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Pharmacogenetics‐Based New Therapeutic Concepts
Abstract
Pharmacogenetics, one of the fields of clinical pharmacology, studies how genetic factors influence drug response. If hereditary traits are taken into account appropriately before starting drug treatment, the type of drug and its dosage can be tailored to the individual patient's needs. Pharmacogenetics adds a considerable amount of stringency to the doctor's therapeutic approach. Today, it is the relationship between dosage requirements and genetic variations in drug metabolizing enzymes like cytochrome P450 (CYP) 2D6 and CYP2C19, or in drug transporters like p-glycoprotein, that is substantiated best. A standard dose will bring about more adverse effects than usual if enzymatic activity is lacking or feeble. Sometimes, however, therapeutic response might be better due to higher concentrations: proton pump inhibitors for eradication of Helicobacter pylori are more efficacious in carriers of a deficient CYP2C19 variant. The drug's interaction with its target (e.g. receptor) also depends on genetic factors. In some cases genetic tests can help distinguish between responders and non-responders of a specific drug treatment. The first pharmacogenetic tests are already on the market.
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The prediction of human CLH by IVIVE is generally limited by inter-individual variability, most likely due to drug metabolizing enzymes.
“The prediction of human CLH by IVIVE is generally limited by IIV, most likely due to drug metabolizing enzymes [74].”
From Interpretation of Non-Clinical Data for Prediction of Human Pharmacokinetic Parameters: In Vitro-In Vivo Extrapolation and Allometric Scaling (2019) · cites this paper as [74]
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Metadata
- Authors
- Roots, I., Gerloff, T., Meisel, C., Kirchheiner, J., Goldammer, M., Kaiser, R., Laschinski, G., Brockmöller, J., Cascorbi, I., Kleeberg, U., & Hildebrandt, A. G.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- Universitätsmedizin Göttingen (DE)
- Christian-Albrechts-Universität zu Kiel (DE)
- Robert Koch Institute (DE)
- Venue
- Drug Metabolism Reviews
- Publisher
- Informa UK Limited
- Published
- 2004-01
- Volume
- 36
- Issue
- 3-4
- Pages
- 617-638
- ISSN
- 0360-2532 (ISSN-L)
- 1097-9883
- OpenAlex
- W2138194001
- Cited by
- 33
- References
- 79
- Citations by year
- 2024: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2013: 2 · 2012: 1
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug Metabolism Reviews (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- pharmacogenetics, personalized medicine, drug response, genetic variation, CYP2D6, CYP2C19, P-glycoprotein, drug transporters, drug metabolism, adverse drug reactions, proton pump inhibitors, Helicobacter pylori eradication, genetic testing, drug response prediction
- MeSH terms
- Animals, Cytochrome P-450 Enzyme System, Pharmaceutical Preparations, Humans, Pharmacogenetics, Genetic Variation, Xenobiotics, Polymorphism, Single Nucleotide
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