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[从药物代谢酶和转运体的药物基因组学角度看个体化给药]

[Personalized dosing from perspective of pharmacogenomics of drug metabolizing enzymes and transporters].

作者信息

Zhou Quan, Yu Lu-shan, Zeng Su

出版信息

Yao Xue Xue Bao. 2017 Jan;52(1):1-7.

Abstract

Pharmacogenomics is defined as research into the relationship between inherited genetic variations in drug metabolizing enzymes, transporters and targets and individual variations in person’s response to drugs (fate of drug in human body, safety and efficacy). Personalized dosing is pharmacogenomics-based therapeutic regimen tailored to other individual characteristics. This article summarizes the progress in clinical application of personalized dosing from the perspective of pharmacogenomics of drug metabolizing enzymes and transporters, and proposes to draw attention to key scientific issues (e.g., the effect of multi-genes and non-genetic factors on drug effects, the integration of therapeutic drug monitoring and pharmacogenomics); meanwhile, bottle necks in the clinical application and corresponding strategies are proposed.

摘要

药物基因组学被定义为对药物代谢酶、转运体和靶点的遗传变异与个体对药物反应的个体差异(药物在人体内的命运、安全性和有效性)之间关系的研究。个性化给药是基于药物基因组学针对个体其他特征量身定制的治疗方案。本文从药物代谢酶和转运体的药物基因组学角度总结了个性化给药临床应用的进展,并提出关注关键科学问题(如多基因和非遗传因素对药物效应的影响、治疗药物监测与药物基因组学的整合);同时,提出了临床应用中的瓶颈及相应策略。

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