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[精神病学中的药物遗传学:我们离临床应用还有多远?]

[Pharmacogenetics in psychiatry: how far are we from clinical application?].

作者信息

Daray Federico Manuel, Maffia Paulo César, Rothlin Rodolfo Pedro, Errasti Andrea Emilse

机构信息

III Cátedra de Farmacología, Facultad de Medicina, UBA.

出版信息

Vertex. 2012 Jul-Aug;23(104):299-309.

Abstract

Pharmacogenetics studies how genetic variation influences the response of patients to drugs. This discipline has a greater impact in those medical specialties that treat complex diseases in which the therapeutic response is insufficient and/or have high costs such as psychiatry. This is a narrative review in which we analyze the main results of pharmacogenetic studies performed with the most relevant groups of psychoactive drugs and discusses missing for incorporating these advances into our daily practice. We conclude that despite the remarkable progress in the field of Pharmacogenetics in the last 10 years, studies in psychiatry have been inconclusive and the clinical use of pharmacogenetic testing is still limited. However, there are some encouraging elements about the applicability of these tools for the improvement of psychiatric treatments.

摘要

药物遗传学研究基因变异如何影响患者对药物的反应。这一学科在治疗复杂疾病的医学专科中影响更大,这些疾病的治疗反应不足和/或成本高昂,如精神病学。这是一篇叙述性综述,我们分析了使用最相关的精神活性药物组进行的药物遗传学研究的主要结果,并讨论了将这些进展纳入我们日常实践中所缺失的内容。我们得出结论,尽管在过去10年里药物遗传学领域取得了显著进展,但精神病学方面的研究尚无定论,药物遗传学检测的临床应用仍然有限。然而,关于这些工具在改善精神科治疗方面的适用性,有一些令人鼓舞的因素。

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