The role of pharmacogenetics in the treatment of osteosarcoma

Hanneke I Vos1, Marieke J H Coenen2, Henk-Jan Guchelaar3

  • 1Laboratory of Pediatric Oncology, Dept of Pediatrics, Radboud university medical center, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.

Drug Discovery Today
|June 30, 2016
PubMed

Insights

Genetic variations influence how osteosarcoma patients respond to chemotherapy. Studying pharmacogenetics can help personalize treatments, improving drug efficacy and reducing toxicity for better patient outcomes.

Area of Science:

  • Oncology
  • Pharmacogenetics
  • Genomics

Background:

  • Osteosarcoma treatment efficacy and toxicity vary significantly among patients.
  • Lack of progress in osteosarcoma treatment outcomes and survival rates necessitates new approaches.
  • Individual patient responses to chemotherapy are influenced by genetic factors.

Purpose of the Study:

  • To review current insights into the pharmacogenetics of osteosarcoma treatment response.
  • To explore genetic variants affecting chemotherapy efficacy and toxicity in osteosarcoma.
  • To identify opportunities for optimizing osteosarcoma treatment and understanding individual drug responses.

Main Methods:

  • Literature review of pharmacogenetic studies in osteosarcoma.
  • Analysis of genetic variants impacting chemotherapeutic drug efficacy.
  • Examination of genetic factors influencing drug toxicity in osteosarcoma patients.

Main Results:

  • Significant inter-patient variability exists in osteosarcoma chemotherapy response.
  • Pharmacogenetic factors play a crucial role in both the effectiveness and side effects of treatments.
  • Identifying specific genetic variants can predict patient response to chemotherapy.

Conclusions:

  • Pharmacogenetics offers a promising avenue for personalizing osteosarcoma treatment.
  • Further research into genetic variants can lead to improved therapeutic strategies and patient survival.
  • Understanding individual drug responses through pharmacogenetics is key to optimizing osteosarcoma care.

Related Concept Videos

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...
73
Pharmacogenetics and Pharmacogenomics: Overview01:29

Pharmacogenetics and Pharmacogenomics: Overview

Pharmacogenetics and pharmacogenomics examine how genetic factors influence an individual's response to drugs. While pharmacogenetics focuses on the impact of specific genetic variants on drug effects, pharmacogenomics takes a broader approach, studying how genetic variation across populations contributes to differences in drug responses. These fields aim to explain why individuals may experience varying levels of efficacy or adverse reactions to the same medication.Variability in drug...
132
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
65
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
98
Pharmacogenetics of Drug Metabolism: Overview01:27

Pharmacogenetics of Drug Metabolism: Overview

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...
96
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...
79