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The role of pharmacogenetics in cancer therapeutics
Wei Peng Yong1, Federico Innocenti, Mark J Ratain
1University of Chicago, Committee on Clinical Pharmacology and Pharmacogenomics, Department of Medicine and Cancer Research Center, Chicago, IL 60637, USA.
Abstract:
The variability in treatment responses and narrow therapeutic index of anticancer drugs are some of the key challenges oncologists face. The knowledge of pharmacogenetics can potentially aid in the discovery, development and ultimately individualization of anticancer drugs. The identification of genetic variations that predict for drug response is the first step towards the translation of pharmacogenetics into clinical practice. This review provides an update on the results of studies assessing the effects of germline polymorphisms and somatic mutations on therapeutic outcomes and highlights the potential applications and future challenges in pharmacogenetic research pertaining to cancer therapeutics.
Insights
Pharmacogenetics, the study of how genes affect drug response, offers personalized cancer treatment by identifying genetic variations. This approach helps overcome challenges in anticancer drug efficacy and safety.
Area of Science:
- Pharmacogenomics and Cancer Therapeutics
- Translational Oncology Research
Background:
- Anticancer drugs exhibit variable treatment responses and narrow therapeutic indices, posing significant clinical challenges.
- Pharmacogenetics holds promise for the discovery, development, and individualization of cancer therapies.
Purpose of the Study:
- To review current research on germline polymorphisms and somatic mutations impacting anticancer drug outcomes.
- To highlight the clinical applications and future directions of pharmacogenetics in cancer treatment.
Main Methods:
- Systematic review of studies investigating genetic variations (germline polymorphisms, somatic mutations) and their effect on therapeutic outcomes.
- Analysis of pharmacogenetic data to identify predictive biomarkers for drug response in cancer patients.
Main Results:
- Identification of specific genetic variations that correlate with differential responses to anticancer agents.
- Evidence supporting the role of pharmacogenetics in predicting drug efficacy and toxicity.
Conclusions:
- Pharmacogenetics is crucial for advancing personalized cancer medicine by enabling prediction of drug response.
- Translating pharmacogenetic findings into clinical practice requires further research into genetic variations and their functional impact.
Related Concept Videos
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Pharmacogenetics and Pharmacogenomics: Overview
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Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Pharmacogenetics of Drug Metabolism: Overview
Principles of Pharmacogenetics: Types of Genetic Variants
