Institute of Experimental and Clinical Pharmacology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Eur J Clin Pharmacol. 2013 May;69 Suppl 1:17-23. doi: 10.1007/s00228-013-1492-x. Epub 2013 May 3.
The attempt to optimize drug treatment of patients by using evidenced-based medicine considering individual physiological and disease-related conditions is standard of modern medicine. Pharmacogenetics (PGx) has contributed to individualization considering hereditary genetic information; however, increasingly, pharmacogenomics is becoming essential, particularly in relation to modern oncology. New technologies such as next-generation sequencing and rapid development of computational and information sciences will help to better elucidate the consequences of genetic variation, considering also epigenetics and gene-environmental interactions and their translation into clinically relevant individual phenotypes. This review highlights the current challenging and most promising examples of PGx.
通过考虑个体生理和疾病相关情况的循证医学来优化患者的药物治疗尝试是现代医学的标准。遗传药理学 (PGx) 已经为考虑遗传信息的个体化做出了贡献;然而,遗传组学越来越重要,特别是在现代肿瘤学方面。下一代测序等新技术和计算及信息科学的快速发展将有助于更好地阐明遗传变异的后果,同时考虑表观遗传学和基因-环境相互作用及其转化为临床相关的个体表型。这篇综述强调了当前 PGx 具有挑战性和最有前途的例子。