药物基因组学在精神病学中的出现,实施和未来的增长:叙事审查
Chad A Bousman1,2,3,4,5,6, Abdullah Al Maruf1,2,7, Diogo Ferri Marques3
1The Mathison Centre for Mental Health Research & Education, Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.
Psychological medicine
|September 29, 2023
概括
药物基因组学 (PGx) 使用遗传变异来指导心理药物选择,提高治疗疗效和耐受性. 这种精确的处方方法使精神病治疗个性化,超越试错方法,以获得更好的患者结果.
科学领域:
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 心理药物选择是具有挑战性的,因为药物反应的个体间的变化.
- 当前的治疗策略往往无法在个人层面上优化疗效和耐受性.
- 药物代谢和作用的遗传差异显著影响治疗结果.
研究的目的:
- 审查精神病治疗中药物基因组学 (PGx) 的出现和当前状态.
- 探索PGx在个性化心理药物选择和剂量的潜力.
- 通过将PGx与其他omics技术集成,讨论精密精神病学的未来.
主要方法:
- 对精神病学中药物基因组学的文献的综述.
- 在临床环境中实施PGx的证据基础的分析.
- 探索用于个性化精神病治疗的新兴omics技术.
主要成果:
- 药物基因组学 (PGx) 提供了一个精确的处方策略,以量身定制精神药物药物选择.
- PGx针对影响药物的药理动力学和药理动力学的个体间遗传变异.
- 精神病学中PGx的证据基础正在增长,临床实施也在增加.
结论:
- 药物基因组学是精密精神病学的关键组成部分,增强了治疗个性化.
- 整合PGx与其他omics领域,如药理基因组学和药理微生物组学具有显著的未来潜力.
- 精准精神病学旨在优化精神药物药物疗效和耐受性,为患有精神疾病的个体.
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