Why personalized medicine will fail if we stay the course

被引:25
作者
Ramos, Edward [1 ]
Callier, Shawneequa L. [2 ]
Rotimi, Charles N. [1 ]
机构
[1] NHGRI, Ctr Res Genom & Global Hlth, NIH, Bethesda, MD 20892 USA
[2] George Washington Univ, Dept Clin Res & Leadership, Sch Med & Hlth Sci, Washington, DC 20037 USA
关键词
diversity; ethnicity; genomic medicine; global populations; personalized medicine; GENOME-WIDE ASSOCIATION; DIABETES SUSCEPTIBILITY GENES; ADVERSE DRUG-REACTIONS; AFRICAN-AMERICANS; ETHICAL-ISSUES; WEST AFRICANS; PHARMACOGENOMICS; VARIANTS; POPULATIONS; IMPACT;
D O I
10.2217/PME.12.100
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Genomic science and associated technologies are providing scientists and clinicians with novel insights that are transforming the delivery of healthcare and the overall well-being of society. However, these insights inform us that historical population sampling approaches for investigating rare and common genetic variations are not representative of the complex ancestral backgrounds of today's patients. In order for personalized medicine to be meaningful and applicable to the global populations, we will need to know how common and rare genetic variants found in different parts of the world influence health and drug response. This article demonstrates the importance of increasing ethnic and racial diversity among participants in genomic research, highlights areas of opportunity for improving our understanding of genomic diversity among populations, and provides examples of successful models that help to resolve these concerns.
引用
收藏
页码:839 / 847
页数:9
相关论文
共 65 条
  • [1] Genetic Variants Associated with Complex Human Diseases Show Wide Variation across Multiple Populations
    Adeyemo, A.
    Rotimi, C.
    [J]. PUBLIC HEALTH GENOMICS, 2010, 13 (02) : 72 - 79
  • [2] FTO Genetic Variation and Association With Obesity in West Africans and African Americans
    Adeyemo, Adebowale
    Chen, Guanjie
    Zhou, Jie
    Shriner, Daniel
    Doumatey, Ayo
    Huang, Hanxia
    Rotimi, Charles
    [J]. DIABETES, 2010, 59 (06) : 1549 - 1554
  • [3] A Genome-Wide Association Study of Hypertension and Blood Pressure in African Americans
    Adeyemo, Adebowale
    Gerry, Norman
    Chen, Guanjie
    Herbert, Alan
    Doumatey, Ayo
    Huang, Hanxia
    Zhou, Jie
    Lashley, Kerrie
    Chen, Yuanxiu
    Christman, Michael
    Rotimi, Charles
    [J]. PLOS GENETICS, 2009, 5 (07):
  • [4] Integrating common and rare genetic variation in diverse human populations
    Altshuler, David M.
    Gibbs, Richard A.
    Peltonen, Leena
    Dermitzakis, Emmanouil
    Schaffner, Stephen F.
    Yu, Fuli
    Bonnen, Penelope E.
    de Bakker, Paul I. W.
    Deloukas, Panos
    Gabriel, Stacey B.
    Gwilliam, Rhian
    Hunt, Sarah
    Inouye, Michael
    Jia, Xiaoming
    Palotie, Aarno
    Parkin, Melissa
    Whittaker, Pamela
    Chang, Kyle
    Hawes, Alicia
    Lewis, Lora R.
    Ren, Yanru
    Wheeler, David
    Muzny, Donna Marie
    Barnes, Chris
    Darvishi, Katayoon
    Hurles, Matthew
    Korn, Joshua M.
    Kristiansson, Kati
    Lee, Charles
    McCarroll, Steven A.
    Nemesh, James
    Keinan, Alon
    Montgomery, Stephen B.
    Pollack, Samuela
    Price, Alkes L.
    Soranzo, Nicole
    Gonzaga-Jauregui, Claudia
    Anttila, Verneri
    Brodeur, Wendy
    Daly, Mark J.
    Leslie, Stephen
    McVean, Gil
    Moutsianas, Loukas
    Nguyen, Huy
    Zhang, Qingrun
    Ghori, Mohammed J. R.
    McGinnis, Ralph
    McLaren, William
    Takeuchi, Fumihiko
    Grossman, Sharon R.
    [J]. NATURE, 2010, 467 (7311) : 52 - 58
  • [5] Pharmacogenomics and adverse drug reactions
    Amur, Shashi
    Zineh, Issam
    Abernethy, Darrell R.
    Huang, Shiew-Mei
    Lesko, Lawrence J.
    [J]. PERSONALIZED MEDICINE, 2010, 7 (06) : 633 - 642
  • [6] [Anonymous], 2012, CENSUS BUREAU REPORT
  • [7] HLA Class II Locus and Susceptibility to Podoconiosis
    Ayele, Fasil Tekola
    Adeyemo, Adebowale
    Finan, Chris
    Hailu, Elena
    Sinnott, Paul
    Burlinson, Natalia Diaz
    Aseffa, Abraham
    Rotimi, Charles N.
    Newport, Melanie J.
    Davey, Gail
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (13) : 1200 - 1208
  • [8] Ethical Issues in Developing Pharmacogenetic Research Partnerships With American Indigenous Communities
    Boyer, B. B.
    Dillard, D.
    Woodahl, E. L.
    Whitener, R.
    Thummel, K. E.
    Burke, W.
    [J]. CLINICAL PHARMACOLOGY & THERAPEUTICS, 2011, 89 (03) : 342 - 345
  • [9] Pharmacogenetics: Ethical issues and policy options
    Buchanan, A
    Califano, A
    Kahn, J
    McPherson, E
    Robertson, J
    Brody, B
    [J]. KENNEDY INSTITUTE OF ETHICS JOURNAL, 2002, 12 (01) : 1 - 15
  • [10] TAILORING INFORMATION PROVISION AND CONSENT PROCESSES TO RESEARCH CONTEXTS: THE VALUE OF RAPID ASSESSMENTS
    Bull, Susan
    Farsides, Bobbie
    Ayele, Fasil Tekola
    [J]. JOURNAL OF EMPIRICAL RESEARCH ON HUMAN RESEARCH ETHICS, 2012, 7 (01) : 37 - 52