Gene-drug interactions (data source: DGIdb)
Gene Name Entrez ID Drug Name Chembl ID Interaction Types Sources publications
NAT2 10 ALCOHOL CHEMBL545 NCI 12071337
NAT2 10 INTERFERON ALFA-2A CHEMBL2108508 NCI 7650291
NAT2 10 THALIDOMIDE CHEMBL468 PharmGKB
NAT2 10 DOCETAXEL CHEMBL92 PharmGKB
NAT2 10 GARLIC CHEMBL2108463 NCI 10234471, 9862023
NAT2 10 ISONIAZID CHEMBL64 PharmGKB
NAT2 10 CYCLOPHOSPHAMIDE CHEMBL88 NCI 8774842
NAT2 10 PACLITAXEL CHEMBL428647 NCI 11955677
NAT2 10 ISOSORBIDE DINITRATE CHEMBL6622 PharmGKB
NAT2 10 PYRAZINAMIDE CHEMBL614 PharmGKB
NAT2 10 SULFAMETHAZINE CHEMBL446 PharmGKB
NAT2 10 ASPIRIN CHEMBL25 NCI 9839158
NAT2 10 BUTYLATED HYDROXYTOLUENE CHEMBL146 NCI 11807928

Variant-drug associations (data source: PharmGKB)
Gene Name Variant Alleles Chemical Phenotype Category Significance Notes Sentence Publications Annotation ID
NAT2 NAT2*4 *4 isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *4 is associated with increased clearance of isoniazid in children with HIV. 21558457 981476144
NAT2 NAT2*13A *13A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *13A is associated with increased clearance of isoniazid in children with HIV. 21558457 981476156
NAT2 NAT2*5A *5A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *5A is associated with decreased clearance of isoniazid in children with HIV. 21558457 981476160
NAT2 NAT2*6A *6A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *6A is associated with decreased clearance of isoniazid in children with HIV. 21558457 981476164
NAT2 NAT2*7A *7A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *7A is associated with decreased clearance of isoniazid in children with HIV. 21558457 981476168
NAT2 NAT2*14A *14A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *14A is associated with decreased clearance of isoniazid in children with HIV. 21558457 981476172
NAT2 NAT2*13A, NAT2*4, NAT2*5B, NAT2*6A, NAT2*6J, NAT2*7B, NAT2*7G *5B/*7B + *5B/*5B + *5B/*6A + *5B/*6J + *5B/*7G + *6A/*7B isoniazid metabolism/PK yes Isoniazid exposure (AUC0-24), clearance and half life were all significantly different between rapid and slow acetylators. Other PK parameters were not. Haplotypes were predicted using PHASE. NAT2 *5B/*7B + *5B/*5B + *5B/*6A + *5B/*6J + *5B/*7G + *6A/*7B (assigned as slow acetylator phenotype) is associated with decreased metabolism of isoniazid in children with Tuberculosis as compared to NAT2 *4/*4 + *13A/*13A (assigned as rapid acetylator phenotype) . 24533708 1184233189
NAT2 NAT2*12A, NAT2*13A, NAT2*4, NAT2*5B, NAT2*5C, NAT2*6A, NAT2*6J, NAT2*6O, NAT2*7B, NAT2*7G *5B/*7B + *5B/*5B + *5B/*6A + *5B/*6J + *5B/*7G + *6A/*7B isoniazid metabolism/PK yes Isoniazid half life was significantly different between intermediate and slow acetylators: all other PK parameters were not. Haplotypes were predicted using PHASE. NAT2 *5B/*7B + *5B/*5B + *5B/*6A + *5B/*6J + *5B/*7G + *6A/*7B (assigned as slow acetylator phenotype) is associated with decreased clearance of isoniazid in children with Tuberculosis as compared to NAT2 *4/*5B + *4/*6A + *4/*5C + *4/*6O + *4/*7G + *5B/*12A + *6A/*13A (assigned as intermediate acetylator phenotype) . 24533708 1184233225
NAT2 NAT2*4, NAT2*6 *4 sulfamethoxazole metabolism/PK yes as measured by plasma sulfamethoxazole AUC 0-24. Please note; this was combined analysis of rapid acetylators vs slow acetylators. Slow acetylators; genotype *5/*6, *6/*6, *6/*7, *7/*7). Rapid acetylators; genotype *4/*4. There was no significant difference with intermediate acetylators. Genotyped 3 SNPs; *5 (T341C, rs1801280), *6 (G590A, rs1799930), *7 (G857A, rs1799931). NAT2 *4 is associated with increased metabolism of sulfamethoxazole in people with Kidney Transplantation as compared to NAT2 *6. 22106207 981477852
NAT2 NAT2*4, NAT2*7 *4 sulfamethoxazole metabolism/PK yes as measured by plasma sulfamethoxazole AUC 0-24. Please note; this was combined analysis of rapid acetylators vs slow acetylators. Slow acetylators; genotype *5/*6, *6/*6, *6/*7, *7/*7). Rapid acetylators; genotype *4/*4. There was no significant difference with intermediate acetylators. Genotyped 3 SNPs; *5 (T341C, rs1801280), *6 (G590A, rs1799930), *7 (G857A, rs1799931). NAT2 *4 is associated with increased metabolism of sulfamethoxazole in people with Kidney Transplantation as compared to NAT2 *7. 22106207 981477856
NAT2 NAT2*4, NAT2*5 *5 sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly different between all three phenotype groups. NAT2 *5 is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 19560446 981501641
NAT2 NAT2*4, NAT2*5 *5 sulfasalazine metabolism/PK no slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points - none were significantly different between the three groups. NAT2 *5 is not associated with metabolism of sulfasalazine in healthy individuals as compared to NAT2 *4. 19560446 981501654
NAT2 NAT2*4, NAT2*6A, NAT2*7B *6A/*7B isoniazid metabolism/PK yes Analysis combined slow acetylators (genotype *6A/*6A, *6A/*7B, *7B/*7B) and compared to rapid (genoytype *4/*4) or intermediate acetylators (*4/*5B, *4/*6A, *4/*7B). NAT2 *6A/*7B is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4. 18544910 981344553
NAT2 NAT2*4, NAT2*7 *7 sulfasalazine metabolism/PK no slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points - none were significantly different between the three groups. NAT2 *7 is not associated with metabolism of sulfasalazine in healthy individuals as compared to NAT2 *4. 19560446 981501662
NAT2 NAT2*4, NAT2*7B *7B/*7B isoniazid metabolism/PK yes Analysis combined slow acetylators (genotype *6A/*6A, *6A/*7B, *7B/*7B) and compared to rapid (genoytype *4/*4) or intermediate acetylators (*4/*5B, *4/*6A, *4/*7B). NAT2 *7B/*7B is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4. 18544910 981344565
NAT2 NAT2*5B, NAT2*6A *5B/*6A sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *5B/*6A is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501607
NAT2 NAT2*4 *4 isoniazid metabolism/PK not stated 88% of overall variability in isoniazid clearance was accounted for by the number of NAT2*4 alleles. NAT2 *4 is associated with increased clearance of isoniazid in healthy individuals. 15855489 981848260
NAT2 NAT2*7 *7/*7 isoniazid metabolism/PK not stated NAT2 *7/*7 is associated with decreased metabolism of isoniazid in people with Lupus Erythematosus, Systemic as compared to NAT2 *4/*4. 16531626 981851600
NAT2 NAT2*5, NAT2*7 *5/*7 isoniazid metabolism/PK not stated NAT2 *5/*7 is associated with decreased metabolism of isoniazid in people with Lupus Erythematosus, Systemic as compared to NAT2 *4/*4. 16531626 981851604
NAT2 NAT2*6A *6A/*6A sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *6A/*6A is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501615
NAT2 NAT2*4 *4/*4 sulfasalazine metabolism/PK no (rapid acetylators) compared to intermediate (one variant allele) or slow acetylators (two variant alleles). Variant alleles = NAT2*5B, *6A, *7B. No significant difference was seen in AUC0-48, CLtotal/F or Cmax values between rapid, intermediate and slow acetylators with the rs2231142 genotype GG or the GT genotype (intergenotypic analysis) - suggesting NAT2 polymorphisms are not involved in sulfasalazine PK. NAT2 *4/*4 is not associated with clearance of sulfasalazine in healthy individuals. 18167504 981501404
NAT2 NAT2*4, NAT2*6A *6A/*6A isoniazid metabolism/PK yes Analysis combined slow acetylators (genotype *6A/*6A, *6A/*7B, *7B/*7B) and compared to rapid (genoytype *4/*4) or intermediate acetylators (*4/*5B, *4/*6A, *4/*7B). NAT2 *6A/*6A is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4. 18544910 981344548
NAT2 NAT2*4, NAT2*6A *6A sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele). Variant alleles = NAT2*5B, *6A, *7B. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly decreased in slow vs rapid or intermediate acetylators, cumulative urinary excretion of sulfapyradine was significantly higher in slow vs rapid or intermediate acetylators, and cumulative urinary excretion of N-acetylsulfapyradine was significantly lower in slow vs rapid or intermediate acetylators. NAT2 *6A is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 18167504 981501514
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Before treatment the patients were phenotyped for polymorphic acetylation by means of the sulphamethazine test. High hydralazine levels (>0.5 pg/ml) were measured in slow acetylators with an SMZ ratio above 35%, whereas all rapid acetylators and some slow acetylators exhibited lower hydralazine levels. NAT2 slow acetylator is associated with increased concentrations of hydralazine in people with Hypertension as compared to NAT2 intermediate and rapid acetylators. 1136859 1451141940
NAT2 NAT2*5B *5B/*5B 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5B/*5B is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023773
NAT2 NAT2*6A *6A/*6A 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *6A/*6A is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023791
NAT2 NAT2*5A, NAT2*6C *5A/*6C 1,7-dimethylxanthine metabolism/PK not stated or genotype *5B/*6A. AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5A/*6C is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982024292
NAT2 NAT2*11A, NAT2*5C *11A/*5C 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was increased in men with these genotype compared to 'slow acetylators'. NAT2 *11A/*5C is associated with increased metabolism of 1,7-dimethylxanthine in men. 17011540 982024316
NAT2 NAT2*5A, NAT2*5B *5A/*5B 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5A/*5B is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023766
NAT2 NAT2*4 *4 caffeine metabolism/PK yes Caffeine urinary metabolites in carriers of *4 were combined together as 'fast acetylators' and compared with those from slow acetylators (two 'slow' alleles *5, *6 or *7). NAT2 *4 is associated with increased metabolism of caffeine in healthy individuals. 22105431 982023752
NAT2 NAT2*12 *12 1,7-dimethylxanthine metabolism/PK not stated Men with genotypes *12A/*5A, *12C/*5D. AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was increased in men with these genotypes compared to 'slow acetylators'. NAT2 *12 is associated with increased metabolism of 1,7-dimethylxanthine in men. 17011540 982024323
NAT2 NAT2*5A, NAT2*5C *5A/*5C 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5A/*5C is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023779
NAT2 NAT2*5B, NAT2*7B *5B/*7B 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5B/*7B is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023785
NAT2 NAT2*6A, NAT2*7B *6A/*7B 1,7-dimethylxanthine metabolism/PK not stated AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *6A/*7B is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982023797
NAT2 NAT2*5B, NAT2*6A *5B/*6A 1,7-dimethylxanthine metabolism/PK not stated or genotype *5A/*6C. AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was reduced in men with this genotype. NAT2 *5B/*6A is associated with decreased metabolism of 1,7-dimethylxanthine in men. 17011540 982024286
NAT2 NAT2*13, NAT2*6A *13 1,7-dimethylxanthine metabolism/PK not stated Men with genotypes *13/*6A, *13/*6B, or *13/*7A. AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was increased in men with these genotypes compared to 'slow acetylators'. NAT2 *13 is associated with increased metabolism of 1,7-dimethylxanthine in men. 17011540 982024298
NAT2 NAT2*14, NAT2*19, NAT2*4, NAT2*5, NAT2*6, NAT2*7 *4/*4 isoniazid "dosage","metabolism/PK" yes Patients were given an isoniazid dose based on NAT2 acetylator status or a standard dose. Slow acetylators (carriers of two variant alleles *19, *14, *5, *6, or *7) who had their dose adjusted had a reduced incidence of liver injury as compared to those who received a standard dose, and fast acetylators (*4/*4, either given standard dose or 1.5x standard dose) who had their dose adjusted had a reduced incidence of early treatment failure (at 8 weeks) as compared to those who received a standard dose. NAT2 *4/*4 is associated with increased dose of isoniazid in people with Tuberculosis as compared to NAT2 *19 + *14 + *5 + *6 + *7. 23150149 981851641
NAT2 NAT2*4 *4 1,7-dimethylxanthine metabolism/PK not stated Men with genotypes *4/*5B, *4/*6A, or *4/*7A. AFMU/(AFMU+1U+1X) metabolic ratio was measured in urine after caffeine dosage...metabolism of paraxanthine (17X, 1,7-dimethylxanthine) by NAT2 to form AFMU was increased in men with these genotypes compared to 'slow acetylators'. NAT2 *4 is associated with increased metabolism of 1,7-dimethylxanthine in men. 17011540 982024307
NAT2 NAT2*6 *6/*6 isoniazid metabolism/PK not stated NAT2 *6/*6 is associated with decreased metabolism of isoniazid in people with Lupus Erythematosus, Systemic as compared to NAT2 *4/*4. 16531626 981851619
NAT2 NAT2*5, NAT2*6 *5/*6 isoniazid metabolism/PK not stated NAT2 *5/*6 is associated with decreased metabolism of isoniazid in people with Lupus Erythematosus, Systemic as compared to NAT2 *4/*4. 16531626 981851608
NAT2 rs1799930 AA isoniazid metabolism/PK yes This variant is associated with increased AUC of isoniazid at week 8. Genotype AA is associated with increased exposure to isoniazid in people with HIV Infections and Tuberculosis as compared to genotypes AG + GG. 30779340 1450807565
NAT2 NAT2*4, NAT2*5 *4 sulfamethoxazole metabolism/PK yes as measured by plasma sulfamethoxazole AUC 0-24. Please note; this was combined analysis of rapid acetylators vs slow acetylators. Slow acetylators; genotype *5/*6, *6/*6, *6/*7, *7/*7). Rapid acetylators; genotype *4/*4. There was no significant difference with intermediate acetylators. Genotyped 3 SNPs; *5 (T341C, rs1801280), *6 (G590A, rs1799930), *7 (G857A, rs1799931). NAT2 *4 is associated with increased metabolism of sulfamethoxazole in people with Kidney Transplantation as compared to NAT2 *5. 22106207 981477848
NAT2 NAT2*5B *5B/*5B sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *5B/*5B is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501598
NAT2 NAT2*5B, NAT2*5C *5B/*5C sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *5B/*5C is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501603
NAT2 NAT2*5B, NAT2*7B *5B/*7B sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *5B/*7B is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501611
NAT2 NAT2*7B *7B/*7B sulfapyridine metabolism/PK yes slow acetylators (two variants *5B, *5C, *6A, *7B) were grouped and compared to rapid acetylators (genotypes *4/*4, *4/*5B,*4/*6A, *4/*7B, *5B/*12A). Significant differences in several PK parameters were observed. NAT2 *7B/*7B is associated with decreased metabolism of sulfapyridine in healthy individuals. 20040334 981501619
NAT2 rs1799930 AA isoniazid "toxicity","metabolism/PK" yes Clearance was also significantly decreased in patients with the GA compared to those with GG, and levels were significantly decreased in patients with AA compared to GA. Genotype AA is associated with decreased clearance of isoniazid in people with Tuberculosis as compared to genotype GG. 19891553 981240165
NAT2 rs4646244 AT isoniazid "toxicity","metabolism/PK" yes TT vs AA or TA vs AA was not statistically significant - possibly due to low numbers of AA patients. Peak serum levels of isoniazid were also significantly higher in TA vs TT, and the ratio of acetyl isoniazid: isoniazid significantly lower in TA vs TT, and AA vs TT. Genotype AT is associated with decreased clearance of isoniazid in people with Tuberculosis as compared to genotype TT. 19891553 981240151
NAT2 NAT2*4, NAT2*7B *7B sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele). Variant alleles = NAT2*5B, *6A, *7B. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly decreased in slow vs rapid or intermediate acetylators, cumulative urinary excretion of sulfapyradine was significantly higher in slow vs rapid or intermediate acetylators, and cumulative urinary excretion of N-acetylsulfapyradine was significantly lower in slow vs rapid or intermediate acetylators. NAT2 *7B is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 18167504 981501499
NAT2 NAT2*4, NAT2*5B *5B sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele). Variant alleles = NAT2*5B, *6A, *7B. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly decreased in slow vs rapid or intermediate acetylators, cumulative urinary excretion of sulfapyradine was significantly higher in slow vs rapid or intermediate acetylators, and cumulative urinary excretion of N-acetylsulfapyradine was significantly lower in slow vs rapid or intermediate acetylators. NAT2 *5B is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 18167504 981501518
NAT2 NAT2*12A *12A isoniazid metabolism/PK not stated Fast acetylators (two fast alleles NAT2*4, *12, *13) were grouped together, compared to intermediate (one fast and one slow allele) and slow acetylators (two slow alleles NAT2*5, *6, *7, *14) in an analysis of clearance of isoniazid in infants over time from 3 months old to 24 months (normalized for 70kg body weight). Fast acetylators displayed an increase in clearance over this time period, also seen in intermediate acetylators but in slow acetylators clearance remained constant over time. NAT2 *12A is associated with increased clearance of isoniazid in children with HIV. 21558457 981476152
NAT2 NAT2*4 *4 isoniazid metabolism/PK yes individuals heterozygous or homozygous for the *4 allele have increased metabolism of isoniazid and can be classed as 'rapid acetylators' compared to individuals with two variant alleles rs1799929 (481T), rs1799930 (590A), rs1208 (803G) or rs1799931 (857A) (slow acetylators). NAT2 *4 is associated with increased metabolism of isoniazid in healthy individuals. 21479500 981939860
NAT2 NAT2*4, NAT2*7 *7 sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly different between all three phenotype groups. NAT2 *7 is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 19560446 981501650
NAT2 NAT2*4, NAT2*6 *6 sulfapyridine metabolism/PK yes slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points. AUC N-acetylsulfapyradine/ AUC sulfapyradine was significantly different between all three phenotype groups. NAT2 *6 is associated with decreased metabolism of sulfapyridine in healthy individuals as compared to NAT2 *4. 19560446 981501646
NAT2 NAT2*4, NAT2*6 *6 sulfasalazine metabolism/PK no slow acetylators (two variant alleles) compared to (rapid acetylators *4/*4 - no variant alleles) and intermediate acetylators (one variant allele and one *4 allele). Variant alleles = NAT2*5, *6, *7. A single oral dose of sulfasalazine was given and pharmacokinetic parameters were measured at different times points - none were significantly different between the three groups. NAT2 *6 is not associated with metabolism of sulfasalazine in healthy individuals as compared to NAT2 *4. 19560446 981501658
NAT2 NAT2*4 *4 isoniazid metabolism/PK not stated rapid and intermediate acetylators (carriers of *4) had increased metabolism of isoniazid compared to slow acetylators.Genotype determined by RFLP using RFLP using KpnI, TaqI, BamH to distinguish between NAT2*4 and *5B, *6A, *7B, respectively. Homozygous *4 = rapid, heterozygous *4 = intermediate, homozygous variant alleles = slow acetylators. NAT2 *4 is associated with increased metabolism of isoniazid in people with Tuberculosis. 21753138 981939971
NAT2 NAT2*5 *5/*5 isoniazid metabolism/PK not stated NAT2 *5/*5 is associated with decreased metabolism of isoniazid in people with Lupus Erythematosus, Systemic as compared to NAT2 *4/*4. 16531626 981851612
NAT2 NAT2*4 *4/*4 isoniazid metabolism/PK yes compared to *4/*5, *4/*6, *4/*7 (grouped 'intermediate' genotypes). NAT2 *4/*4 is associated with increased metabolism of isoniazid in people with Tuberculosis. 16182272 981851586
NAT2 NAT2*4 *4/*4 isoniazid metabolism/PK yes compared to *6/*6, *6/*7, *7/*7 (grouped 'slow' genotypes). NAT2 *4/*4 is associated with increased metabolism of isoniazid in people with Tuberculosis. 16182272 981851591
NAT2 NAT2*4, NAT2*5, NAT2*6, NAT2*7 *4/*5 + *4/*6 + *4/*7 hydralazine metabolism/PK yes RA group had faster weight-adjusted hydralazine apparent oral clearance (70.0 ± 13.6 vs 20.1 ± 6.9 L/h, P < .05), lower dose-normalized area under the concentration-time curve (AUC; 1.5 ± 0.8 vs 5.9 ± 3.7 ng·h/mL, P < .05), lower dose-normalized peak concentrations (0.77 ± 0.51 vs 4.04 ± 3.18 ng/mL, P < .05), and larger weight-adjusted apparent oral volume of distribution (302 ± 112 vs 116 ± 45 L/kg, P < .05) compared to slow acetylators. Single-nucleotide polymorphisms (SNPs) in the NAT2 coding region and their corresponding haplotypes were determined using 4-SNP assays, that is, rs181280,c.341T > C; rs1799930, c.590G > A; rs1799931,c.857G > A; rs1801279, c.191G > A, with TaqMan Assays. Subjects were classified as slow acetylators if they had 2 reduced-activity NAT2 alleles (*5, *6, *7, or*14), or rapid acetylators if they carried 1 reduced-activity allele and 1 fully functional allele (*4) or 2 fully functional alleles. NAT2 *4/*5 + *4/*6 + *4/*7 (assigned as rapid acetylator phenotype) are associated with increased metabolism of hydralazine in women with Hypertension as compared to NAT2 *5/*5 + *5/*6 + *5/*7 + *6/*6 (assigned as slow acetylator phenotype) . 31257615 1451135223
NAT2 NAT2*4, NAT2*5 *5/*5 isoniazid metabolism/PK yes Slow acetylators (a combination of two slow alleles NAT2*5, *6 or *7) had higher isoniazid plasma concentrations and bioavailability compared to rapid (*4/*4) and intermediate acetylators (*4 allele combined with *5, *6 or *7). Patients with *7/*7 genotype had the highest levels. NAT2 *5/*5 (assigned as slow acetylator phenotype) is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4 (assigned as rapid acetylator phenotype) . 24383060 1183702439
NAT2 NAT2*4, NAT2*7 *7/*7 isoniazid metabolism/PK yes Slow acetylators (a combination of two slow alleles NAT2*5, *6 or *7) had higher isoniazid plasma concentrations and bioavailability compared to rapid (*4/*4) and intermediate acetylators (*4 allele combined with *5, *6 or *7). Patients with *7/*7 genotype had the highest levels. NAT2 *7/*7 (assigned as slow acetylator phenotype) is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4 (assigned as rapid acetylator phenotype) . 24383060 1183702422
NAT2 NAT2*4, NAT2*6 *6/*6 isoniazid metabolism/PK yes Slow acetylators (a combination of two slow alleles NAT2*5, *6 or *7) had higher isoniazid plasma concentrations and bioavailability compared to rapid (*4/*4) and intermediate acetylators (*4 allele combined with *5, *6 or *7). Patients with *7/*7 genotype had the highest levels. NAT2 *6/*6 (assigned as slow acetylator phenotype) is associated with decreased metabolism of isoniazid in people with Tuberculosis as compared to NAT2 *4/*4 (assigned as rapid acetylator phenotype) . 24383060 1183702431
NAT2 NAT2*14, NAT2*5, NAT2*6, NAT2*7 *5 + *6 + *7 + *14 dipyrone metabolism/PK yes N-demethylation of the active metabolite MAA is diminished in carriers of the CYP2C19*2 allele and in NAT2-slow acetylators. "The inferred slow NAT2 phenotype is strongly associated with a decrease in the acetylation ratio and in the recovery of AAA. This effect is associated to all NAT2 slow alleles analyzed, but a differential effect is observed: Individuals who were homozygous for the NAT2*6 allele displayed a significantly lower AAA recovery and lower acetylation ratio as compared to individuals homozygous for the NAT2*5 allele" NAT2 *5 + *6 + *7 + *14 (assigned as slow acetylator phenotype) are associated with decreased metabolism of dipyrone in healthy individuals. 25241292 1451139042
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Acetylation phenotype, as determined by sulfamethazine acetylation rate, was an important determinant of the plasma level of hydralazine. The ratio of plasma concentration to daily dose of hydralazine averaged 1.7 times higher in slow acetylators than in fast acetylators. NAT2 slow acetylator is associated with increased concentrations of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 5026380 1451140220
NAT2 NAT2 rapid acetylator hydralazine "dosage","efficacy" yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Acetylation phenotype, as determined by sulfamethazine acetylation rate, was an important determinant of the plasma level of hydralazine. Fast acetylators also required significantly higher doses of hydralazine for adequate blood pressure control than did slow acetylators. In contrast, the mean plasma concentration of hydralazine which produced a satisfactory blood pressure reduction was the same in both groups. NAT2 rapid acetylator is associated with increased dose of hydralazine in people with Hypertension as compared to NAT2 slow acetylator. 5026380 1451140186
NAT2 NAT2*14, NAT2*5, NAT2*6, NAT2*7 *5/*14 + *5/*5 + *5/*6 + *5/*7 + *6/*14 + *6/*6 + *7/*6 hydralazine efficacy yes Only slow acetylators showed a significant decreased in systolic blood pressure (clinic, ambulatory 24h, ambulatory daytime, ambulatory night-time) and diastolic blood pressure (clinic, ambulatory night-time) - p-value applies to all. NAT2 *5/*14 + *5/*5 + *5/*6 + *5/*7 + *6/*14 + *6/*6 + *7/*6 (assigned as slow acetylator phenotype) is associated with response to hydralazine in people with resistant hypertension. 24444407 1184174521
NAT2 NAT2*12, NAT2*13, NAT2*4 *12/*12 + *13/*13 + *4/*12 + *4/*13 + *4/*4 hydralazine efficacy no Only slow acetylators showed a significant decreased in systolic blood pressure (clinic, ambulatory 24h, ambulatory daytime, ambulatory night-time) and diastolic blood pressure (clinic, ambulatory night-time). P-value applies to all blood pressure measurements. NAT2 *12/*12 + *13/*13 + *4/*12 + *4/*13 + *4/*4 (assigned as rapid acetylator phenotype) is not associated with response to hydralazine in people with resistant hypertension. 24444407 1184174554
NAT2 NAT2*12, NAT2*13, NAT2*14, NAT2*4, NAT2*5, NAT2*6, NAT2*7 *4/*14 + *4/*5 + *4/*6 + *4/*7 + *5/*12 + *5/*13 + *6/*12 + *6/*13 hydralazine efficacy no Only slow acetylators showed a significant decreased in systolic blood pressure (clinic, ambulatory 24h, ambulatory daytime, ambulatory night-time) and diastolic blood pressure (clinic, ambulatory night-time). P-value applies to all blood pressure measurements. NAT2 *4/*14 + *4/*5 + *4/*6 + *4/*7 + *5/*12 + *5/*13 + *6/*12 + *6/*13 (assigned as intermediate acetylator phenotype) is not associated with response to hydralazine in people with resistant hypertension. 24444407 1184174568
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. The phenotyping was done by administering oral standard hydralazine dose of 150 mg/day in three divided doses. The 24 hour urinary MTP/hydralazine ratio was used to categorize patients into slow and fast acetylators. Of the patients studied 69.9% were slow acetylators while 30.4% were fast acetylators. The mean 24 hour urinary MTP/hydralazine ratio for slow acetylators was 1.01 +/- 0.95. This was significantly different from the fast acetylators where the mean 24 hour urinary MTP/hydralazine ratio was 10.6 +/- 4.4 (P < 0.001). NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 1396201 1451138220
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Subjects received 500 mg by oral route of sulfamethazine and urine was collected 0 – 6 h after medication. Acetylated and unchanged sulfamethazine were determined and the ratio of acetylated/ unchanged sulfamethazine was determined. Subjects were classified as fast or slow acetylators taking a cut-off ratio of 70%. PK studied with orally administrated a single dose of hydralazine with a slow-release tablet of 182 mg regardless of their acetylation phenotype. For fast acety- lators, maximum concentrations of hydrala- zine in plasma appeared with an average of 2.8 ± 2.5 h after drug administration, with a mean value of 208.4 ± 56.9 ng/ml, whereas for slow acetylators we observed that the mean value of the maximum concentration was 470.4 ± 162.8 ng/ml, and the tmax 4.4 h. pharmacokinetic parameters for fast and slow acetylators show that the Cmax, the tmax and the area under the curve values of hydralazine in slow acetylators are almost twice compared to the fast acetylators. NAT2 slow acetylator is associated with increased concentrations of hydralazine in healthy individuals as compared to NAT2 rapid acetylator. 21781652 1451138770
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Patients were phenotyped by the sulfamethazine method. Patients undergoing maintenance therapy with hydralazine doses of 25, 50, 75, 100, or 150mg given twice daily. Other drugs received were as follows: atenolol (31patients);bendroflumethiazide (28);oxprenolol (3); hydrochlorothiazide with amiloride HC1 (9); allopurinol (2); propranolol (9);furosemide (2); cyclopenthiazide with potasium chloride (5); methyldopa (3); digoxin (3); clonidine (1);bethanidine (1);lorazepam (1).Some drugs were only received by rapid acetylators,or slow acetylators. The 3-OHMTR:HP ratio is lower in the slow acetylator at both 100-mg (p<0.01) and 200-mg (p< 0.01) daily dose level than in rapid acetylators. The greatest phenotype difference in the ratio 3-OHMTP:HP is after a 200-mg daily dose; although there is a difference (p<0.01) in the average ratio after 100 mg; the frequency distribution reveals overlap between the acetylator phenotype at 100-mg dose and shows no discrimination after 50-mg doses. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 7471604 1451139280
NAT2 NAT2 slow acetylator hydralazine metabolism/PK no Note, NAT2 not specified just categorized in slow and rapid acetylator. The patients were acetylator phenotyped with sulfamethazine. Hydralazine and two of its acetylated metabolites, methyltriazolophthalazine (MTP) and 3-hydroxymethyltriazolophthalazine (HOMTP) are measured. Excretion of hydralazine and HOMTP but not MTP was found to be related to the acetylator phenotype. Metabolic ratio HOMTP: hydralazine showed a bimodal distribution and the average ratio for slow acetylators (1.6) was lower than the ratio in rapid acetylators (14.9) p<0.001. It was of interest that the excretion of MTP, the primary acetylated metabolite, was similar in both phenotypes. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 7408395 1451139502
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Acetylators were determined by phenotyping with a single dose of sulfamethazine. Subjects were divided into rapid (A1 > 50) and slow (A1 < 50) acetylator groups. Hydralazine and HPH kinetics was determined after single and repeated oral doses of hydralazine in eight hypertensive patients. Hydralazine bioavailability in the fast acetylator group (9.5% single dose, 6.6% repeated doses) and in the slow acetylator group (31.3% single dose, 39.3% repeated doses). Peak plasma levels were lower than those reported with nonspecific assays: 0.32 microM for the single dose and 0.14 microM for repeated doses in the fast acetylator group and 1.03 microM for the single dose and 0.96 microM repeated doses in the slow acetylator group. After single and repeated doses, AUC was significantly greater in slow than in rapid acetylator groups. Elimination half-lifes were phenotype independent, ranging from 4 to 6 hr. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 7438695 1451139946
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Patients were phenotyped as rapid or slow acetylators. Urine from slow acetylators contained significantly more hydrazine than urine from rapid acetylators at both 100- and 200-mg dose levels (p < 0.02 and 0.001, respectively). NAT2 slow acetylator is associated with increased concentrations of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 445966 1451140180
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Patients' acetylator status was determined by the sulphamethazine method. Subjects were undergoing maintenance therapy with hydralazine, twice daily 100 mg. Patients had been receiving in conjunction with hydralazine a number of other drugs: (numbers of patients indicated):chlorethiazole 1+; bendrofluazide 8; atenolol 7; clonidine 1+; glyceryltrinitrate 1*; propranolol 6; methyldopa 6; oxprenolo l2; digoxin 2+; frusemide 2; naproxen 1+; diazepam 1*; navidrex 2*, moduretic 4; SlowK 7; bethanidine 2 and hydrochlorothiazide 1* (+These drugs were only administered to rapid acetylators; *these drugs were only administered to slow acetylators). The level of the acetylated metabolites NAcHPZ and TP (terminal product of the primary acetylation pathway) are higher in the rapid compared with the slow acetylator phenotype. Conversely the level of PZ is significantly higher in slow compared with rapid acetylators. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 7259927 1451140360
NAT2 NAT2 slow acetylator hydralazine metabolism/PK yes Note, NAT2 not specified just categorized in slow and rapid acetylator. Acetylation ability was determined by the sulfamethazine method. For certain comparisons patients were divided into rapid or slow acetylators on the basis of an acetylation index greater or less than 50%, respectively. The clearance of hydralazine from blood was 42.7 +/- 8.9 ml/min-1/kg-1 in the 9 patients studied. This value was not related to acetylation index. In those patients with indexes above 50% (rapid acetylators) the apparent hepatic clearance was higher than in patients with indexes below 50% (slow acetylators), 19.5 +/- 1.0 versus 14.6 +/- 1.7 ml/min-1/kg-l, respectively. The AUC and Cp values for both the single and multiple oral doses were significantly lower (P less than 0.001) in rapid than in slow acetylators. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in men with Hypertension as compared to NAT2 rapid acetylator. 7284051 1451140400
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Subjects received 500 mg by oral route of sulfamethazine and urine was collected 0 – 6 h after medication. Acetylated and unchanged sulfamethazine were determined and the ratio of acetylated/ unchanged sulfamethazine was determined. Subjects were classified as fast or slow acetylators taking a cut-off ratio of 70%. Hydralazine was administered in as a slow-release tablet containing 182 mg for fast and 83 mg for slow acetylators. mean concentrations of plas- ma hydralazine were 239.1 ng/ml and 259.2 ng/ml for fast and slow patients, respectively. The respective medians being 222.1 ng/ ml and 265.5 ng/ml. These differences were not significantly different, p = 0.3868. Subjects also received other medications to treat neoplasms. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Neoplasms as compared to NAT2 rapid acetylator. 21781652 1451138866
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Patients received a single oral 500-mg dose (two 250-mg tablets) of sulfamethazine and urine was collected within the ensuing 6 h for acetylator status phenotyping. Afterward, patients began treatment (day –7) with a daily dose of a slow-release formulation of hydralazine tablets containing either 182 mg for rapid-acetylators or 83 mg for slow- acetylators. Plasmatic levels of hydralazine were analyzed in 10 patients in whom plasma samples were available at different time-points during treatment. Distribution of these patients according to acetylator phenotype was four and six for slow and rapid, respectively. Mean plasma levels of hydralazine ranged from 204.8–275.1 ng/mL for rapid-acetylators, whereas these mean values were 252.1–344.2 ng/mL in slow- acetylators. Overall means were 246 and 299 ng/mL, respectively, which were not statistically significant different (p = 0.2445). The subjects received also other drugs to treat neoplasms. NAT2 slow acetylator is associated with decreased metabolism of hydralazine in people with Neoplasms as compared to NAT2 rapid acetylator. 17183730 1451138920
NAT2 NAT2 slow acetylator hydralazine metabolism/PK no Note, NAT2 not specified just categorized in slow and rapid acetylator. Patients received a single oral dose of 500 mg of sulphamethazine, and urine was collected within the ensuing 6 h for phenotyping of acetylator status as reported. Patients began treatment (day –7) with a daily dose of a slow-release formulation of hydralazine tablets containing either 182 mg for rapid, or 83 mg for slow, acetylators.Mean plasma level of hydralazine was 108.0 ng/ml (SD, 85.9) for slow acetylators (7 patients), whereas mean value was 288.4 (SD, 278.5) for rapid acetylators (3 patients), this difference statistically significant (P = 0.0151.) Subjects also received magnesium valproate tablets and both were administered until the last day of the final chemotherapy cycle. Chemotherapy comprised cisplatin, carboplatin, paclitaxel, vinorelbine, gemcitabine, pemetrexed, topotecan, doxorubicin, cyclophosphamide, or anastrozole. NAT2 slow acetylator is not associated with decreased metabolism of hydralazine in people with Neoplasms as compared to NAT2 rapid acetylator. 17761710 1451138603
NAT2 NAT2*4, NAT2*5, NAT2*6, NAT2*7 *5/*5 + *5/*6 + *5/*7 hydralazine metabolism/PK not stated Rapid acetylators were given a higher dose. The average means  SE of AUC0-inf and Cmax in fast (given dose 182 mg) and slow acetylators (given dose 83 mg) were 1583 +/- 243 and 1696 +/- 197 ng h/mL, 934  68 and 1125  172 ng/mL, respectively. None of the determined and calculated parameters was significantly different (a = 005) between the two groups. Three SNPs (rs1801280, rs1799930 and rs1799931) were chosen as tag SNPs for NAT2 alleles with reduced activity (NAT2*5, *6 and *7). *4 seemed to be assigned in the absence of *5, *6, *7. NAT2 *5/*5 + *5/*6 + *5/*7 (assigned as slow acetylator phenotype) are associated with decreased metabolism of hydralazine in healthy individuals as compared to NAT2 *4/*4 (assigned as rapid acetylator phenotype) . 24702251 1451136500
NAT2 NAT2 rapid acetylator hydralazine "dosage","efficacy" not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. The acetylator status was determined by phenotyping using sulfamethazine or dapsone, not further specified. After 2 to 4 weeks on diuretic, patients were maintained on diuretic and randomized to a hydralazine treatment regimen. A total of 36 patients were prescribed supplemental beta-blockers in addition. Only 9 patients were classified as "intermediate" acetylators, and they were therefore included as "slow" acetylators. Additionally, 6 patients' acetylator classification was unknown due to protocol violations. Sitting diastolic blood pressure (BP) was selected as the response variable. The daily dose that elicited 50% of the maximum response was 0.87 mg/kg for slow acetylators and 1.68 mg/kg for fast acetylators. The acetylator class was an important factor in describing the data but the difference between the two classes might not be as statistically significant as the value 0.025 indicated when multiple testing is taken into account. NAT2 rapid acetylator is associated with increased dose of hydralazine in people with Hypertension as compared to NAT2 slow acetylator. 2231320 1451141481
NAT2 NAT2 slow acetylator hydralazine metabolism/PK not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Acetylator phenotype was determined following oral sulfamethazine. Acetylator index was defined as the ratio, multiplied by 100, of acetylated-to-total sulfamethazine in plasma. Among the nine subjects, the acetylator index ranged from 18 to 82. The distribution of the acetylator index was not bimodal but rather included one or two patients in each decile from the second through the ninth.The plasma concentration of hydralazine after a standard oral dose varied by as much as 15-fold among individuals and was lower in rapid than slow acetylator phenotype patients. (1 dose and 5 dose regimes were studied; subjects also received diuretics). Study established an inverse correlation between acetylator index and both the peak plasma concentration of hydralazine and the AUC. IT is probable that the inverse relationship of acetylator index to BP response is due to the former's effect on bioavailability and therefore the plasma concentration of hydralazine. NAT2 slow acetylator is associated with increased concentrations of hydralazine in men with Hypertension as compared to NAT2 rapid acetylator. 7298112 1451141600
NAT2 NAT2 rapid acetylator hydralazine "dosage","efficacy" yes To reduce the systolic BP by 20 mmHg, 1.0 mg/kg of hydralazine was needed in slow acetylators; rapid acetylators needed a significantly higher dose of 1.4 mg/kg. Note, NAT2 not specified just categorized in slow and rapid acetylator. Before treatment the patients were phenotyped for polymorphic acetylation by means of the sulphamethazine test: 12 proved to be slow and 11 rapid acetylators. Also the patients were co-treated to hydralazine (37.5-150 mg daily) with oxprenolol (60mg daily). A significant correlation was found between daily doses of hydralazine and the plasma hydralazine levels, separately in slow (r =0.480) and in rapid (r =0.580) acetylators. The antihypertensive response to hydralazine correlated well to plasma hydralazine levels. The average reduction of supine diastolic pressure in slow acetylators (23 mmHg) was significantly more (p<0.05) than in rapid acetylators (15 mmHg). This indicates that slow acetylators were slightly more responsive to a given dose of hydralazine. In order to reduce supine systolic BP by 20 mmHg or more, 1.O mg/kg HZ was needed in slow acetylators and 1.4 mg/kg in rapid. This difference is statistically significant (p <0.05). The dose-response slope of diastolic pressure is fairly flat. NAT2 rapid acetylator is associated with increased dose of hydralazine in people with Hypertension as compared to NAT2 slow acetylator. 1136859 1451141845
NAT2 NAT2 slow acetylator hydralazine efficacy not stated Note, NAT2 not specified just categorized in slow and rapid acetylator. Phenotyping method not stated. Patients were treated with cyclopenthiazide, oxprenolol and hydralazine. Patients who were slow acetylators had significantly better blood pressure control. Only five out of nine fast acetylator patients achieved satisfactory blood pressure control, compared with 19 out of 20 slow acetylator patients (P < 0 . 02). NAT2 slow acetylator is associated with increased response to hydralazine in people with Hypertension as compared to NAT2 rapid acetylator. 318493 1451141965
NAT2 NAT2 haplotype sulfasalazine other yes Among NAT2 slow acetylators, 26.7% ceased sulphasalazine treatment due to adverse effects during the first 12 months of therapy. This is in contrast to rapid acetylators (7.7%) and intermediate acetylators (26.7%). After adjusting for baseline DAS28, smoking status and gender, each decrement in acetylator status (rapid --> intermediate --> slow) was associated with an increased risk in cessation of therapy. Most common adverse events were nausea/vomiting and fatigue/lethargy; please refer to paper for full list. NAT2 acetylator status determined using the rs1801280 and rs1041983 SNPs. NAT2 slow acetylator is associated with increased discontinuation of sulfasalazine in people with Arthritis, Rheumatoid. 24394199 1184747634
NAT2 NAT2 haplotype sulfasalazine efficacy no NAT2 acetylator status (slow, intermediate, rapid) was not associated with likelihood of achieving remission after 12 months of treatment. Remission defined as an SDAI of <3.3. NAT2 acetylator status determined using the rs1801280 and rs1041983 SNPs. NAT2 slow acetylator is not associated with response to sulfasalazine in people with Arthritis, Rheumatoid. 24394199 1184747654
NAT2 NAT2 haplotype efavirenz metabolism/PK not stated Genotype for metabolizer status determined from rs1801279, rs1801280, rs1799930, and rs1799931. Patients were taking both efavirenz and antituberculosis therapy rifampin. NAT2 poor metabolizer genotype is associated with increased clearance of efavirenz in people with HIV and Tuberculosis as compared to NAT2 normal metabolizer genotype. 25722197 1447947578
NAT2 NAT2 slow acetylator isoniazid metabolism/PK yes Serum concentrations of isoniazid were significantly lower in NAT2 rapid acetylators (2.55 mg/L) as compared to slow acetylators (6.78 mg/L). Slow acetylators were defined as those with any two slow alleles. Intermediate and rapid acetylators were defined as those with one or two wild-type NAT*4 alleles, respectively. The authors also provided suggested doses for individuals based on NAT2 acetylator status and weight. Those with genotype-based dosing were more frequently in the therapeutic range as compared to those given standard dosing. NAT2 slow acetylator is associated with decreased concentrations of isoniazid in people with Tuberculosis as compared to NAT2 rapid acetylator. 26491254 1448261868
NAT2 rs1495741 AG + GG iguratimod efficacy yes There are two places in the text where the variant is also referred to as rs1495742 but this appears to be a typo. Genotypes AG + GG is associated with decreased clinical benefit to iguratimod in people with Arthritis, Rheumatoid as compared to genotype AA. 29517409 1449270432