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大多数当前吸烟者希望进行遗传易感性测试和基因有效药物治疗。

Most Current Smokers Desire Genetic Susceptibility Testing and Genetically-Efficacious Medication.

机构信息

Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Campus Box 8134, St. Louis, MO, 63110, USA.

出版信息

J Neuroimmune Pharmacol. 2018 Dec;13(4):430-437. doi: 10.1007/s11481-018-9818-1. Epub 2018 Oct 29.

Abstract

The clinical translation of genetic research on nicotine dependence and treatment response requires acceptance of genetic testing by smokers. This study determines (1) which current smokers are receptive to genetic susceptibility testing for nicotine dependence and (2) to what potential extent smokers motivated to quit desire to take smoking cessation medication when hypothetical genetic results predict their pharmacogenetic medication response. Current smokers from a genetic nicotine dependence study (n = 1306) and an ongoing smoking cessation trial (n = 209) were surveyed on their hypothetical interest in seeing genetic testing results related to risk of nicotine dependence. Most current smokers (84.8%) reported high interest in receiving genetic testing results. Factors associated with high interest included age ≥ 40 years, having a college degree, and a positive medical history (≥1 medical condition). In the ongoing smoking cessation trial, current smokers motivated to quit (n = 474) were surveyed on their desire to take smoking cessation medication given hypothetical below or above average pharmacogenetic responses to the medication. When the hypothetical medication response changed from below to above average, significantly more smokers reported a desire to take medication (from 61.0% to 97.5%, p < .0001). These preliminary findings suggest that genetic testing for personalized smoking cessation treatment is well-received by smokers and that a positive hypothetical pharmacogenetic response increases desire to take smoking cessation medication among current smokers motivated to quit. Graphical abstract ᅟ.

摘要

遗传研究对尼古丁依赖和治疗反应的临床转化需要吸烟者接受基因检测。本研究旨在确定:(1)哪些当前吸烟者愿意接受尼古丁依赖的遗传易感性检测;(2)在假设的遗传结果预测他们的药物遗传学药物反应的情况下,有多少有戒烟意愿的吸烟者渴望服用戒烟药物。来自遗传尼古丁依赖研究(n=1306)和正在进行的戒烟试验(n=209)的当前吸烟者接受了关于他们对与尼古丁依赖风险相关的基因检测结果的假设性兴趣的调查。大多数当前吸烟者(84.8%)表示对接受基因检测结果非常感兴趣。与高兴趣相关的因素包括年龄≥40 岁、拥有大学学历和阳性医疗史(≥1 种疾病)。在正在进行的戒烟试验中,对 474 名有戒烟意愿的当前吸烟者进行了调查,询问他们在假设的药物遗传学反应低于或高于平均水平的情况下,是否愿意服用戒烟药物。当假设的药物反应从低于平均水平变为高于平均水平时,更多的吸烟者表示愿意服用药物(从 61.0%变为 97.5%,p<.0001)。这些初步结果表明,针对个性化戒烟治疗的基因检测受到吸烟者的欢迎,并且假设的阳性药物遗传学反应增加了有戒烟意愿的当前吸烟者服用戒烟药物的意愿。

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