Pharmacogenomics of Drug Metabolizing Enzymes and Transporters: Relevance to Precision Medicine.

Pharmacogenomics of Drug Metabolizing Enzymes and Transporters: Relevance to Precision Medicine.
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药物代谢酶和转运蛋白的药物基因组学:与精准医学的相关性

DOI:
10.1016/j.gpb.2016.03.008
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发表时间:
2016-10
影响因子:
9.5
通讯作者:
Chen, Shu-Qing
Chen, Shu-Qing
中科院分区:
生物学2区
文献类型:
--
作者:
Ahmed, Shabbir;Zhou, Zhan;Zhou, Jie;Chen, Shu-Qing

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药物代谢酶和转运蛋白的个体间遗传变异影响许多药物的疗效和毒性。作为精准医学的基本要素,药物基因组学,基于其基因组信息研究个体对药物的反应,使得能够评估负责个体特定药物反应的某些特定遗传变异。在这篇文章中,我们回顾了遗传多态性对药物治疗中主要个体差异的贡献,特别关注I相药物代谢酶和转运蛋白的药物基因组学。药物代谢酶和转运蛋白的关键变体的频率差异及其可能的功能后果也在不同地理区域进行了讨论。目前的努力表明,在个体之间和所有地理区域,药物反应普遍存在变异性。这些信息将有助于医疗保健专业人员开出最适当的治疗处方,旨在实现最佳可能的有益结果,同时避免对特定患者产生不良影响。
The interindividual genetic variations in drug metabolizing enzymes and transporters influence the efficacy and toxicity of numerous drugs. As a fundamental element in precision medicine, pharmacogenomics, the study of responses of individuals to medication based on their genomic information, enables the evaluation of some specific genetic variants responsible for an individual’s particular drug response. In this article, we review the contributions of genetic polymorphisms to major individual variations in drug pharmacotherapy, focusing specifically on the pharmacogenomics of phase-I drug metabolizing enzymes and transporters. Substantial frequency differences in key variants of drug metabolizing enzymes and transporters, as well as their possible functional consequences, have also been discussed across geographic regions. The current effort illustrates the common presence of variability in drug responses among individuals and across all geographic regions. This information will aid health-care professionals in prescribing the most appropriate treatment aimed at achieving the best possible beneficial outcomes while avoiding unwanted effects for a particular patient.
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