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Pharmacogenomics of chemotherapeutic susceptibility and toxicity
Erika L Moen1, Lucy A Godley2, Wei Zhang3
1Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL 60637, USA.
Abstract:
The goal of personalized medicine is to tailor a patient's treatment strategy on the basis of his or her unique genetic make-up. The field of oncology is beginning to incorporate many of the strategies of personalized medicine, especially within the realm of pharmacogenomics, which is the study of how inter-individual genetic variation determines drug response or toxicity. A main objective of pharmacogenomics is to facilitate physician decision-making regarding optimal drug selection, dose and treatment duration on a patient-by-patient basis. Recent advances in genome-wide genotyping and sequencing technologies have supported the discoveries of a number of pharmacogenetic markers that predict response to chemotherapy. However, effectively implementing these pharmacogenetic markers in the clinic remains a major challenge. This review focuses on the contribution of germline genetic variation to chemotherapeutic toxicity and response, and discusses the utility of genome-wide association studies and use of lymphoblastoid cell lines (LCLs) in pharmacogenomic studies. Furthermore, we highlight several recent examples of genetic variants associated with chemotherapeutic toxicity or response in both patient cohorts and LCLs, and discuss the challenges and future directions of pharmacogenomic discovery for cancer treatment.
Insights
Personalized medicine uses genetic information to tailor cancer treatments. Pharmacogenomics identifies genetic markers for chemotherapy response and toxicity, but clinical implementation faces challenges.
Area of Science:
- Oncology
- Pharmacogenomics
- Genetics
Background:
- Personalized medicine aims to customize treatments based on individual genetic makeup.
- Pharmacogenomics investigates how genetic variations influence drug response and toxicity.
- Oncology is increasingly adopting personalized medicine strategies, particularly pharmacogenomics.
Purpose of the Study:
- To review the role of germline genetic variation in chemotherapeutic toxicity and response.
- To discuss the application of genome-wide association studies and lymphoblastoid cell lines (LCLs) in pharmacogenomic research.
- To highlight recent discoveries of genetic variants impacting chemotherapy outcomes and explore future directions.
Main Methods:
- Review of existing literature on pharmacogenomics in cancer treatment.
- Analysis of genome-wide association studies (GWAS).
- Utilizing lymphoblastoid cell lines (LCLs) for pharmacogenomic investigations.
Main Results:
- Identification of pharmacogenetic markers predicting chemotherapy response and toxicity.
- Examples of genetic variants associated with chemotherapy outcomes in patient cohorts and LCLs.
- Advances in genotyping and sequencing technologies facilitate pharmacogenetic discoveries.
Conclusions:
- Germline genetic variation significantly impacts chemotherapeutic toxicity and response.
- Genome-wide association studies and LCLs are valuable tools in pharmacogenomic discovery.
- Clinical implementation of pharmacogenetic markers remains a challenge, requiring further research and development.
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Pharmacogenetics of Drug Metabolism: Overview
Pharmacogenomics: Identification of New Drug Targets
Principles of Pharmacogenetics: Types of Genetic Variants

