  CAS  PubMed  Google Scholar 

  10. Kajosaari LI, Laitila J, Neuvonen PJ, Backman JT. Metabolism of repaglinide by CYP2C8 and CYP3A4 in vitro: effect of fibrates and rifampicin. Basic Clin Pharmacol Toxicol. 2005;97:249–56.

    Article  CAS  PubMed  Google Scholar 

  11. Klose TS, Blaisdell JA, Goldstein JA. Gene structure of CYP2C8 and extrahepatic distribution of the human CYP2Cs. J Biochem Mol Toxicol. 1999;13:289–95.

    Article  CAS  PubMed  Google Scholar 

  12. Kaspera R, Totah RA. Epoxyeicosatrienoic acids: formation, metabolism and potential role in tissue physiology and pathophysiology. Expert Opin Drug Metab Toxicol. 2009;5:757–71.

    Article  CAS  PubMed  Google Scholar 

  13. Zeldin DC, Moomaw CR, Jesse N, Tomer KB, Beetham J, Hammock BD, et al. Biochemical characterization of the human liver cytochrome P450 arachidonic acid epoxygenase pathway. Arch Biochem Biophys. 1996;330:87–96.

    Article  CAS  PubMed  Google Scholar 

  14. Thatcher JE, Zelter A, Isoherranen N. The relative importance of CYP26A1 in hepatic clearance of all-trans retinoic acid. Biochem Pharmacol. 2010;80:903–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Bylund J, Kunz T, Valmsen K, Oliw EH. Cytochromes P450 with bisallylic hydroxylation activity on arachidonic and linoleic acids studied with human recombinant enzymes and with human and rat liver microsomes. J Pharmacol Exp Ther. 1998;284:51–60.

    CAS  PubMed  Google Scholar 

  16. Barbosa-Sicard E, Markovic M, Honeck H, Christ B, Muller DN, Schunck W-H. Eicosapentaenoic acid metabolism by cytochrome P450 enzymes of the CYP2C subfamily. Biochem Biophys Res Commun. 2005;329:1275–81.

    Article  CAS  PubMed  Google Scholar 

  17. Ridderström M, Zamora I, Fjellström O, Andersson TB. Analysis of selective regions in the active sites of human cytochromes P450, 2C8, 2C9, 2C18, and 2C19 homology models using GRID/CPCA. J Med Chem. 2001;44:4072–81.

    Article  PubMed  CAS  Google Scholar 

  18. Aquilante CL, Kosmiski LA, Bourne DWA, Bushman LR, Daily EB, Hammond KP, et al. Impact of the CYP2C8 *3 polymorphism on the drug-drug interaction between gemfibrozil and pioglitazone. Br J Clin Pharmacol. 2013;75(1):217–26.

    Article  CAS  PubMed  Google Scholar 

  19. Bergmann TK, Brasch-Andersen C, Gréen H, Mirza M, Pedersen RS, Nielsen F, et al. Impact of CYP2C8*3 on paclitaxel clearance: A population pharmacokinetic and pharmacogenomic study in 93 patients with ovarian cancer. Pharmacogenomics J. 2011;11(2):113–20.

    Article  CAS  PubMed  Google Scholar 

  20. Niemi M, Backman JT, Kajosaari LI, Leathart JB, Neuvonen M, Daly AK, et al. Polymorphic organic anion transporting polypeptide 1B1 is a major determinant of repaglinide pharmacokinetics. Clin Pharmacol Ther. 2005;77:468–78.

    Article  CAS  PubMed  Google Scholar 

  21. Singh R, Ting JG, Pan Y, Teh LK, Ismail R, Ong CE. Functional role of Ile264 in CYP2C8: mutations affect haem incorporation and catalytic activity. Drug Metab Pharmacokinet. 2008;23:165–74.

    Article  CAS  PubMed  Google Scholar 

  22. Yu L, Shi D, Ma L, Zhou Q, Zeng S. Influence of CYP2C8 polymorphisms on the hydroxylation metabolism of paclitaxel, repaglinide and ibuprofen enantiomers in vitro. Biopharm Drug Dispos. 2013;34:278–87.

    Article  PubMed  CAS  Google Scholar 

  23. Kaspera R, Naraharisetti SB, Tamraz B, Sahele T, Cheesman MJ, Kwok P-Y, et al. Cerivastatin in vitro metabolism by CYP2C8 variants found in patients experiencing rhabdomyolysis. Pharmacogenet Genomics. 2010;20:619–29.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Liu D, Gao Y, Wang H, Zi J, Huang H, Ji J, et al. Evaluation of the effects of cytochrome P450 nonsynonymous single-nucleotide polymorphisms on tanshinol borneol ester metabolism and inhibition potential. Drug Metab Dispos. 2010;38:2259–65.

    Article  CAS  PubMed  Google Scholar 

  25. Shami S. Displacement, historical memory, and identity: the circassians in Jordan. Cent Migr Stud Spec Issues. 1994;11:189–201.

    Google Scholar 

  26. Zhemukhov S. Circassian World: Responses to the New Challenges. PONARS Eurasia. 2008;1.

  27. Kailani W. Chechens in the Middle East: Between Original and Host Cultures. Casp Stud Program. 2002;

  28. Dweik B. Linguistic and cultural maintenance among the Chechens of Jordan. Lang Cult Curric. 2000;13:184–95.

    Article  Google Scholar 

  29. Richmond W. The Circassian Genocide. Press. U, editor. 2013.

  30. Rosenberg NA, Pritchard JK, Weber JL, Cann HM, Kidd KK, Zhivotovsky LA, et al. Genetic structure of human populations. Science. 2002;298:2381–5.

    Article  CAS  PubMed  Google Scholar 

  31. Nakajima M, Fujiki Y, Noda K, Ohtsuka H, Ohkuni H, Kyo S, et al. Genetic polymorphisms of CYP2C8 in Japanese population. Drug Metab Dispos Biol Fate Chem. 2003;31:687–90.

    Article  CAS  PubMed  Google Scholar 

  32. Evans WE, Relling M V. Pharmacogenomics: translating functional genomics into rational therapeutics. science. American Association for the Advancement of Science 1999;286:487–91.

  33. Pechandova K, Buzkova H, Matouskova O, Perlik F, Slanar O. Genetic polymorphisms of CYP2C8 in the Czech Republic. Genet Test Mol Biomark. 2012;16:812–6.

    Article  CAS  Google Scholar 

  34. Dai D, Zeldin DC, Blaisdell JA, Chanas B, Coulter SJ, Ghanayem BI, et al. Polymorphisms in human CYP2C8 decrease metabolism of the anticancer drug paclitaxel and arachidonic acid. Pharmacogenetics. 2001;11:597–607.

    Article  CAS  PubMed  Google Scholar 

  35. Garcia-Martin E, Martinez C, Tabares B, Frias J, Agundez JAG. Interindividual variability in ibuprofen pharmacokinetics is related to interaction of cytochrome P450 2C8 and 2C9 amino acid polymorphisms. Clin Pharmacol Ther. 2004;76:119–27.

    Article  CAS  PubMed  Google Scholar 

  36. Jiang H, Zhong F, Sun L, Feng W, Huang Z-X, Tan X. Structural and functional insights into polymorphic enzymes of cytochrome P450 2C8. Amino Acids. 2011;40:1195–204.

    Article  CAS  PubMed  Google Scholar 

  37. AL-Eitan L, Saadeh H, Alnaamneh A, Darabseh S, AL-Sarhan N, Alzihlif M, et al. The genetic landscape of Arab Population, Chechens and Circassians subpopulations from Jordan through HV1 and HV2 regions of mtDNA. Gene 2020;729:144314

  38. Tornio A, Backman JT. Cytochrome P450 in pharmacogenetics: An update. Adv Pharmacol. 2018;83:3–32.

    Article  CAS  PubMed  Google Scholar 

  39. Roden DM, Altman RB, Benowitz NL, Flockhart DA, Giacomini KM, Johnson JA, et al. Pharmacogenomics: challenges and opportunities. Ann Intern Med. 2006;145:749–57.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Abudahab S, Hakooz N, Jarrar Y, Al Shahhab M, Saleh A, Zihlif M, et al. Interethnic variations of UGT1A1 and UGT1A7 polymorphisms in the Jordanian population. Curr Drug Metab. 2019;20:399–410.

    Article  CAS  PubMed  Google Scholar 

  41. Al-Eitan LN, Mohammad NN, Al-Maqableh HW, Hakooz NM, Dajani RB. Genetic polymorphisms of pharmacogenomic VIP variants in the circassian subpopulation from Jordan. Curr Drug Metab. 2019;20:674–81.

    Article  CAS  PubMed  Google Scholar 

  42. Al-Eitan LN, Rababa’h DM, Hakooz NM, Alghamdi MA, Dajani RB. Genetic polymorphisms of pharmacogenes among the genetically isolated Circassian subpopulation from Jordan. J Pers Med 2020;10(1):2.

  43. Minhas S, Setia N, Pandita S, Saxena R, Verma IC, Aggarwal S. Prevalence of CYP2C8 polymorphisms in a North Indian population. Genet Mol Res GMR. 2013;12:2260–6.

    Article  CAS  PubMed  Google Scholar 

  44. Arun Kumar AS, Chakradhara Rao US, Umamaheswaran G, Ramu P, Kesavan R, Shewade DG, et al. Haplotype structures of common variants of CYP2C8, CYP2C9, and ADRB1 genes in a South Indian population. Genet Test Mol Biomark. 2011;15:407–13.

    Article  CAS  Google Scholar 

  45. Muthiah YD, Lee WL, Teh LK, Ong CE, Ismail R. Genetic polymorphism of CYP2C8 in three Malaysian ethnics: CYP2C8*2 and CYP2C8*3 are found in Malaysian Indians. J Clin Pharm Ther. 2005;30:487–90.

    Article  CAS  PubMed  Google Scholar 

  46. Kudzi W, Dodoo ANO, Mills JJ. Characterisation of CYP2C8, CYP2C9 and CYP2C19 polymorphisms in a Ghanaian population. BMC Med Genet. 2009;10:124.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  47. Cavaco I, Stromberg-Norklit J, Kaneko A, Msellem MI, Dahoma M, Ribeiro VL, et al. CYP2C8 polymorphism frequencies among malaria patients in Zanzibar. Eur J Clin Pharmacol. 2005;61:15–8.

    Article  CAS  PubMed  Google Scholar 

  48. Bahadur N, Leathart JBS, Mutch E, Steimel-Crespi D, Dunn SA, Gilissen R, et al. CYP2C8 polymorphisms in Caucasians and their relationship with paclitaxel 6alpha-hydroxylase activity in human liver microsomes. Biochem Pharmacol. 2002;64:1579–89.

    Article  CAS  PubMed  Google Scholar 

  49. Yasar U, Bennet A, Eliasson E, Lundgren S, Wiman B, Faire U, et al. Allelic variants of cytochromes P450 2C modify the risk for acute myocardial infarction. Pharmacogenetics. 2004;13:715–20.

    Article  Google Scholar 

  50. Halling J, Petersen MS, Damkier P, Nielsen F, Grandjean P, Weihe P, et al. Polymorphism of CYP2D6, CYP2C19, CYP2C9 and CYP2C8 in the Faroese population. Eur J Clin Pharmacol. 2005;61:491–7.

    Article  CAS  PubMed  Google Scholar 

  51. Cavaco I, Piedade R, Gil JP, Ribeiro V. CYP2C8 polymorphism among the Portuguese. Clin Chem Lab Med. 2006;44:168–70.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This study was supported by the University of Jordan in Amman and the Hashemite University in Zarqa, Jordan. Finally, the authors appreciative and acknowledge the support of Circassians and Chechens by their partnership on this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nancy Hakooz.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest, financial or otherwise.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abudahab, S., Hakooz, N., Tobeh, N. et al. Variability of CYP2C8 Polymorphisms in Three Jordanian Populations: Circassians, Chechens and Jordanian-Arabs. J Immigrant Minority Health 24, 1167–1176 (2022). https://doi.org/10.1007/s10903-021-01264-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-021-01264-x

Keywords

Navigation