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
  • [61] US Food and Drug Administration, 2012, TABL PHARM BIOM DRUG
  • [62] Genomic Medicine Genomics and Drug Response
    Wang, Liewei
    McLeod, Howard L.
    Weinshilboum, Richard M.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2011, 364 (12) : 1144 - 1153
  • [63] Genomic medicine - Inheritance and drug response.
    Weinshilboum, R
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (06) : 529 - 537
  • [64] GENETICAL STRUCTURE OF POPULATIONS
    WRIGHT, S
    [J]. NATURE, 1950, 166 (4215) : 247 - 249
  • [65] Zhang W, 2012, PERS MED, V9, P93, DOI [10.2217/PME.11.78, 10.2217/pme.11.78]