遗传变异和与抗生素相关的不良事件
Nicola Principi1, Kyriakoula Petropulacos2, Susanna Esposito3
1Università degli Studi di Milano, 20122 Milano, Italy.
Pharmaceuticals (Basel, Switzerland)
|March 28, 2024
概括
遗传变异可以影响抗生素不良事件,但目前的证据有限. 需要更多的研究来确定特定的遗传联系,并开发用于个性化抗生素治疗的实际查方法.
科学领域:
- 药物基因组学 药物基因组学
- 药物安全 药物安全
- 药物不良反应 药物不良反应
背景情况:
- 与抗生素相关的不良事件在所有年龄组中都很常见.
- 了解导致的因素对于减轻这些事件至关重要.
- 遗传学在个体对药物不良反应的易感性方面发挥着作用.
研究的目的:
- 审查影响抗生素相关不良事件的遗传变异.
- 评估基因查用于预测不良事件的临床适用性.
- 识别当前知识和未来研究方向的差距.
主要方法:
- 现有文献的叙述性审查.
- 对调查遗传变异和抗生素不良事件的研究进行分析.
- 评估基因查临床实施的可行性.
主要成果:
- 在特定的遗传变异和抗生素不良事件之间存在很少的定义关联.
- 目前没有实施系统的患者查协议.
- 多种遗传变异经常导致不良事件,使查复杂化.
- 目前的基因检测方法过于耗时,无法在临床上紧急使用.
结论:
- 与特定不良事件相关的遗传变异的最终确认需要进一步调查.
- 基于基因查的个性化抗生素治疗尚未在临床上可行.
- 未来的研究应该专注于确定可靠的遗传标记物和高效的测试方法.
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