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Published on: May 10, 2024
[Pharmacogenetics in oncology].
Dominica Morán González1, Silvia Jiménez Cabrera, Alfonso Domínguez-Gil Hurlé
1Servicio de Farmacia, Hospital Universitario de Salamanca, Salamanca, España. dmorang@usal.es
Pharmacogenetics uses genetic information to predict how individuals will respond to cancer drugs. This allows for personalized medicine, optimizing drug selection and dosage for better treatment outcomes and reduced toxicity.
Area of Science:
- Pharmacogenetics
- Cancer Chemotherapy
- Genomics
Context:
- Advances in understanding genetic polymorphisms affecting drug metabolism and targets in cancer chemotherapy.
- Development of genetic tests and chips for routine clinical application.
- FDA approval of genetic tests for predicting drug toxicity.
Purpose:
- To review the clinical impact of genetic polymorphisms on cancer chemotherapy.
- To highlight the role of pharmacogenetics in predicting drug efficacy and toxicity.
- To support the move towards individualized cancer therapy.
Summary:
- Pharmacogenetics links genetic variations to drug responses, crucial for cancer treatment.
- Genetic profiling aids in selecting optimal drugs and doses, minimizing severe toxicity.
- Specific examples include tests for irinotecan toxicity and CYP450 genotyping.
Impact:
- Enables patient stratification based on genotype to identify those likely to benefit from or experience toxicity with specific treatments.
- Facilitates the selection of the most appropriate medication and optimal dosage for individual patients.
- Moves cancer treatment closer to the goal of true individualized therapy.
Related Concept Videos
Pharmacogenetics and Pharmacogenomics: Overview
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenomics: Identification of New Drug Targets
Pharmacogenetics of Drug Metabolism: Overview
Principles of Pharmacogenetics: Types of Genetic Variants
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
