Genomics of Adverse Drug Reactions

被引:45
作者
Alfirevic, Ana [1 ]
Pirmohamed, Munir [1 ]
机构
[1] Univ Liverpool, Inst Translat Med, Dept Mol & Clin Pharmacol, Block A Waterhouse Bldg,1-5 Brownlow St, Liverpool L69 3GL, Merseyside, England
基金
英国医学研究理事会; 欧盟地平线“2020”; 美国国家卫生研究院;
关键词
INDUCED LIVER-INJURY; IMPLEMENTATION CONSORTIUM GUIDELINES; HLA-B GENOTYPE; HUMAN-LEUKOCYTE ANTIGEN-B-ASTERISK-5701; ANTHRACYCLINE-INDUCED CARDIOTOXICITY; ABACAVIR HYPERSENSITIVITY; IMPAIRED OXIDATION; PEPTIDE REPERTOIRE; PRECISION MEDICINE; COST-EFFECTIVENESS;
D O I
10.1016/j.tips.2016.11.003
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Adverse drug reactions (ADRs) are common, are associated with morbidity and mortality, and are costly to healthcare systems. Genomic factors predispose to ADRs, but these vary depending on the drug, patient, and disease. Genomic testing can not only help to predict and prevent ADRs but can also be used in other ways (diagnosis, closer monitoring of those at risk, pre-emptive genotyping, and understanding of mechanism), all of which will be important in the future to improve the benefit-risk ratio of drugs. In the era of precision medicine, such genomic data will need to be integrated with other forms of data to develop a comprehensive and integrated approach to improve responses to medicines used in patients.
引用
收藏
页码:100 / 109
页数:10
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