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精神医学和神经医学中的药物遗传学检测:系统评价概述。

Pharmacogenetic testing in psychiatry and neurology: an overview of reviews.

机构信息

Department of Pharmacology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.

Department of Pharmaceutical Sciences, Institute of Environmental Sciences, Chemistry and Pharmaceuticals, Universidade Federal de São Paulo, Diadema, São Paulo, Brazil.

出版信息

Pharmacogenomics. 2021 Jun;22(8):505-513. doi: 10.2217/pgs-2020-0187. Epub 2021 May 11.

Abstract

Pharmacogenetic testing is available to healthcare professionals to guide drug selection and prevent adverse events. However, its implementation in the clinical practice of psychiatry/neurology still has barriers, mainly due to a lack of evidence. We conducted a literature search on Cochrane Library, Embase and Pubmed, from their inception to 18 June 2020. We included 16 published systematic reviews. The most studied drug categories were anticonvulsants and selective serotonin reuptake inhibitors associated with human leukocyte antigen and cytochrome P450 genes (, , , , ), classified as critically low quality/low quality. There is a need for more robust studies with adequate design to assess the potential benefits of adopting pharmacogenetics in health systems and services.

摘要

药物遗传学检测可供医疗保健专业人员使用,以指导药物选择和预防不良事件。然而,其在精神科/神经科的临床实践中的应用仍存在障碍,主要是由于缺乏证据。我们在 Cochrane Library、Embase 和 Pubmed 上进行了文献检索,检索时间从建库至 2020 年 6 月 18 日。共纳入 16 篇发表的系统评价。研究最多的药物类别是与人类白细胞抗原和细胞色素 P450 基因相关的抗惊厥药和选择性 5-羟色胺再摄取抑制剂(,,,,, ),其被归类为极低级质量/低质量。需要有更具稳健性的研究,采用适当的设计,以评估在卫生系统和服务中采用药物遗传学的潜在益处。

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