New polymorphisms associated with response to anti-TNF drugs in patients with moderate-to-severe plaque psoriasis

Pharmacogenomics J. 2018 Jan;18(1):70-75. doi: 10.1038/tpj.2016.64. Epub 2016 Sep 27.

Abstract

Anti-tumor necrosis factor (anti-TNF) drugs are effective against psoriasis, although 20-30% of patients are nonresponders. Few pharmacogenomic studies have been performed to predict the response to anti-TNF drugs in psoriasis. We studied 173 polymorphisms to establish an association with the response to anti-TNF drugs in patients with moderate-to-severe plaque psoriasis (N=144). We evaluated the response using PASI75 at 3, 6 and 12 months. The results of the multivariate analysis showed an association between polymorphisms in PGLYR4, ZNF816A, CTNNA2, IL12B, MAP3K1 and HLA-C genes and the response at 3 months. Besides, the results for polymorphisms in IL12B and MAP3K1 were replicated at 6 months. We also obtained significant results for IL12B polymorphism at 1 year. Moreover, polymorphisms in FCGR2A, HTR2A and CDKAL1 were significant at 6 months. This is the first study to show an association with these polymorphisms. However, these biomarkers should be validated in large-scale studies before implementation in clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Biomarkers / metabolism
  • Dermatologic Agents / therapeutic use*
  • Female
  • Genotype
  • Humans
  • Male
  • Pharmacogenetics / methods
  • Polymorphism, Single Nucleotide / genetics*
  • Psoriasis / drug therapy*
  • Psoriasis / genetics*
  • Psoriasis / metabolism
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors*

Substances

  • Biomarkers
  • Dermatologic Agents
  • TNF protein, human
  • Tumor Necrosis Factor-alpha