Copy number variants in pharmacogenetic genes.

Copy number variants in pharmacogenetic genes.
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DOI:
10.1016/j.molmed.2011.01.007
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发表时间:
2011-05
影响因子:
13.6
通讯作者:
McLeod HL
McLeod HL
中科院分区:
医学1区
文献类型:
--
作者:
He Y;Hoskins JM;McLeod HL

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药物疗效和毒性的变化仍然是一个重要的临床问题。目前,单核苷酸多态性(SNP)只能解释这个问题的一部分,即使在药理学性状明显遗传的情况下。人类CNV项目在大约12%的人类基因组中发现了拷贝数变异(CNV),这些CNV被认为是疾病的原因。尽管CNVs在许多常见疾病的发病机制中的作用尚不明确,但CNVs通过改变药物代谢和药物反应在药物相关基因中发挥明确的作用。在这里,我们提供了一个全面的审查的临床相关性CNVs的药物疗效,毒性,疾病的患病率在世界人口,并讨论了使用CNVs作为诊断在临床干预的意义。
Variation in drug efficacy and toxicity remains an important clinical concern. Presently, single nucleotide polymorphisms (SNP) only explain a portion of this problem, even in situations where the pharmacological trait is clearly heritable. The Human CNV Project identified copy number variations (CNVs) across approximately 12% of the human genome, and these CNVs were considered causes of diseases. Although the contribution of CNVs to the pathogenesis of many common diseases is questionable, CNVs play a clear role in drug related genes by altering drug metabolizing and drug response. Here we provide a comprehensive review of the clinical relevance of CNVs to drug efficacy, toxicity, disease prevalence in world populations and discuss the implication of using CNVs as diagnosis in clinical intervention.
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