Using systems approaches to address challenges for clinical implementation of pharmacogenomics

被引:14
作者
Karnes, Jason H. [1 ]
Van Driest, Sara [2 ,3 ]
Bowton, Erica A. [4 ]
Weeke, Peter E. [1 ]
Mosley, Jonathan D. [1 ]
Peterson, Josh F. [1 ,5 ]
Denny, Joshua C. [1 ,5 ]
Roden, Dan M. [1 ,6 ]
机构
[1] Vanderbilt Univ, Dept Med, Nashville, TN 37235 USA
[2] Vanderbilt Univ, Dept Pediat, Nashville, TN USA
[3] Monroe Carell Jr Childrens Hosp Vanderbilt, Nashville, TN USA
[4] Vanderbilt Univ, Off Personalized Med, Nashville, TN 37235 USA
[5] Vanderbilt Univ, Dept Biomed Informat, Nashville, TN 37235 USA
[6] Vanderbilt Univ, Dept Pharmacol, Nashville, TN USA
关键词
CELL-DERIVED CARDIOMYOCYTES; CONSORTIUM GUIDELINES; PERSONALIZED MEDICINE; ASSOCIATION; BIOLOGY; RESISTANCE; MANAGEMENT; PATHWAYS; GENOTYPE; PATTERNS;
D O I
10.1002/wsbm.1255
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Many genetic variants have been shown to affect drug response through changes in drug efficacy and likelihood of adverse effects. Much of pharmacogenomic science has focused on discovering and clinically implementing single gene variants with large effect sizes. Given the increasing complexities of drug responses and their variability, a systems approach may be enabling for discovery of new biology in this area. Further, systems approaches may be useful in addressing challenges in moving these data to clinical implementation, including creation of predictive models of drug response phenotypes, improved clinical decision-making through complex biological models, improving strategies for integrating genomics into clinical practice, and evaluating the impact of implementation programs on public health. WIREs Syst Biol Med 2014, 6:125-135. doi: 10.1002/wsbm.1255 For further resources related to this article, please visit the . Conflict of interest: The authors have declared no conflicts of interest for this article.
引用
收藏
页码:125 / 135
页数:11
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