从目标发现到人类遗传学的临床药物开发
Katerina Trajanoska1, Claude Bhérer1, Daniel Taliun1
1Canada Excellence Research Chair in Genomic Medicine, Department of Human Genetics, Faculty of Medicine and Health Sciences, Victor Phillip Dahdaleh Institute of Genomic Medicine, McGill University, Montreal, Quebec, Canada.
人类遗传学研究已经为罕见和常见的疾病提供了40种新疗法,从遗传发现到药物批准的平均时间为25年. 大规模的基因研究和生物库加速了药物向的鉴定和开发.
科学领域:
- 遗传学和基因组学
- 药理学
- 药物开发
背景情况:
- 几十年来在人类遗传学和基因组学领域的投资,
- 癌症治疗被排除在外,以专注于其他治疗领域.
研究的目的:
- 评估基因和基因组投资已在多大程度上转化为已批准的疗法.
- 确定基因观察在新药开发中的作用.
主要方法:
- 系统地寻找导致新药标和批准治疗的生殖基因观察.
- 分析基因目标发现和药物批准之间的时间延迟.
- 治疗罕见与常见疾病的特征.
主要成果:
- 确定了40种生殖基因观察结果,为36种罕见疾病和4种常见疾病提供了新疗法.
- 从基因目标发现到药物批准的平均时间为25年.
- 罕见疾病的治疗常常会补偿功能丧失的突变;常见疾病的治疗模仿保护性变异.
结论:
- 基于生物库的大型遗传研究对于识别和验证药物标具有强大作用.
- 基因学可以通过识别可能的响应者来优化临床发展.
- 投资于多样化的表型群体和利益共享框架对于实现遗传学在药物开发中的潜力至关重要.
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