Polymorphisms affecting gene regulation and mRNA processing: broad implications for pharmacogenetics.

Abstract:

:Functional polymorphisms that alter gene expression and mRNA processing appear to play a critical role in shaping human phenotypic variability. Intensive studies on polymorphisms affecting drug response have revealed multiple modes of altered gene function, frequently involving cis-acting regulatory sequence variants. Experimental and in silico methods have advanced the search for such polymorphisms, but considerable challenges remain. Here, a survey of polymorphisms in drug-related genes indicates that: (a) a substantial proportion of genetic variability still remains unaccounted for; (b) a majority of these genes harbors known regulatory polymorphisms; and (c) a portion of polymorphisms affect splicing and mRNA turnover. Pharmacogenetic optimiziation of individual drug therapy may require a complete understanding of all functional sequence variants in key genes. This review surveys known noncoding polymorphisms in genes encoding cytochrome P450s and other drug-metabolizing enzymes, drug transporters, and drug targets and receptors. Current methods and challenges associated with the identification and characterization of functional polymorphisms are also discussed.

journal_name

Pharmacol Ther

authors

Johnson AD,Wang D,Sadee W

doi

10.1016/j.pharmthera.2004.11.001

subject

Has Abstract

pub_date

2005-04-01 00:00:00

pages

19-38

issue

1

eissn

0163-7258

issn

1879-016X

pii

S0163-7258(04)00194-9

journal_volume

106

pub_type

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