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Pharmacogenomics of adverse drug reactions

Lookup NU author(s): Professor Ann Daly

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Abstract

Considerable progress has been made in identifying genetic risk factors for idiosyncratic adverse drug reactions in the past 30 years. These reactions can affect various tissues and organs, including liver, skin, muscle and heart, in a drug-dependent manner. Using both candidate gene and genome-wide association studies, various genes that make contributions of varying extents to each of these forms of reactions have been identified. Many of the associations identified for reactions affecting the liver and skin involve human leukocyte antigen (HLA) genes and for reactions relating to the drugs abacavir and carbamazepine, HLA genotyping is now in routine use prior to drug prescription. Other HLA associations are not sufficiently specific for translation but are still of interest in relation to underlying mechanisms for the reactions. Progress on non-HLA genes affecting adverse drug reactions has been less, but some important associations, such as those of SLCO1B1 and statin myopathy, KCNE1 and drug-induced QT prolongation and NAT2 and isoniazid-induced liver injury, are considered. Future prospects for identification of additional genetic risk factors for the various adverse drug reactions are discussed.


Publication metadata

Author(s): Daly AK

Publication type: Review

Publication status: Published

Journal: Genome Medicine

Year: 2013

Volume: 5

Issue: 1

Pages: 5

Print publication date: 29/01/2013

ISSN (electronic): 1756-994X

Publisher: BIOMED CENTRAL LTD

URL: http://dx.doi.org/10.1186/gm409

DOI: 10.1186/gm409


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