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儿科视角下的药物基因组学。

Pediatric perspective on pharmacogenomics.

机构信息

Institute of Human Development, Medical & Human Sciences, University of Manchester & Royal Manchester Children's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, 5th Floor Research, Oxford Road, Manchester, M13 9WL, UK.

出版信息

Pharmacogenomics. 2013 Nov;14(15):1889-905. doi: 10.2217/pgs.13.193.

Abstract

The advances in high-throughput genomic technologies have improved the understanding of disease pathophysiology and have allowed a better characterization of drug response and toxicity based on individual genetic make up. Pharmacogenomics is being recognized as a valid approach used to identify patients who are more likely to respond to medication, or those in whom there is a high probability of developing severe adverse drug reactions. An increasing number of pharmacogenomic studies are being published, most include only adults. A few studies have shown the impact of pharmacogenomics in pediatrics, highlighting a key difference between children and adults, which is the contribution of developmental changes to therapeutic responses across different age groups. This review focuses on pharmacogenomic research in pediatrics, providing examples from common pediatric conditions and emphasizing their developmental context.

摘要

高通量基因组技术的进步提高了我们对疾病病理生理学的认识,并能够更好地根据个体的遗传构成来描述药物反应和毒性。药物基因组学被认为是一种有效的方法,可用于识别更有可能对药物产生反应的患者,或者那些极有可能发生严重药物不良反应的患者。越来越多的药物基因组学研究正在发表,其中大多数仅包括成年人。少数研究表明了药物基因组学在儿科中的影响,突出了儿童和成人之间的一个关键区别,即发育变化对不同年龄组治疗反应的影响。本综述重点介绍儿科的药物基因组学研究,从常见儿科疾病提供实例,并强调其发育背景。

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