新冠肺炎治疗药物的药物基因组学方面

G. Khan, Yomna Elsayed, M. Said
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摘要

与新型COVID-19病毒相关的死亡率和发病率的增加促使研究人员致力于开发新的疗法来摧毁这种病毒。许多临床试验已经开始寻找能够有效治疗这种病毒体征和症状的药物。本文综述了羟氯喹、氯喹、阿奇霉素、瑞德西韦、法匹拉韦、利巴韦林、洛匹那韦/利托那韦、达若那韦/可比司他、干扰素β -1b、托珠单抗、鲁索利替尼、巴西替尼和皮质类固醇等治疗该病毒的药物基因组学方面的研究进展。数据将从pubmed、Lancet、WHO网站、PharmGKB网站、IDSA covid -19患者治疗和管理指南、美国食品和药物管理局(FDA)产品标签和药物基因组学数据库等多个网站收集。与这些药物的有效性和安全性相关的数据不完整,医疗保健提供者正在努力做出正确的治疗选择。药物基因变异可能改变某些药物的药代动力学和安全性,从而产生药物不良反应。因此,药物基因组学可以通过了解个体的基因组成来帮助医生决定正确的治疗方案。这最终有助于消除药物不良反应,降低死亡率。[J]中华医学杂志2022;23日:61 - 76
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The Pharmacogenomics Aspects of Drugs Used in COVID-19 Treatment
The increase in mortality and morbidity related to the novel COVID-19 virus led researchers to work ondeveloping new therapies to destroy the virus. Numerous clinical trials have started to find drugs that willeffectively treat the signs and symptoms of the virus. This review aims to summarize the pharmacogenomicaspects of drugs such as hydroxychloroquine, chloroquine, azithromycin, remdesivir, favipiravir, ribavirin,lopinavir/ritonavir, darunavir/cobicistat, interferon beta-1b, tocilizumab, ruxolitinib, baricitinib, andcorticosteroids used in the treatment of this virus. The data will be collected from various websites such asPubMed, Lancet, WHO website, PharmGKB website, IDSA Guidelines on the treatment & management ofCOVID-19 Patients, the U.S. Food and Drug Administration (FDA) product labeling, and pharmacogenomicstables. Incomplete data exists related to the efficacy and safety of these drugs and healthcare providers arestruggling to make the right treatment choices. Drug-gene variants may alter the pharmacokinetics andsafety of some drugs and thus produce adverse drug reactions. Therefore, pharmacogenomics may helpdoctors decide the correct course of treatment by knowing the genetic makeup of an individual. This caneventually help to eliminate adverse drug reactions and reduce the mortality rate. J MEDICINE 2022; 23: 61-76
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