Drug Metabolism Disposition

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Drug Metabolism Disposition The CYP2C19 intron 2 branch point SNP is the ancestral polymorphism contributing to the poor metabolizer phenotype in livers with CYP2C19*35 and CYP2C19*2 alleles Amarjit S. Chaudhry, Bhagwat Prasad, Yoshiyuki Shirasaka, Alison Fohner, David Finkelstein, Yiping Fan, Shuoguo Wang, Gang Wu, Eleni Aklillu, Sarah Sim, Kenneth E. Thummel and Erin G. Schuetz.

Supplemental Table 1: Primers used for PCR amplification and sequencing of CYP2C19 exons from genomic DNA. Exons / Primer sequence PCR amplified fragment size (base pairs) Exon 1 5 -AGTGGGCCTAGGTGATTGGCCACTT-3 5 -TCAAAGTATTTTACTTTACAATGATCTC-3 410 Exon 2-3 5 -AAAATATGAATCTAAGTCAGGCTTAGT-3 5 -GGAGAGCAGTCCAGAAAGGTCAGTGATA-3 607 Exon 4 5 -TGCTTTTAAGGGAATTCATAGG-3 5 -AAAATGTACTTCAGGGCTTGG-3 383 Exon 5 5 -CAACCAGAGCTTGGCATATTG-3 5 -TGATGCTTACTGGATATTCATGC-3 409 Exon 6 5 AAAACTGGCACAAGACAGGGATG-3 5 -AAATTGGGACAGATTACAGCTGCG-3 456 Exon 7 5 -AATTGCTAGAACAAATGTTCCATTTC-3 5 AGAGGGTAAGAATCATACTGTGA-3 327 Exon 8 5 CCACTGTTTCTTAAACCTTCGTGA-3 5 -GAAGGCACATGTAAGTTCCAACTGA-3 284 Exon 9 5 -ATCTACTCATCCCTCCTATGATTCACCG-3 5 -ATGTGGCACTCAATGTAACTATTATAGA-3 529

Supplemental Table 2: Optimized MS/MS parameters of CYP2C19 surrogate peptides used for protein quantification Amino acid Parent Product Cone CE Peptide position ion ion (V) (ev) 60-73 IYGPVFTLYFGLER (exon 2) 838.2 998.3 52 28 838.2 1145.4 52 28 384-399 GTTILTSLTSVLHDNK (exon 8) 567.3 664.4 35 17 567.3 607.8 35 17 ASPC[160]DPTFILGC[160]AP C[160]NVIC[160]SIIFQK* 161-185 (exon 4) 1434.68 535.32 60 42 1434.68 989.44 60 42 *C[160] indicates S-carbamidomethylated cysteine after alkylation of native peptide.

Supplemental Table 3: CYP2C19*2/*35 diplotypes and CYP2C19*2 and CYP2C19*35 allele frequencies in different populations (1000 genome-phase 3 data) All Africans* Yorubans (YRI) Caucasians (CEU) Chinese (CHB) Diplotype n =661 n=108 n=99 n=103 CYP2C19*1/*1 430 66 75 41 CYP2C19*1/*2 174 26 22 55 CYP2C19*1/*35 28 10 0 0 CYP2C19*2/*35 5 0 0 0 CYP2C19*2/*2 23 5 2 7 CYP2C19*35/*35 1 1 0 0 Allele Frequency CYP2C19*1 0.8033 0.7778 0.8687 0.6650 CYP2C19*2 0.1702 0.1667 0.1313 0.3350 CYP2C19*35 0.0265 0.0556 0.0000 0.0000 *All Africans includes all seven populations of African descent (YRI, ASW, ACB, ESN, GWD, LWK and MSL) as defined in Supplemental Figure 1.

Supplemental Table 4: Full length sequencing of the CYP2C19*35 cdna SNP rsid Liver Genotype observed CYP2C19*35 allele Gene position mrna Position Location in intron Exon Amino acid change rs17885098 CT T 99C>T 99C>T - Ex 1 Pro33Pro rs12769205 AG G 12662A>G - Ex 3-23A>G Int 2 - rs3758581 GG G 80161A>G 991A>G - Ex 7 Ile331Val

Supplemental Figure 1: Visual genotypes of rs12769205 and rs4244285 in populations of African descent (1000 genomes phase 3 data). Visual genotypes for rs12769205 and rs4244285 in 1000 genomes samples (genotypes downloaded from http://browser.1000genomes.org/index.html). The populations of African descent are each listed with the number of individuals (n) and the CYP2C19*35 minor allele frequency. Grey, orange and red boxes indicate homozygous wild-type, heterozygous and homozygous variant genotypes, respectively.

Supplemental Figure 2: Linkage disequilibrium (LD) map for the common CYP2C19 allelic variants in the YRI population. (Left panel) A LD map of the CYP2C19 SNPs rs4244285, rs3758580, rs4417205 and rs12769205 in the YRI population was created using Haploview 4.2. The red squares show complete LD with statistical significance ( D = 1, LOD > 2). (Right panel) R 2 LD values. The black squares show the SNPs have the highest correlation with each other, the gray boxes indicate a correlation of 0.65. The LD values in the figure are scaled from 1.0 to 100 for visual clarity.

Supplemental Figure 3: CYP2C19 haplotype frequencies, extended haplotype homozygosity, and ancestral tree in other African populations in the 1000 genome project. The African populations (excluding YRI) living on the African continent (LWK, Luhya in Webuye, Kenya; GWD, Gambian in Western divisions in the Gambia; MSL, Mende in Sierra Leone; and ESN, Esan in Nigeria) were combined (n=396). (A) Sweep was used to determine CYP2C19 haplotypes (SNP positions rs12769205, rs4244285, rs4417205 and rs3758580) and their frequencies were determined (see Fig. legend 9). (B) Relative extended haplotype homozygosity (REHH) for each CYP2C19 haplotype with the core of the haplotypes centered on rs4244285. Both haplotypes containing SNP rs12769205 either alone (haplotype 3 (green, CYP2C19*35)), or with rs4244285 (haplotype 2 (orange, CYP2C19*2)) show extended haplotype homozygosity REHH. (C) Phylogenetic tree of the CYP2C19 haplotypes. Haplotypes closer to the ancestral are at the top of the figure. The area of the squares is proportional to the frequency of the haplotype. The gray squares represent haplotypes not present in the data, but that are missing links in the phylogeny. The program determined the ancestral root of the tree was CYP2C19*1.