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SLCO1B1 variants in a patient of African ancestry presenting with rosuvastatin‐induced rhabdomyolysis: A case report
We report a case of an adult woman of African ancestry who was hospitalized with statin induced‐ rhabdomyolysis. The patient presented to the emergency room with a 2‐week history of worsening muscle pain, nausea, vomiting and low oral intake, 1 month after starting 40 mg daily dose of rosuvastatin....
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Published in: | British journal of clinical pharmacology 2025-01, Vol.91 (1), p.232-235 |
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description | We report a case of an adult woman of African ancestry who was hospitalized with statin induced‐ rhabdomyolysis. The patient presented to the emergency room with a 2‐week history of worsening muscle pain, nausea, vomiting and low oral intake, 1 month after starting 40 mg daily dose of rosuvastatin. Sequencing of SLCO1B1 coding regions revealed the patient was heterozygous for two SLCO1B1 deleterious variants, c.481+1G>T and c.1463G>C (*9), which are more prevalent in patients of African ancestry. This highlights the importance of pharmacogenetic testing in SLCO1B1, which includes a broader range of genetic variants for patients of African ancestry. |
doi_str_mv | 10.1111/bcp.16329 |
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The patient presented to the emergency room with a 2‐week history of worsening muscle pain, nausea, vomiting and low oral intake, 1 month after starting 40 mg daily dose of rosuvastatin. Sequencing of SLCO1B1 coding regions revealed the patient was heterozygous for two SLCO1B1 deleterious variants, c.481+1G>T and c.1463G>C (*9), which are more prevalent in patients of African ancestry. This highlights the importance of pharmacogenetic testing in SLCO1B1, which includes a broader range of genetic variants for patients of African ancestry.</description><subject>Adult</subject><subject>Black People - genetics</subject><subject>Case Report</subject><subject>Female</subject><subject>Humans</subject><subject>Hydroxymethylglutaryl-CoA Reductase Inhibitors - adverse effects</subject><subject>Liver-Specific Organic Anion Transporter 1 - genetics</subject><subject>pharmacogenetics</subject><subject>rhabdomyolysis</subject><subject>Rhabdomyolysis - chemically induced</subject><subject>Rhabdomyolysis - diagnosis</subject><subject>Rhabdomyolysis - genetics</subject><subject>Rosuvastatin Calcium - administration & dosage</subject><subject>Rosuvastatin Calcium - adverse effects</subject><subject>SLCO1B1</subject><subject>statins</subject><issn>0306-5251</issn><issn>1365-2125</issn><issn>1365-2125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp1kcFO3DAQhq0KVLaUAy-AfIRDdj12nGy4oGVV2korUanlbDmOzRpl7WAni3LrI_CMfRJMlyI41BdLM58_j-ZH6BjIFNKZ1aqbQsFo9QFNgBU8o0D5HpoQRoqMUw4H6FOMd4QAg4J_RAes4gDlPJ-g7c_V8houAW9lsNL1EVuHJe5kb7XrsTd4YYJVMhWd0rEPI-6Cjqln3S1-sP0aBx-HrYx9euL-_H60rhmUbnBYy7rxm9G3Y7TxHC-wklHjoDsf-s9o38g26qOX-xDdXH35tfyWra6_fl8uVpmiJVQZN5oVuWR5AaZShNXzWjeEQgmm4CBZaaCqcqITQ0zDgVHIU70qoSEJB3aILnbebqg3ulFp7iBb0QW7kWEUXlrxvuPsWtz6rQAoSmA5SYbTF0Pw90PagNjYqHTbSqf9EAUDOmc0rxhL6NkOVWklMWjz-g8Q8RyUSEGJv0El9uTtYK_kv2QSMNsBD7bV4_9N4nL5Y6d8Auv_nw4</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Medwid, Samantha</creator><creator>Deckert, Rowan</creator><creator>Gryn, Steven E.</creator><creator>Kim, Richard B.</creator><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8627-7611</orcidid><orcidid>https://orcid.org/0000-0001-8148-1632</orcidid></search><sort><creationdate>202501</creationdate><title>SLCO1B1 variants in a patient of African ancestry presenting with rosuvastatin‐induced rhabdomyolysis: A case report</title><author>Medwid, Samantha ; Deckert, Rowan ; Gryn, Steven E. ; Kim, Richard B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2719-5fe364a3461f9c03b8bed02171f651a37f19940e64a0fd51321451a971d0c0313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>Black People - genetics</topic><topic>Case Report</topic><topic>Female</topic><topic>Humans</topic><topic>Hydroxymethylglutaryl-CoA Reductase Inhibitors - adverse effects</topic><topic>Liver-Specific Organic Anion Transporter 1 - genetics</topic><topic>pharmacogenetics</topic><topic>rhabdomyolysis</topic><topic>Rhabdomyolysis - chemically induced</topic><topic>Rhabdomyolysis - diagnosis</topic><topic>Rhabdomyolysis - genetics</topic><topic>Rosuvastatin Calcium - administration & dosage</topic><topic>Rosuvastatin Calcium - adverse effects</topic><topic>SLCO1B1</topic><topic>statins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Medwid, Samantha</creatorcontrib><creatorcontrib>Deckert, Rowan</creatorcontrib><creatorcontrib>Gryn, Steven E.</creatorcontrib><creatorcontrib>Kim, Richard B.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Medwid, Samantha</au><au>Deckert, Rowan</au><au>Gryn, Steven E.</au><au>Kim, Richard B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SLCO1B1 variants in a patient of African ancestry presenting with rosuvastatin‐induced rhabdomyolysis: A case report</atitle><jtitle>British journal of clinical pharmacology</jtitle><addtitle>Br J Clin Pharmacol</addtitle><date>2025-01</date><risdate>2025</risdate><volume>91</volume><issue>1</issue><spage>232</spage><epage>235</epage><pages>232-235</pages><issn>0306-5251</issn><issn>1365-2125</issn><eissn>1365-2125</eissn><abstract>We report a case of an adult woman of African ancestry who was hospitalized with statin induced‐ rhabdomyolysis. 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subjects | Adult Black People - genetics Case Report Female Humans Hydroxymethylglutaryl-CoA Reductase Inhibitors - adverse effects Liver-Specific Organic Anion Transporter 1 - genetics pharmacogenetics rhabdomyolysis Rhabdomyolysis - chemically induced Rhabdomyolysis - diagnosis Rhabdomyolysis - genetics Rosuvastatin Calcium - administration & dosage Rosuvastatin Calcium - adverse effects SLCO1B1 statins |
title | SLCO1B1 variants in a patient of African ancestry presenting with rosuvastatin‐induced rhabdomyolysis: A case report |
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