Pharmacogenetics and Statin Treatment: Reality or Theory?

被引:4
作者
Bousoula, Eleni [1 ]
Kolovou, Vana [1 ,2 ]
Perrea, Despoina [3 ]
Kolovou, Genovefa [1 ]
机构
[1] Onassis Cardiac Surg Ctr, Dept Cardiol, Athens 17674, Greece
[2] Onassis Cardiac Surg Ctr, Mol Immunol Lab, Athens 17674, Greece
[3] Univ Athens, Dept Expt Surg & Surg Res, Sch Med, GR-10679 Athens, Greece
关键词
Statins; pharmacogenetics; gene polymorphisms; cholesterol; ESTER TRANSFER PROTEIN; APOLIPOPROTEIN-E POLYMORPHISM; CORONARY-ARTERY-DISEASE; DENSITY-LIPOPROTEIN CHOLESTEROL; LIPID-LOWERING RESPONSE; CASSETTE TRANSPORTER A1; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; LIPASE GENE; CLINICAL-SIGNIFICANCE;
D O I
10.2174/1570161113666150130165651
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Pharmacogenetics investigates heritable genetic polymorphisms that can effect responses to drug therapy. The main application of pharmacogenetics is genotype-guided dosing of medications and genotype-selection of treatment with the highest efficacy and lowest risk of adverse effects. Cardiovascular disease (CVD) is the leading cause of mortality and morbidity globally. Dyslipidemia is one of the classical risk factors for developing CVD. 3-hydroxy-3-methylglutaryl-coenzyme (HMG-CoA) reductase inhibitors called statins are the cornerstones in dyslipidemia treatment. However, there is a broad variation in individual responses to statin treatment. This variation may not only be due to environmental factors such as adherence to treatment, diet and exercise but also due to genetic factors. Many studies have focused on various genetic polymorphisms of genes that are involved in cholesterol metabolism, trying to define their contribution to a potential genotype-guided treatment against dyslipidemia.
引用
收藏
页码:616 / 623
页数:8
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