Pharmacogenetics for severe adverse drug reactions induced by molecular-targeted therapy
Chihiro Udagawa1, Hitoshi Zembutsu2
1Department of Genetic Medicine and Services, National Cancer Center Hospital, Tokyo, Japan.
Abstract:
Molecular-targeted drugs specifically interfere with molecules that are frequently overexpressed or mutated in cancer cells. As such, these drugs are generally considered to precisely attack cancer cells, thereby inducing fewer adverse drug reactions (ADRs). However, molecular-targeted drugs can still cause characteristic ADRs that, although rarely severe, can be life-threatening. Therefore, it is becoming increasingly important to be able to predict which patients are at risk of developing ADRs after treatment with molecular-targeted therapy. The emerging field of pharmacogenetics aims to better distinguish the genetic variants associated with drug toxicity and efficacy to improve the selection of therapeutic strategies for each genetic profile. Here, we provide an overview of the current reports on the relationship between genetic variants and molecular-targeted drug-induced severe ADRs in oncology.
Insights
Predicting severe adverse drug reactions (ADRs) from molecular-targeted cancer therapy is crucial. Pharmacogenetics helps identify genetic variants linked to drug toxicity, improving patient treatment selection.
Area of Science:
- Oncology
- Pharmacogenetics
- Drug Safety
Background:
- Molecular-targeted drugs offer precise cancer cell attack with fewer adverse drug reactions (ADRs).
- Despite their precision, these drugs can cause severe, potentially life-threatening ADRs.
- Predicting patient risk for ADRs is increasingly important for safe molecular-targeted therapy.
Purpose of the Study:
- To review current research on genetic variants and severe ADRs in molecular-targeted cancer therapy.
- To highlight the role of pharmacogenetics in understanding drug toxicity.
- To inform personalized therapeutic strategies based on genetic profiles.
Main Methods:
- Literature review of studies reporting genetic variants and molecular-targeted drug-induced severe ADRs in oncology.
- Analysis of existing data on genotype-phenotype correlations for drug toxicity.
- Synthesis of findings to provide an overview of current knowledge.
Main Results:
- Genetic variants are associated with specific severe ADRs in patients receiving molecular-targeted drugs.
- Pharmacogenetics offers insights into individual susceptibility to drug toxicity.
- The relationship between genetic profiles and ADR risk is complex and under active investigation.
Conclusions:
- Identifying genetic variants can aid in predicting patients at risk for severe ADRs.
- Pharmacogenetics is a key tool for optimizing molecular-targeted therapy selection.
- Further research is needed to fully elucidate genotype-specific ADR risks in oncology.
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Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...


