Table 1.
Primers sequence for real-time PCR detecting copy number of CYP1B1, CYP2C9, and CYP2E1
| Gene-region | Primer name | Sequence (5′-3′) |
|---|---|---|
| CYP1B1 Exon 1 | CYP1B1 E1F | CTG CGACTCCAGTTGTGAGAG C |
| CYP1B1 E1R | AGTCTCTTGGCGTCG TCAGTG | |
| CYP1B1 Exon 2 | CYP1B1 E2F | CACAGCATGATGCGCAACTTC |
| CYP1B1 E2R | CACTCATGACGTTGGCCA CG | |
| CYP2C9 Exon 4 | CYP2C9 E4F | ATGCATGCCGAACTCTTTTT |
| CYP2C9 E4R2 | AGGATGAAAGTGGGATCACAGG | |
| CYP2C9 Exon 7 | CYP2C9 E7F | CACATTTGTGCATCTGTAACCA |
| CYP2C9 E7R3 | CCGGTTTCTGCCAATCACACG | |
| CYP2E1 Exon 8 | CYP2E1 E8F | GGCACAGTCGTAGTGCCAACTC |
| CYP2E1 E8R | CTGCCTCTGATCTTTCTCACCTG | |
| CYP2E1 Exon 9 | CYP2E1 E9F | TGGAGAAGGCCTGGCTCGCATG |
| CYP2E1 E9R | GTTCAGGGTGTCCTCCACACAC |
Table 2.
Primer used for genotyping the CYP2A6 deletion and duplication alleles [9]
| Primer name | Sequence (5′-3′) |
|---|---|
| 2A E7F | GRC CAA CAT GCC CTA CAT G |
| 2A6R1 | GCA CTT ATG TTT TGT GAG ACA TCA GAG ACA A |
| 2A6E8F | CAC TTC CTG AAT GAG |
| 2A7E8F | CAT TTC CTG GAT GAC |
| 2A6R2 | AAA ATG GGC ATG AAC GCC C |
Table 3.
Final probe ratio from MLPA of representative samples carrying CYP450 copy number alterations
| Samples | CYP1B1 | CYP2A6 | CYP2C9 | CYP2E1 | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Exon 2 | Exon 3 | Exon 1 | Exon 2 | Exon 3 | Exon 5 | Exon 1 | Exon 7 | Exon 8-1 | Exon 8-2 | Exon 9 | Exon 5 | Exon 6 | Exon 8 | |
| FVN48 | 0.89 | 0.87 | 0.41 | 0.42 | 0.5 | 0.43 | 1.1 | 1.18 | 1.16 | 1.06 | 0.92 | 0.95 | 0.93 | 0.88 |
| FVN74 | 0.89 | 0.85 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0.96 | 0.99 | 1.02 | 0.94 | 1.11 |
| MVN23 | 1.34 | 1.53 | 1.15 | 1.14 | 1.16 | 1.15 | 0.47 | 0.55 | 0.61 | 0.56 | 0.58 | 1.09 | 1.08 | 0.99 |
| FVN73 | 1.08 | 0.99 | 1.05 | 1.07 | 1.04 | 1.08 | 1 | 0.99 | 0.98 | 0.92 | 0.96 | 0.51 | 0.51 | 0.47 |
| FVN46 | 1.04 | 1.1 | 0.94 | 0.92 | 1.17 | 1.2 | 1.17 | 1.03 | 1.1 | 0.82 | 0.93 | 1.37 | 1.38 | 1.63 |
| FVN98 | 0.86 | 0.86 | 0.97 | 0.98 | 1.16 | 0.91 | 1.06 | 0.96 | 1.02 | 1.28 | 1.11 | 1.36 | 1.37 | 1.37 |
[i] Final probes ratio indicated deletions (underline); final probes ratio indicated duplications (bold).
[ii] MLPA, multiplex ligation-dependent probe amplification.

Figure 1.
Graphical illustration of CYP450 CNVs identified in current study. (A) Reference gen locus of CYP1B1 (up) and CYP1B1Dup allele (down). CYP1B1 located on chromosome 2 and represented by yellow boxes. (B) Reference gen locus on chromosome 19 of CYP2A6 (orange box) and pseudogene CYP2A7 (grey box) (up) and CYP2A6Del allele (down), downstream of exon 9 of CYP2A6 is denoted by the black boxes. Primers position and strategy used for CYP2A6 del allele detection are also shown. (C) Reference gene cluster on chromosome 10 including CYP2C9 (blue box), CYP2C8 (green box) (up), and CYP2C9 Del allele (down). (D) Reference gen locus of CYP2E1 (pink box) on chromosome 10 (up), CYP2E1Del allele (middle), and CYP2E1Dup allele with 2 copies of the gene (down). CNVs, copy number variations.
Table 4.
Genotypes frequency of CYP450 copy number variability
| Genotype | Gene/genotypes frequency | |||||||
|---|---|---|---|---|---|---|---|---|
| CYP1B1 | CYP2A6 | CYP2C9 | CYP2E1 | |||||
| N | Freq. (%) | N | Freq. (%) | N | Freq. (%) | N | Freq. (%) | |
| Wt/Del | 0 | 0 | 26/154 | 16.88 | 3/154 | 1.95 | 1/154 | 0.65 |
| Del/Del | 0 | 0.00 | 4/154 | 2.60 | 0 | 0.00 | 0 | 0.00 |
| Wt/Dup | 3/154 | 1.95 | 0/154 | 0.00 | 0 | 0.00 | 3/154 | 1.95 |
| Wt/Wt | 151/154 | 98.05 | 124/154 | 80.52 | 151/154 | 98.05 | 150/54 | 97.40 |
Table 5.
Alleles frequency of CYP450 copy number variability
| Allele/copies | Gene/alleles frequency (n = 308) | |||||||
|---|---|---|---|---|---|---|---|---|
| CYP1B1 | CYP2A6 | CYP2C9 | CYP2E1 | |||||
| Freq. | 95% CI | Freq. | 95% CI | Freq. | 95% CI | Freq. | 95% CI | |
| Dup (2) | 0.010 | 0.000–0.010 | - | - | - | - | 0.010 | 0.000–0.021 |
| Wt (1) | 0.990 | 0.980–1.000 | 0.890 | 0.852–0.927 | 0.990 | 0.980–1.000 | 0.987 | 0.974–1.000 |
| Del (0) | - | - | 0.110 | 0.073–0.148 | 0.010 | 0.000–0.021 | 0.003 | 0.000–0.010 |
[i] CI, confidence interval; n, number of alleles.

Figure 2.
Copy number confirmation of CYP2A6Del. (A) Amplification of a part of CYP2A6 gene or hybrid CYP2A7/2A6 using primer pair 2AE7F/2A6R1 resulting in approximately 2 kb products. (B) Detection of CYP2A6Del allele, Wt: Wild-type allele, Del: Deletion allele. CYP2A6 genotype of tested samples were as follows: FVN48: Wt/Del, FVN74: Del/Del, FVN79: Wt/Wt.

Figure 3.
Copy number confirmation of CYP1B1, CYP2C9, and CYP2E1. Primers for real-time PCR located in exon 1 and exon 2 of CYP1B1, exons 4 and 7 of CYP2C9, exons 8 and 9 of CYP2E1 were used to confirm CNVs detected by MLPA in these genes. REF: reference samples, in which MLPA showing 2 copies of gene of interest. (A) Heterozygous duplications of CYP1B1 detected in both FVN 96 and MVN 21. (B) Heterozygous deletions of CYP2C9 were found in both MVN 21 and MVN 23. (C) Copy number confirmation of CYP2E1 showed that heterozygous deletion was detected in FVN 73 while heterozygous duplications were identified in FVN 46, FVN 98, Kinh 712 and DB98. CNVs, copy number variations; MLPA, multiplex ligation-dependent probe amplification.
Table 6.
Comparison of CYP450 CNVs frequency between Kinh Vietnamese and worldwide populations
| Population | N | Alleles/copy number of CYP2A6 | References | ||
|---|---|---|---|---|---|
| Dup (2) | Wt (1) | Del (0) | |||
| CYP2A6 copy number alleles frequency | |||||
| Kinh Vietnamese | 154 | ND | 0.89 | 0.11 | Present study |
| Chinese | 96 | - | 0.849 | 0.151 | [9] |
| Finns | 100 | - | 0.96 | 0.001*** | |
| Spaniards | 100 | - | 0.965 | 0.005*** | |
| Korean | 209 | - | 0.885 | 0.11 | [10] |
| Japanese | 92 | - | 0.799 | 0.201** | [11] |
| African-American | 105 | 0.01 | 0.952 | 0.038** | [2] |
| Asian | 102 | 0.015 | 0.902 | 0.083** | |
| Caucasian | 103 | ND | 0.985 | 0.015*** | |
| Hispanic | 109 | ND | 0.986 | 0.014*** | |
| Ashkenazi Jews | 123 | 0.02* | 0.98 | ND*** | |
| Colombian | 123 | 0.004 | 0.976 | 0.02*** | [12] |
| Population | N | Alleles/copy number of CYP2E1 | References | ||
|---|---|---|---|---|---|
| Dup (2) | Wt (1) | Del (0) | |||
| CYP2E1 copy number alleles frequency | |||||
| Kinh Vietnamese | 154 | 0.01 | 0.987 | 0.003 | Present study |
| African-American | 105 | 0.038* | 0.962 | ND | [2] |
| Asian | 102 | ND | 1 | ND | |
| Caucasian | 103 | 0.029 | 0.971 | ND | |
| Hispanic | 109 | 0.041* | 0.959 | ND | |
| Ashkenazi Jews | 123 | 0.004 | 0.996 | ND | |
| Colombian | 123 | 0.016 | 0.984 | ND | [12] |