Pharmacogenomics and individualized drug therapy.

Abstract:

:Pharmacogenetics deals with inherited differences in the response to drugs. The best-recognized examples are genetic polymorphisms of drug-metabolizing enzymes, which affect about 30% of all drugs. Loss of function of thiopurine S-methyltransferase (TPMT) results in severe and life-threatening hematopoietic toxicity if patients receive standard doses of mercaptopurine and azathioprine. Gene duplication of cytochrome P4502D6 (CYP2D6), which metabolizes many antidepressants, has been identified as a mechanism of poor response in the treatment of depression. There is also a growing list of genetic polymorphisms in drug targets that have been shown to influence drug response. A major limitation that has heretofore moderated the use of pharmacogenetic testing in the clinical setting is the lack of prospective clinical trials demonstrating that such testing can improve the benefit/risk ratio of drug therapy.

journal_name

Annu Rev Med

authors

Eichelbaum M,Ingelman-Sundberg M,Evans WE

doi

10.1146/annurev.med.56.082103.104724

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

119-37

eissn

0066-4219

issn

1545-326X

journal_volume

57

pub_type

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