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Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
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Genetic polymorphism in drug metabolism is crucial to the inter-individual variability observed in drug responses. Drug metabolism primarily involves the chemical modification of drugs and other xenobiotics to enhance their elimination by increasing their polarity. Two main classes of enzymes mediate this biotransformation process: Phase I enzymes, primarily cytochrome P450s, catalyze oxidation and reduction reactions, while other enzymes, such as esterases, mediate hydrolysis, and Phase II...
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Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
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Pharmacogenetics in ovarian stimulation--current concepts.

D Loutradis1, A Vlismas, P Drakakis

  • 1Unit of Reproductive Medicine, "Alexandra" Hospital, 1st Department of Obstetrics and Gynecology, Athens University Medical School, Athens, 175 61, Greece. loutradi@otenet.gr

Annals of the New York Academy of Sciences
|April 30, 2008
PubMed
Summary

Genetic variations in the follicle-stimulating hormone receptor (FSHR) gene impact ovarian response to FSH stimulation in women undergoing assisted reproduction. Understanding these genetic factors can personalize fertility treatments.

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Area of Science:

  • Reproductive Endocrinology
  • Human Genetics
  • Pharmacogenetics

Background:

  • Ovarian response to follicle-stimulating hormone (FSH) varies significantly among women.
  • Identifying genetic factors influencing FSH response is crucial for optimizing assisted reproduction techniques (ARTs).

Purpose of the Study:

  • To investigate the role of genetic variability, specifically in the FSH receptor (FSHR) gene, in modulating ovarian response to FSH stimulation.
  • To explore the potential of pharmacogenetics in personalizing fertility treatments.

Main Methods:

  • Analysis of FSHR gene polymorphisms, focusing on Ser680Asn and Thr307Ala variants.
  • Correlating specific genotypes with ovarian response in women undergoing in vitro fertilization (IVF).

Main Results:

  • The Ser680Asn polymorphism of the FSHR gene influences ovarian response to FSH.
  • Women with the Ser/Ser genotype exhibit FSHR that is more resistant to FSH action, potentially affecting treatment outcomes.

Conclusions:

  • Genetic markers, such as FSHR polymorphisms, can predict ovarian response to FSH stimulation.
  • Routine genetic testing before ovarian stimulation could enable personalized FSH dosing and reduce treatment complications in ARTs.