Pharmacogenomics enhance Value of Safety to Prescription Drugs: Toward a Post-genomics Era for Personalized Medicine and Patient Care

Aleq M. Jaffery, Y. J. Lee, Deepkumar Patel, D. Heck, Hong-Duck Kim
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Abstract

Post-market surveillance is done with a much larger population, Abstract Despite numerous safety regulations and a robust methodology for the testing of pharmaceuticals before and after market entry, key safety issues, such as toxicity and side effects, represent some of the major health problems with the use of various pharmaceuticals. Presently, medical errors are at a bottleneck in health cost, a factor being drug errors in medicines if they cause intolerable or dangerous side effects. As our understanding of pharmacogenomics and genetics has increased its application in clinics and preventive medicine, we have come to understand that genetics and genomics play an important role, in not only how medications function for different variations in people, but also how metabolism variance responsible for causing symptomatic toxicology can be seen. In a post-genomics era, public health is moving towards preventive health care, such as reducing medical cost in various human diseases, and defining medical risks, including misuse or overuse of drugs pertaining to genetic polymorphisms that can cause disease initiation. This short review will discuss the prevalence of genetic variation in drug toxicity, will explore some current Omics-derived methodologies used to understand its application, and predict its responses due to drugs safety based on variable genetics spectrum in personal health care. More-over, it will make provisional guidance while consulting patient with drug complications due to its similarity versus genetic variance result in inconsistency of functional effectiveness Regarding the use of omics technologies and their application platform, it could be new avenue to improve pharmacological tolerance and reduce medical cost owing to complicated issues likely medical errors and
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药物基因组学提高处方药的安全价值:迈向个性化医疗和患者护理的后基因组学时代
尽管在进入市场之前和之后有许多安全法规和强有力的方法来测试药物,但关键的安全问题,如毒性和副作用,代表了使用各种药物的一些主要健康问题。目前,医疗差错是医疗成本的瓶颈,其中一个因素是药物差错,如果它们造成无法忍受的或危险的副作用。随着我们对药物基因组学和遗传学的了解在临床和预防医学中的应用越来越多,我们已经认识到遗传学和基因组学不仅在药物如何针对不同的人发挥作用方面发挥着重要作用,而且在代谢变异如何引起症状毒理学方面也发挥着重要作用。在后基因组学时代,公共卫生正朝着预防性保健的方向发展,例如降低各种人类疾病的医疗费用,并确定医疗风险,包括误用或过度使用与可引起疾病的基因多态性有关的药物。这篇简短的综述将讨论遗传变异在药物毒性中的流行,探讨一些目前用于理解其应用的组学衍生方法,并基于个人卫生保健中的可变遗传谱预测其对药物安全性的反应。此外,由于其相似性与遗传变异导致的功能有效性不一致,它将在咨询药物并发症患者时提供临时指导。使用组学技术及其应用平台,可能是由于医疗差错等复杂问题而提高药物耐受性和降低医疗成本的新途径
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