临床实验室中的药基因组测试:历史进展和未来的机会
1Division of Laboratory Genetics and Genomics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Annals of laboratory medicine
|April 2, 2025
概括
药物基因组学已经从基础科学发展到临床应用,从基因类型测试到测序的测试方法过渡. 标准化和协调是推进个性化医疗的关键.
科学领域:
- 基因组医学是基因组医学.
- 药物基因组学 药物基因组学
背景情况:
- 自20世纪60年代以来,在基础科学中扎根的药物基因组学,通过跨学科的合作,被整合到临床实践中.
- 实验室测试药基因组学,特别是对CYP2D6,HLA-A和HLA-B等基因,由于高多态性和基因同质性,是复杂的.
研究的目的:
- 审查药物基因组学中临床实验室测试的演变.
- 讨论标准化努力和向基于测序的方法的转变.
- 探索药物基因组学和基因组医学的未来发展.
主要方法:
- 对药物基因组测试方法历史发展的回顾.
- 分析当前的标准化和报告实践.
- 关于药物基因组学新兴技术和方法的猜测.
主要成果:
- 测试方法已经从向基因型定制发展到多重面板,随着测序在地平线上.
- 目标,命名和报告的标准化对于临床实施至关重要.
- 从测序和管理复杂的基因位置来分类罕见变异仍然存在挑战.
结论:
- 过渡到基于测序的药物基因组学需要强大的系统来进行罕见变异分类.
- 与更广泛的基因组医学进行协调对于实现个性化医学的全部潜力至关重要.
- 未来的方向包括药理表观遗传学,非编码变体分析和多基因风险评估.
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