忽视疾病治疗的药物遗传学
Tiffany Borges Cabral1, Amanda Carvalho de Oliveira2,3, Gisely Cardoso de Melo2,3
1Department of Pathology, Genetics and Evolution, Federal University of Triângulo Mineiro, Uberaba 38025-180, Brazil.
药物遗传学 (PGx) 为艾滋病毒,疟疾和结核病等被忽视的疾病提供个性化药物治疗. 虽然一些PGx测试已经为艾滋病毒做好了准备,但需要对疟疾和结核病进行更多的研究,以改善受影响人群的公共卫生.
科学领域:
- 药物遗传学 药物遗传学
- 基因组学就是基因组学.
- 传染性疾病 传染性疾病
背景情况:
- 药物遗传学 (PGx) 旨在为个体量身定制药物治疗,但研究往往忽视了艾滋病毒,疟疾和结核病等被忽视的疾病.
- 在这些疾病中对PGx的证据有限,特别是在受影响人群的遗传多样性方面.
研究的目的:
- 审查现有的艾滋病毒,疟疾和结核病的药物遗传测试.
- 为了确定准备临床实施的PGx测试.
- 突出这些被忽视的疾病的研究差距.
主要方法:
- 对艾滋病毒感染,疟疾和结核病的药物遗传学进行了批判性文献审查.
主要成果:
- 对于艾滋病毒抗逆转录病毒药物有三个PGx指导方针;一个用于疟疾;没有一个用于结核病.
- 关键的基因药物关联包括CYP2D6用于primaquine (疟疾) 和NAT2用于isoniazid (肺结核).
- 实施障碍包括有限的证据和人口混合,需要考虑遗传差异化.
结论:
- 像阿巴卡维尔这样的PGx测试正在用于HIV,其他测试 (efavirenz/atazanavir) 已经准备好实施.
- 进一步的证据生成对疟疾和结核PGx至关重要,以使服务不足的人口受益于公共卫生.
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