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Developmental and pediatric pharmacogenomics
1Section of Developmental Pharmacology and Experimental Therapeutics, Division of Pediatric Pharmacology and Medical Toxicology, Children's Mercy Hospital and Clinics, Kansas City, MO, USA. sleeder@cmh.edu
Insights
Genomic discoveries offer new hope for childhood diseases. Understanding the genetic basis of developmental disorders is crucial, as early interventions may have long-term impacts.
Area of Science:
- Genomics
- Pharmacogenomics
- Developmental Biology
Background:
- Many complex diseases, including asthma, autism, and ADHD, begin in childhood and persist into adulthood.
- Human development is a dynamic process from prenatal stages through adolescence.
- Altering developing gene networks during childhood may lead to unforeseen health consequences later in life.
Purpose of the Study:
- To highlight the importance of genomic discoveries for pediatric health.
- To emphasize the need for understanding age-specific genetic disease processes.
- To explore the potential impact of pharmacogenomic technologies on pediatric therapeutics.
Main Methods:
- This study is a conceptual overview, not an experimental one.
- It synthesizes current understanding of developmental genomics and pharmacogenomics.
- It reviews the implications of genetic research for childhood-onset diseases.
Main Results:
- The genomic era offers significant potential benefits for treating childhood diseases.
- Childhood development is a critical period where genetic and environmental factors interact.
- Pharmacologic interventions during development require careful consideration of long-term effects.
Conclusions:
- Genomic insights are vital for addressing complex pediatric diseases.
- Pharmacogenomic technologies hold promise for developing novel pediatric therapies.
- Further research is needed to ensure the safe and effective use of genetic insights in children.
Abstract:
Children, as well as adults, should benefit from the discoveries of the genomic era. Many diseases with complex etiologies originate during childhood (e.g., asthma, autism, attention deficit/hyperactivity disorder, epilepsy and juvenile rheumatoid arthritis) and persist into adulthood. Attempts to better understand the genetic basis of age-specific disease processes requires an appreciation that the period of human development encompasses the prenatal period through adolescence, and is a rapidly changing, dynamic process. As a result, pharmacologic modulation of developing gene networks may have unintended and unanticipated consequences that do not become apparent or relevant until later in life. Thus, there is considerable potential for large-scale pharmacogenomic technologies to impact the development and utilization of new therapeutic strategies in children.
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