Can pharmacogenomics improve malaria drug policy?

Abstract:

:Coordinated global efforts to prevent and control malaria have been a tour-de-force for public health, but success appears to have reached a plateau in many parts of the world. While this is a multifaceted problem, policy strategies have largely ignored genetic variations in humans as a factor that influences both selection and dosing of antimalarial drugs. This includes attempts to decrease toxicity, increase effectiveness and reduce the development of drug resistance, thereby lowering health care costs. We review the potential hurdles to developing and implementing pharmacogenetic-guided policies at a national or regional scale for the treatment of uncomplicated falciparum malaria. We also consider current knowledge on some component drugs of artemisinin combination therapies and ways to increase our understanding of host genetics, with the goal of guiding policy decisions for drug selection.

authors

Roederer MW,McLeod H,Juliano JJ

doi

10.2471/BLT.11.087320

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

838-45

issue

11

eissn

0042-9686

issn

1564-0604

pii

BLT.11.087320

journal_volume

89

pub_type

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