Pharmacogenetics of chronic obstructive pulmonary disease: challenges and opportunities.

Pharmacogenetics of chronic obstructive pulmonary disease: challenges and opportunities.
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DOI:
10.2217/pgs.09.176
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发表时间:
2010-02
期刊:
影响因子:
2.1
通讯作者:
Hersh CP
Hersh CP
中科院分区:
医学4区
文献类型:
--
作者:
Hersh CP

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与其他常见慢性疾病类似,慢性阻塞性肺疾病(COPD)是一种具有多种疾病亚型的异质性疾病。候选基因研究发现了慢性阻塞性肺病相关表型的遗传关联,这可能与药物遗传学研究相关,包括肺功能下降和慢性阻塞性肺病恶化。然而,尚未完成的慢性阻塞性肺病药物遗传学研究很少。大多数研究都集中在β2-肾上腺素能受体基因变异对支气管扩张剂反应的作用,但研究结果尚无定论。候选基因研究强调了这样一个概念:慢性阻塞性肺病易感性基因也可能与慢性阻塞性肺病药物遗传学有关。目前,尚无药物遗传学应用于COPD治疗的临床应用,但利用药物遗传学来确定初始戒烟治疗可能更接近临床应用。
Similar to other common chronic diseases, chronic obstructive pulmonary disease (COPD) is a heterogeneous disorder with multiple disease subtypes. Candidate gene studies have found genetic associations for COPD-related phenotypes that may be relevant for pharmacogenetics studies, including lung function decline and COPD exacerbations. However, few COPD pharmacogenetics studies have been completed. Most studies have focused on the role of variants in the β2-adrenergic receptor gene on bronchodilator response, but the findings have been inconclusive. Candidate gene studies highlight the concept that genes for COPD susceptibility may also be relevant in COPD pharmacogenetics. Currently, there are no clinical applications of pharmacogenetics to COPD therapy, but the use of pharmacogenetics to determine initial smoking cessation therapy may be closer to clinical application.
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