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Related Concept Videos

Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
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Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
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Principles of Pharmacogenetics: Types of Genetic Variants01:27

Principles of Pharmacogenetics: Types of Genetic Variants

The human genome is over 99.9% identical between individuals, yet genetic differences exist at millions of bases. The human genome contains approximately 3 million variant positions per individual, many of which are heterozygous, contributing to genetic diversity and individual traits. Genetic variations include single-nucleotide polymorphisms (SNPs), insertions, deletions, and copy number variations (CNVs).SNPs, the most common variation, involve single-base changes in DNA. These can be...
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Cytochrome P450 (CYP450) enzymes are a superfamily of heme-containing monooxygenases that play a pivotal role in Phase I drug metabolism by catalyzing oxidation and reduction reactions.These enzymes transform lipophilic xenobiotics into more hydrophilic metabolites, facilitating subsequent Phase II conjugation and eventual excretion. The CYP450 family is classified into families (e.g., CYP1–CYP3) and subfamilies (e.g., CYP2A, CYP2C), based on amino acid sequence homology.CYP450 isoenzymes,...
Pharmacogenomics: Identification of New Drug Targets01:29

Pharmacogenomics: Identification of New Drug Targets

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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Updated: Jun 21, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
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Published on: January 16, 2019

Genetic testing: considerations for pediatric nephrologists.

Lisa M Guay-Woodford1, Nine V A M Knoers

  • 1Department of Genetics, University of Alabama at Birmingham, Birmingham, AL 35294, USA. lgw@genetics.uab.edu

Seminars in Nephrology
|July 21, 2009
PubMed
Summary
This summary is machine-generated.

Genetic testing aids in diagnosing hereditary kidney and urinary tract disorders. This overview covers current genetic tests, their limitations, and future advances for personalized medicine.

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Area of Science:

  • Genomics and Personalized Medicine
  • Pediatric Nephrology and Urology

Background:

  • The Human Genome Project has spurred advances in genomic technologies, providing new clinical tools.
  • Over 2,000 human disease genes are identified, including those affecting kidney and urinary tract development.
  • Genetic testing is increasingly integrated into medical practice, necessitating clinician familiarity with its applications and ethics.

Purpose of the Study:

  • To provide an overview of current genetic testing utility and limitations for hereditary disorders.
  • To emphasize the application of genetic tests in diagnosing pediatric renal disorders.
  • To discuss new technical advances in genetic testing for future clinical integration.

Main Methods:

  • Review of current genetic testing approaches for diagnosis, prenatal screening, carrier detection, and presymptomatic testing.
  • Focus on hereditary disorders impacting the kidney and urinary tract, particularly in pediatric populations.
  • Discussion of emerging technologies in genetic diagnostics.

Main Results:

  • Genetic tests offer accurate diagnosis, risk assessment, and personalized therapeutic management for hereditary diseases.
  • Significant progress in identifying genes linked to single-gene disorders affecting renal and urinary tract development.
  • Current genetic tests have established utilities and limitations that clinicians must understand.

Conclusions:

  • Genetic testing is a valuable tool for diagnosing and managing hereditary kidney and urinary tract disorders.
  • Understanding the technical aspects and ethical implications of genetic tests is crucial for clinicians.
  • Future advancements promise further enhancements in genetic diagnostics for improved patient care.