优化基因组学的主流化:补充实证和理论策略进行实施
Lin Cheng1,2, Nathasha Kugenthiran3,4, Catherine Quinlan5,6,7
1Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia. lin.cheng3@unimelb.edu.au.
European journal of human genetics : EJHG
|February 12, 2025
概括
这项研究确定了将基因组测试纳入科护理中的障碍和策略. 结合实践和理论方法可以帮助克服挑战,并支持广泛采用.
科学领域:
- 基因组医学是基因组医学.
- 实施科学 实施科学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 将基因组测试整合到常规脏病治疗中存在挑战.
- 科医生需要有效的策略来采用基因组测试.
研究的目的:
- 确定和制定补充的实施策略,以将基因组测试纳入主流.
- 支持科医生将基因组测试纳入临床实践.
主要方法:
- 与基因组学冠军和嵌入式基因组学专家进行了采访.
- 将数据映射到一个实施科学框架中.
- 利用实施研究的综合框架.
主要成果:
- 确定了34个阻碍基因组测试在科采用的障碍.
- 发现了25种实证实施策略.
- 确定了10个互补的理论实施策略.
结论:
- 结合经验和理论策略的新方法可以支持脏病学家.
- 合作努力对于克服基因组测试主流化方面的挑战至关重要.
- 进一步的研究应该探索该策略在各种临床环境中的适用性.
相关概念视频
Genomics
Genomics is the science of genomes: it is the study of all the genetic material of an organism. In humans, the genome consists of information carried in 23 pairs of chromosomes in the nucleus, as well as mitochondrial DNA. In genomics, both coding and non-coding DNA is sequenced and analyzed. Genomics allows a better understanding of all living things, their evolution, and their diversity. It has a myriad of uses: for example, to build phylogenetic trees, to improve productivity and...
Pharmacogenetics and Pharmacogenomics: Overview
Pharmacogenetics and pharmacogenomics examine how genetic factors influence an individual's response to drugs. While pharmacogenetics focuses on the impact of specific genetic variants on drug effects, pharmacogenomics takes a broader approach, studying how genetic variation across populations contributes to differences in drug responses. These fields aim to explain why individuals may experience varying levels of efficacy or adverse reactions to the same medication.Variability in drug...
Principles of Pharmacogenetics: Types of Genetic Variants
The human genome is over 99.9% identical between individuals, yet genetic differences exist at millions of bases. The human genome contains approximately 3 million variant positions per individual, many of which are heterozygous, contributing to genetic diversity and individual traits. Genetic variations include single-nucleotide polymorphisms (SNPs), insertions, deletions, and copy number variations (CNVs).SNPs, the most common variation, involve single-base changes in DNA. These can be...
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
Pharmacogenetics of Drug Metabolism: Overview
Genetic polymorphism in drug metabolism is crucial to the inter-individual variability observed in drug responses. Drug metabolism primarily involves the chemical modification of drugs and other xenobiotics to enhance their elimination by increasing their polarity. Two main classes of enzymes mediate this biotransformation process: Phase I enzymes, primarily cytochrome P450s, catalyze oxidation and reduction reactions, while other enzymes, such as esterases, mediate hydrolysis, and Phase II...
Pharmacogenomics: Identification of New Drug Targets
Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...


