Pharmacogenomics in the clinic

被引:551
作者
Relling, Mary V. [1 ]
Evans, William E. [1 ]
机构
[1] St Jude Childrens Res Hosp, Dept Pharmaceut Sci, Memphis, TN 38105 USA
关键词
IMPLEMENTATION CONSORTIUM GUIDELINES; PERSONALIZED MEDICINE; ECONOMIC-EVALUATION; DECISION-SUPPORT; RESEARCH NETWORK; GENETIC-CONTROL; DRUG-REACTIONS; GENOTYPE; CYP2D6; GENOMICS;
D O I
10.1038/nature15817
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
After decades of discovery, inherited variations have been identified in approximately 20 genes that affect about 80 medications and are actionable in the clinic. And some somatically acquired genetic variants direct the choice of 'targeted' anticancer drugs for individual patients. Current efforts that focus on the processes required to appropriately act on pharmacogenomic variability in the clinic are moving away from discovery and towards implementation of an evidenced-based strategy for improving the use of medications, thereby providing a cornerstone for precision medicine.
引用
收藏
页码:343 / 350
页数:8
相关论文
共 111 条
  • [1] Clinical practice guidelines for translating pharmacogenornic knowledge to bedside. Focus on anticancer drugs
    Agundez, Jose A. G.
    Esguevillas, Gara
    Amo, Gemma
    Garcia-Martin, Elena
    [J]. FRONTIERS IN PHARMACOLOGY, 2014, 5
  • [2] [Anonymous], 2015, Table of Pharmacogenomic Biomarkers in Drug Labels
  • [3] [Anonymous], 2014 AM SOC CLIN ONC
  • [4] [Anonymous], CURRENT PROTOCOLS HU
  • [5] [Anonymous], CPIC GEN DRUGS
  • [6] Becquemont L, 2011, PHARMACOGENOMICS, V12, P113, DOI [10.2217/pgs.10.147, 10.2217/PGS.10.147]
  • [7] Development and use of active clinical decision support for preemptive pharmacogenomics
    Bell, Gillian C.
    Crews, Kristine R.
    Wilkinson, Mark R.
    Haidar, Cyrine E.
    Hicks, J. Kevin
    Baker, Donald K.
    Kornegay, Nancy M.
    Yang, Wenjian
    Cross, Shane J.
    Howard, Scott C.
    Freimuth, Robert R.
    Evans, William E.
    Broeckel, Ulrich
    Relling, Mary V.
    Hoffman, James M.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2014, 21 (E1) : E93 - E99
  • [8] G6PD DEFICIENCY
    BEUTLER, E
    [J]. BLOOD, 1994, 84 (11) : 3613 - 3636
  • [9] Preemptive Genotyping for Personalized Medicine: Design of the Right Drug, Right Dose, Right Time-Using Genomic Data to Individualize Treatment Protocol
    Bielinski, Suzette J.
    Olson, Janet E.
    Pathak, Jyotishman
    Weinshilboum, Richard M.
    Wang, Liewei
    Lyke, Kelly J.
    Ryu, Euijung
    Targonski, Paul V.
    Van Norstrand, Michael D.
    Hathcock, Matthew A.
    Takahashi, Paul Y.
    McCormick, Jennifer B.
    Johnson, Kiley J.
    Maschke, Karen J.
    Vitek, Carolyn R. Rohrer
    Ellingson, Marissa S.
    Wieben, Eric D.
    Farrugia, Gianrico
    Morrisette, Jody A.
    Kruckeberg, Keri J.
    Bruflat, Jamie K.
    Peterson, Lisa M.
    Blommel, Joseph H.
    Skierka, Jennifer M.
    Ferber, Matthew J.
    Black, John L.
    Baudhuin, Linnea M.
    Klee, Eric W.
    Ross, Jason L.
    Veldhuizen, Tamra L.
    Schultz, Cloann G.
    Caraballo, Pedro J.
    Freimuth, Robert R.
    Chute, Christopher G.
    Kullo, Iftikhar J.
    [J]. MAYO CLINIC PROCEEDINGS, 2014, 89 (01) : 25 - 33
  • [10] MOLECULAR MECHANISM OF SLOW ACETYLATION OF DRUGS AND CARCINOGENS IN HUMANS
    BLUM, M
    DEMIERRE, A
    GRANT, DM
    HEIM, M
    MEYER, UA
    [J]. PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1991, 88 (12) : 5237 - 5241