Pharmacogenetics-Based New Therapeutic Concepts

Pharmacogenetics, one of the fields of clinical pharmacology, studies how genetic factors influence drug response. If hereditary traits are taken into account appropriately before starting drug treatment, the type of drug and its dosage can be tailored to the individual patient's needs. Pharmac...

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Veröffentlicht in:Drug metabolism reviews 2004, Vol.36 (3-4), p.617-638
Hauptverfasser: Roots, Ivar, Gerloff, Thomas, Meisel, Christian, Kirchheiner, Julia, Goldammer, Mark, Kaiser, Rolf, Laschinski, Gabriele, Brockmöller, Jürgen, Cascorbi, Ingolf, Kleeberg, Ullrich, Hildebrandt, Alfred G.
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container_end_page 638
container_issue 3-4
container_start_page 617
container_title Drug metabolism reviews
container_volume 36
creator Roots, Ivar
Gerloff, Thomas
Meisel, Christian
Kirchheiner, Julia
Goldammer, Mark
Kaiser, Rolf
Laschinski, Gabriele
Brockmöller, Jürgen
Cascorbi, Ingolf
Kleeberg, Ullrich
Hildebrandt, Alfred G.
description Pharmacogenetics, one of the fields of clinical pharmacology, studies how genetic factors influence drug response. If hereditary traits are taken into account appropriately before starting drug treatment, the type of drug and its dosage can be tailored to the individual patient's needs. Pharmacogenetics adds a considerable amount of stringency to the doctor's therapeutic approach. Today, it is the relationship between dosage requirements and genetic variations in drug metabolizing enzymes like cytochrome P450 (CYP) 2D6 and CYP2C19, or in drug transporters like p-glycoprotein, that is substantiated best. A standard dose will bring about more adverse effects than usual if enzymatic activity is lacking or feeble. Sometimes, however, therapeutic response might be better due to higher concentrations: proton pump inhibitors for eradication of Helicobacter pylori are more efficacious in carriers of a deficient CYP2C19 variant. The drug's interaction with its target (e.g. receptor) also depends on genetic factors. In some cases genetic tests can help distinguish between responders and non-responders of a specific drug treatment. The first pharmacogenetic tests are already on the market.
doi_str_mv 10.1081/DMR-200033458
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If hereditary traits are taken into account appropriately before starting drug treatment, the type of drug and its dosage can be tailored to the individual patient's needs. Pharmacogenetics adds a considerable amount of stringency to the doctor's therapeutic approach. Today, it is the relationship between dosage requirements and genetic variations in drug metabolizing enzymes like cytochrome P450 (CYP) 2D6 and CYP2C19, or in drug transporters like p-glycoprotein, that is substantiated best. A standard dose will bring about more adverse effects than usual if enzymatic activity is lacking or feeble. Sometimes, however, therapeutic response might be better due to higher concentrations: proton pump inhibitors for eradication of Helicobacter pylori are more efficacious in carriers of a deficient CYP2C19 variant. The drug's interaction with its target (e.g. receptor) also depends on genetic factors. In some cases genetic tests can help distinguish between responders and non-responders of a specific drug treatment. The first pharmacogenetic tests are already on the market.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>CYP2C19</subject><subject>CYP2D6</subject><subject>Cytochrome P-450 Enzyme System - genetics</subject><subject>Cytochrome P-450 Enzyme System - metabolism</subject><subject>Drug transporters</subject><subject>General pharmacology</subject><subject>Genetic Variation - drug effects</subject><subject>Genetic Variation - genetics</subject><subject>Humans</subject><subject>Individualized medicine</subject><subject>Medical sciences</subject><subject>Pharmaceutical Preparations - administration &amp; dosage</subject><subject>Pharmaceutical Preparations - metabolism</subject><subject>Pharmacogenetics</subject><subject>Pharmacogenetics - methods</subject><subject>Pharmacogenetics - statistics &amp; numerical data</subject><subject>Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions</subject><subject>Pharmacology. 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Pharmacogenetics. Drug-receptor interactions</topic><topic>Pharmacology. 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source MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN
subjects Animals
Biological and medical sciences
CYP2C19
CYP2D6
Cytochrome P-450 Enzyme System - genetics
Cytochrome P-450 Enzyme System - metabolism
Drug transporters
General pharmacology
Genetic Variation - drug effects
Genetic Variation - genetics
Humans
Individualized medicine
Medical sciences
Pharmaceutical Preparations - administration & dosage
Pharmaceutical Preparations - metabolism
Pharmacogenetics
Pharmacogenetics - methods
Pharmacogenetics - statistics & numerical data
Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions
Pharmacology. Drug treatments
Polymorphism, Single Nucleotide - drug effects
Polymorphism, Single Nucleotide - genetics
Proton pump inhibitors
Xenobiotics - metabolism
title Pharmacogenetics-Based New Therapeutic Concepts
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