Pharmacogenomic diversity in psychiatry: Challenges and Opportunities in Africa

Muktar B. Ahmed, Anwar Mulugeta, Niran Okewole, Klaus Oliver Schubert, Scott R. Clark, Conrad O. Iyegbe, Azmeraw T. Amare
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Abstract

Background Pharmacogenomic studies on psychiatric drugs have slowly identified genetic variations that influence drug metabolism and treatment effectiveness in patients with mental illness. Because most of these studies predominantly centered on people of European descent, there remains a substantial knowledge gap on the clinical implications of current pharmacogenomic evidence in multi-ancestry populations such as Africans. Thus, whether pharmacogenomic (PGx) genetic testing implemented in European populations would be valid for a population of African origin is unknown. The objective of this review was to appraise previous psychiatric pharmacogenomic studies in Africa and highlight challenges and opportunities to initiate PGx testing in the region.
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精神病学中的药物基因组多样性:非洲的挑战与机遇
背景有关精神疾病药物的药物基因组研究已经慢慢发现了影响精神疾病患者药物代谢和治疗效果的基因变异。由于这些研究大多以欧洲人后裔为主要研究对象,因此目前的药物基因组学证据对非洲人等多种族人群的临床影响仍存在很大的知识差距。因此,在欧洲人群中实施的药物基因组学(PGx)基因检测是否适用于非洲裔人群尚不得而知。本综述旨在评估之前在非洲开展的精神科药物基因组学研究,并强调在该地区启动 PGx 检测所面临的挑战和机遇。
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