DNA Copy Number Variation Associated with Anti-tumour Necrosis Factor Drug Response and Paradoxical Psoriasiform Reactions in Patients with Moderate-to-severe Psoriasis

Sanz García, AncorReolid, AlejandraFisas, Laura H.Muñoz Aceituno, EsterLlamas Velasco, MarSahuquillo Torralba, AntonioBotella Estrada, RafaelGarcía Martínez, JorgeNavarro, RaquelDaudén, EstebanAbad Santos, FranciscoOvejero Benito, María del CarmenUniversidad San Pablo-CEU. Departamento de Ciencias Farmacéuticas y de la Salud2024-01-112024-01-112021-04-13Sanz-Garcia A, Reolid A, Fisas LH, Muñoz-Aceituno E, Llamas-Velasco M, Sahuquillo-Torralba A, Botella-Estrada R, García-Martínez J, Navarro R, Daudén E, Abad-Santos F, Ovejero-Benito MC. DNA Copy Number Variation Associated with Anti-tumour Necrosis Factor Drug Response and Paradoxical Psoriasiform Reactions in Patients with Moderate-to-severe Psoriasis. Acta Derm Venereol. 2021 May 4;101(5):adv00448. doi: 10.2340/00015555-37941651-2057http://hdl.handle.net/10637/14791Biological drugs targeting tumour necrosis factor are effective for psoriasis. However, 30-50% of patients do not respond to these drugs and may even develop paradoxical psoriasiform reactions. This study search-ed for DNA copy number variations that could predict anti-tumour necrotic factor drug response or the appearance of anti-tumour necrotic factor induced psoriasiform reactions. Peripheral blood samples were collected from 70 patients with anti-tumour necrotic factor drug-treated moderate-to-severe plaque psoriasis. Samples were analysed with an Illumina 450K methylation microarray. Copy number variations were obtained from raw methylation data using conumee and Chip Analysis Methylation Pipeline (ChAMP) R packages. One copy number variation was found, harbouring one gene (CPM) that was significantly associated with adalimumab response (Bonferroni-adjusted p-value < 0.05). Moreover, one copy number variation was identified harbouring 3 genes (ARNT2, LOC101929586 and MIR5572) related to the development of paradoxical psoriasiform reactions. In conclusion, this study has identified DNA copy number variations that could be good candidate markers to predict response to adalimumab and the development of anti-tumour necrotic factor paradoxical psoriasiform reactions.enopen accessPharmacogenomicPsoriasisAnti-TNF drugMethylationDNA Copy Number Variation Associated with Anti-tumour Necrosis Factor Drug Response and Paradoxical Psoriasiform Reactions in Patients with Moderate-to-severe PsoriasisArtículo10.2340/00015555-3794https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es