Pharmacogenomics: road to anticancer therapeutics nirvana?

被引:43
作者
Desai, AA
Innocenti, F
Ratain, MJ
机构
[1] Univ Chicago, Canc Res Ctr, Chicago, IL 60637 USA
[2] Univ Chicago, Dept Med, Chicago, IL 60637 USA
[3] Univ Chicago, Comm Clin Pharmacol & Pharmacogenom, Chicago, IL 60637 USA
关键词
pharmacogenomics; cancer chemotherapy; EGFR; irinotecan; thymidylate synthase;
D O I
10.1038/sj.onc.1206958
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Interindividual differences in the toxicity and response to anticancer therapies are currently observed for essentially all available treatment regimens. Such 'unpredictable' drug responses are particularly dangerous in the context of anticancer agents that have narrow therapeutic indices. Pharmacogenomics attempts to elucidate the inherited basis of interindividual differences in drug response, with the eventual goal of minimizing such variability through the use of 'individualized' treatments. There are several emerging examples of genetic polymorphisms of drug-metabolizing enzymes, DNA repair genes and drug targets that have been shown to influence the toxicity and efficacy of anticancer treatment. This review discusses the role of genetic variants of UGT1A1, TS and EGFR to exemplify the potential impact of phramacogenomics on the field of anticancer therapeutics.
引用
收藏
页码:6621 / 6628
页数:8
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