Article
Resolving CYP2D6 Structural Complexity with Long-Read Sequencing: Implications for Tamoxifen Precision Dosing in Thai Breast Cancer Patients.
Clinical pharmacology and therapeutics - 1 Sept 2026
Boonyuen Usa, Talukam Sirinyatorn, Jacob Beatriz Aira C, Matphong Wayu, Chamchoy Kamonwan, Reamtong Onrapak, Meesiripan Nuntana, Yamagishi Junya, Phanchana Matthew, Rattadilok Chayanoot
Abstract excerpt
Cytochrome P450 2D6 (CYP2D6)-mediated bioactivation of tamoxifen to endoxifen is a key determinant of therapeutic efficacy in estrogen receptor-positive breast cancer. In Asian populations, the high prevalence of structurally complex CYP2D6 alleles complicates conventional genotyping, limiting accurate genotype-phenotype correlation. To address these gaps, long-read Oxford Nanopore sequencing was applied to...
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