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Published on: March 10, 2017
Omics Screening for Pharmaceutical Efficacy and Safety in Clinical Practice
Andrew A Monte1, Vasilis Vasiliou, Kennon J Heard
1Rocky Mountain Poison and Drug Center, Denver, CO, USA ; University of Colorado School of Medicine, Department of Emergency Medicine Aurora, CO, USA.
Summary
The
Area of Science:
- Pharmacogenomics
- Clinical Diagnostics
Background:
- Advancements in molecular techniques enable trait association with genomic, epigenomic, transcriptomic, proteomic, and metabolomic polymorphisms.
- The 'omics era has integrated screening assays for pharmaceutical efficacy and safety into clinical practice.
Purpose of the Study:
- To discuss each 'omic field and available screening assays for clinicians.
- To highlight challenges and future directions for 'omic integration in pharmaceutical therapy.
Main Methods:
- Review of genomic, epigenomic, transcriptomic, proteomic, and metabolomic screening assays.
- Discussion of current clinical applications and limitations of 'omic technologies.
Main Results:
- Success has been demonstrated across various 'omic fields in improving pharmaceutical outcomes.
- Significant challenges persist, including limited assay availability, low predictive values, and high costs.
Conclusions:
- Wider assay availability, improved predictive accuracy, and cost reduction are crucial for clinical adoption.
- Further development of techniques, combined 'omic assays, and increased clinical utilization are necessary for realizing the full potential of 'omic screens in pharmaceutical therapy.
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