药物与微生物群的相互作用:准确医学的一个新兴优先事项
Qing Zhao1,2,3,4, Yao Chen1,2,3,4, Weihua Huang1,2,3,4
1Department of Clinical Pharmacology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, 410008, PR China.
Signal transduction and targeted therapy
|October 8, 2023
概括
药物反应的个体变异是常见的,但遗传学几乎没有解释. 肠道微生物群对药物的有效性和安全性产生重大影响,为精准医学开辟了新的途径.
科学领域:
- 药理学 药理学是指药理学的学科.
- 微生物学 微生物学
- 基因组学就是基因组学.
背景情况:
- 药物反应 (IVDR) 的个体变异导致药物不良反应 (ADR) 和治疗失败,给健康和经济造成重大负担.
- 药物基因组学虽然有信息,但只能解释IVDR的有限部分,强调需要替代解释.
- 肠道微生物群被称为"第二个基因组",其代谢物越来越多地被认为是对调节治疗结果的作用.
研究的目的:
- 提供最新的药物微生物组学概述,探索肠道微生物群和用于全身疾病的药物之间的相互作用.
- 要总结肠道微生物群如何影响药物吸收,分发,新陈代谢和分泌 (ADME).
- 讨论药物对肠道微生物群组成,功能和宿主免疫反应的相互影响.
主要方法:
- 关于药物微生物组学及其对药物反应的影响的当前文献的综述.
- 在各种疾病背景下 (癌症,心血管,内分泌) 调查药物-微生物群相互作用的研究分析.
- 讨论翻译研究的多主题方法和数据整合策略.
主要成果:
- 肠道微生物群直接和间接地影响药物ADME,影响治疗疗效和安全.
- 药物可以改变肠道微生物群的组成和功能,导致改变微生物代谢和宿主免疫反应.
- 药物与肠道微生物群之间的相互作用是复杂的,疾病特异性的.
结论:
- 药物漫画提供了一种有前途的方法来解决IVDR并提高患者的治疗结果.
- 整合多omics数据 (基因组学,元基因组学) 对于理解药物-微生物群相互作用至关重要.
- 进一步的研究和临床转化是必要的,以实现药物微生物组学在精准医学中的全部潜力.
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