Effects of Warfarin/tPa [important]

Espaa_

Ku sali nabiga {scw}
I was reading into this as one of my uncle recently died this year due to a stroke (AUN). One drug he was given was a short term clot buster called tpa and a long term clot buster called warfarin. These drugs seem to not work in us but in other populations. I have searched if anyone else talked about this and came across this post by this user:


One very important thing that I have learnt and researched from this persons post is the gene VKORC1. This gene was discovered only recently in 2003 and has a couple of its own alleles. These are: VKORC1*1, VKORC1*2, VKORC1*3 and VKORC1*4. These are haplotypes with its own set of Alleles.

In Somalis, we have each allele at a frequency of:
VKORC1*2 (43%)
VKORC1*3 (32%)
VKORC1*4 (14%)
VKORC1*1 (wild type) (11%)

Somalis display a 60/40 Nilotic Natufian admixture but these results are bizzare because its extremely close to west eurasian population figures. Wild type just means the original unmutated human allele

SUB SAHARAN FREQUENCIES:

VKORC1*1 (wild type) 95%
VKORC1*2 <5%
VKORC1*3 <2%
VKORC1*4 <2%

within VKORC1*2 haplotype, it has 3 alleles which are rs2359612, rs8050894 and rs9934438. These are linked to lower warfarin resistance in Europeans and Asians. In somali populations, it is in linkage disequilibrium meaning its inherited more often than by chance.

There is another mutation called the Asp36Tyr that is completely separate factor to the haplotype system and influences warfarin resistance. In Somali populations, in a study of 95 people, 16 people carry this allele. That makes it approximately ≈17% of us which carry this separate allele meaning it is extremely hard for those people to be administered any warfarin and subsequently tpa for a stroke as they may not respond as efficiently.

Theres so much to write about including own reports for tPa itself as it has its own genes influencing it but the post would be too long. But all the genetic experts pls come on in.

took all your usernames from the fkdspot and thought you guys might want to check it out @giire12 @Garaad Awal @Fez @Juke @Step a side @Pastoralist @NidarNidar @TheLand you guys seem knowledgeable about genetics and somehow admixture plays a MASSIVE role in this. Researching this could save countless Somali lives as there are not many studies are on the effects of this gene on our ethnicity

ALL SOURCES: https://www.nature.com/articles/s41598-020-62645-0

everyone pls feel free to drop any opinions or anything about this in general.
 
Last edited:

Espaa_

Ku sali nabiga {scw}
If any of you guys dont understand the abstract just lmk ill explain : )

scroll down to the VKORC1 gene. Its further down the page after the 2 diagrams of our admixture.
 

NidarNidar

♚kṯr w ḫss♚
VIP
I was reading into this as one of my uncle recently died this year due to a stroke (AUN). One drug he was given was a short term clot buster called tpa and a long term clot buster called warfarin. These drugs seem to not work in us but in other populations. I have searched if anyone else talked about this and came across this post by this user:


One very important thing that I have learnt and researched from this persons post is the gene VKORC1. This gene was discovered only recently in 2003 and has a couple of its own alleles. These are: VKORC1*1, VKORC1*2, VKORC1*3 and VKORC1*4. These are haplotypes with its own set of Alleles.

In Somalis, we have each allele at a frequency of:
VKORC1*2 (43%)
VKORC1*3 (32%)
VKORC1*4 (14%)
VKORC1*1 (wild type) (11%)

Somalis display a 60/40 Nilotic Natufian admixture but these results are bizzare because its extremely close to west eurasian population figures. Wild type just means the original unmutated human allele

SUB SAHARAN FREQUENCIES:

VKORC1*1 (wild type) 95%
VKORC1*2 <5%
VKORC1*3 <2%
VKORC1*4 <2%

within VKORC1*2 haplotype, it has 3 alleles which are rs2359612, rs8050894 and rs9934438. These are linked to lower warfarin resistance in Europeans and Asians. In somali populations, it is in linkage disequilibrium meaning its inherited more often than by chance.

There is another mutation called the Asp36Tyr that is completely separate factor to the haplotype system and influences warfarin resistance. In Somali populations, in a study of 95 people, 16 people carry this allele. That makes it approximately ≈17% of us which carry this separate allele meaning it is extremely hard for those people to be administered any warfarin and subsequently tpa for a stroke as they may not respond as efficiently.

Theres so much to write about including own reports for tPa itself as it has its own genes influencing it but the post would be too long. But all the genetic experts pls come on in.

took all your usernames from the fkdspot and thought you guys might want to check it out @giire12 @Garaad Awal @Fez @Juke @Step a side @Pastoralist @NidarNidar @TheLand you guys seem knowledgeable about genetics and somehow admixture plays a MASSIVE role in this. Researching this could save countless Somali lives as there are not many studies are on the effects of this gene on our ethnicity

ALL SOURCES: https://www.nature.com/articles/s41598-020-62645-0

everyone pls feel free to drop any opinions or anything about this in general.
I'll need to read up on this, it seems I don't have Asp36Tyr(rs61742245) nor does my granny, she has the AG genotype.

rs9934438 AA → you are likely more sensitive to warfarin → need lower doses.
rs2359612 AA → the effect is less clear, but not dramatically different from normal for most people.
 

Espaa_

Ku sali nabiga {scw}
I'll need to read up on this, it seems I don't have Asp36Tyr(rs61742245) nor does my granny, she has the AG genotype.

rs9934438 AA → you are likely more sensitive to warfarin → need lower doses.
rs2359612 AA → the effect is less clear, but not dramatically different from normal for most people.
alhamdulillah if you suspect you do not have this variant. 16% is a huge number when it comes to genetics especially of a gene which inhibits the efficiency of a drug. My question is how tf did our natufian 40% shift those numbers so much? In an ideal world we would have more of the wild type in us yet its only found at 11%. It should be closer to 50-70% due to our overwhelming nilotic genes

in this case since your reading up on it I will send another abstract this time talking about the effects of tPa which is another clot busting drug.

thank you for taking the time to read up on this walaal. I appreciate it

SOURCE: https://pmc.ncbi.nlm.nih.gov/articles/PMC9188962/

“There was no significant difference in mortality rates between rtPA therapy administered somali ischemic stroke patients and not administered ones, too (10.6% vs 13.6%, P = 0.714).”
 
Last edited:
Btw the ancestral East African (not Nilotic) percentage for the average Somali is in the mid 50’s not 60%
1745714013059.jpeg


I’ve came across this study a while ago that said that the VKORC1 haplotypes in Somalis is more similar to toscani’s (Italians) than to luhya’s (Bantu Kenyan)
Indeed, VKORC1 haplotypes in Somalis were closer to the Toscani population (TSI) in Italy rather than to Luhya in Webuye, Kenya, despite the latter country being a neighbor to Somalia.

 

Espaa_

Ku sali nabiga {scw}
I'll need to read up on this, it seems I don't have Asp36Tyr(rs61742245) nor does my granny, she has the AG genotype.

rs9934438 AA → you are likely more sensitive to warfarin → need lower doses.
rs2359612 AA → the effect is less clear, but not dramatically different from normal for most people.
Another thing rs9934438 has links to dementia and Alzheimers. Subhanallah this gene needs to be studied in depth more to conclude a more viable medicine for different populations

https://pubmed.ncbi.nlm.nih.gov/33682710/#:~:text=Variation in VKORC1 has been,genome-wide significant KAT8 locus.
 

Espaa_

Ku sali nabiga {scw}
Btw the ancestral East African (not Nilotic) percentage for the average Somali is in the mid 50’s not 60%
View attachment 360059

I’ve came across this study a while ago that said that the VKORC1 haplotypes in Somalis is more similar to toscani’s (Italians) than to luhya’s (Bantu Kenyan)


Sorry about that blunder, im more on the phamacogenetic side of genetics than the ancestry bit so I wouldnt know😭. Thank you for letting me know.

my question is how comes the wild type is only at 11% for somalis when nilotes have this gene at 95%. Even cadaans have higher % of wildtype than us. The natufian amount needs to be discovered

@Idilinaa not sure if this is your forte or not sis but I think you would be interested in this
 
Last edited:
Sorry about that blunder, im more on the phamacogenetic side of genetics than the ancestry bit so I wouldnt know😭. Thank you for letting me know.

my question is how comes the wild type is only at 11% for somalis when nilotes have this gene at 95%. Even cadaans have higher % of wildtype than us. The natufian amount needs to be discovered
Not sure tbh I’d also like to know
 

NidarNidar

♚kṯr w ḫss♚
VIP
Another thing rs9934438 has links to dementia and Alzheimers. Subhanallah this gene needs to be studied in depth more to conclude a more viable medicine for different populations

https://pubmed.ncbi.nlm.nih.gov/33682710/#:~:text=Variation in VKORC1 has been,genome-wide significant KAT8 locus.
I carry a variant of rs429358 (APOE), it's linked slightly increased risk of alzheimers, but there are ways of handling it as you age. I suggest looking at the video below, no wonder I like beetroot xD, to improve nitric oxide, you need to reduce fluoride toothpaste and mouthwash, also drink filtered water.

 
Last edited:

Espaa_

Ku sali nabiga {scw}
I carry a variant of rs429358 (APOE), it's linked slightly increased risk of alzheimers, but there are ways of handling it as you age. I suggest looking at the video below, no wonder I like beetroot xD

I watched a couple minutes of it. Nitric oxide does in technicality make sense but its kind of a wary area of science since the body has its own mechanisms to make sure Nitrous oxide regulation is tight. Ofc there has to be a balance or else oxidative stress will occur

overall genetics is one part of the equation. You need to have a lot of alleles in many different genes relating to dementia in order for your risk to be very real. Or carry just one homozygous pair in a major risk gene. On the other hand environment plays 50% as well. Its very controllable as you said

keep drinking that beetroot brother :westbrookswag:
 
Last edited:

Trending

Latest posts

Top