药物遗传学指导药物治疗 - - 如何处理多药房中的转化
Julia Carolin Stingl1, Roberto Viviani2,3
1Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany.
现象转换模型预测药物相互作用如何改变药物遗传学,影响个性化医学. 评估表态转化对于安全的多药学和患者有效的药物治疗至关重要.
科学领域:
- 药物基因组学 药物基因组学
- 药物新陈代谢 药物新陈代谢
- 临床药理学 临床药理学
背景情况:
- 多药是常见的,增加了药物相互作用的风险.
- 药物遗传信息越来越多地可供临床使用.
- 药物相互作用可能导致基因型-表型差异,称为表观转化,减少药物遗传学相关性.
研究的目的:
- 审查现有的转换模型.
- 讨论开发联合药物相互作用和遗传影响的模型.
- 为了预测药物相互作用的影响,考虑到患者的药物遗传学.
主要方法:
- 在PubMed,谷歌学者和参考列表中进行文献搜索.
- 概述和讨论当前的现象转换模型.
- 介绍了用于预测药物相互作用效应的模型.
主要成果:
- 目前的现象转换模型被介绍和讨论.
- 模型旨在预测药物相互作用效应,同时考虑药物遗传学.
- 转化可以增加极端药物遗传表型的流行率.
结论:
- 现象转化评估在多药学中对于个性化药物治疗至关重要.
- 模型可以帮助估计联合药物相互作用和遗传效应.
- 了解表观转化可以增强药物遗传学的临床实用性.
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