Evans William E, Relling Mary V
Department of Pharmaceutical Sciences, St Jude Children's Research Hospital, Memphis, Tennessee 38105, USA.
Nature. 2004 May 27;429(6990):464-8. doi: 10.1038/nature02626.
Individuals respond differently to drugs and sometimes the effects are unpredictable. Differences in DNA that alter the expression or function of proteins that are targeted by drugs can contribute significantly to variation in the responses of individuals. Many of the genes examined in early studies were linked to highly penetrant, single-gene traits, but future advances hinge on the more difficult challenge of elucidating multi-gene determinants of drug response. This intersection of genomics and medicine has the potential to yield a new set of molecular diagnostic tools that can be used to individualize and optimize drug therapy.
个体对药物的反应各不相同,有时其效果也难以预测。DNA的差异会改变药物所作用的蛋白质的表达或功能,这在很大程度上导致了个体反应的差异。早期研究中检测的许多基因都与高外显率的单基因性状有关,但未来的进展取决于阐明药物反应的多基因决定因素这一更具挑战性的任务。基因组学与医学的这一交叉领域有可能产生一套新的分子诊断工具,可用于实现药物治疗的个体化并优化治疗效果。