Pharmacogenomics

aparna vanga's picture
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Pharmacogenomics is the study of how genes affect a person’s response to drugs. This relatively new field combines pharmacology (the science of drugs) and genomics (the study of genes and their functions) to develop effective, safe medications and doses that will be tailored to a person’s genetic makeup.

Many drugs that are currently available are “one size fits all,” but they don’t work the same way for everyone. It can be difficult to predict who will benefit from a medication, who will not respond at all, and who will experience negative side effects (called adverse drug reactions). Adverse drug reactions are a significant cause of hospitalizations and deaths in the United States. With the knowledge gained from the Human Genome Project, researchers are learning how inherited differences in genes affect the body’s response to medications. These genetic differences will be used to predict whether a medication will be effective for a particular person and to help prevent adverse drug reactions.

The field of pharmacogenomics is still in its infancy. Its use is currently quite limited, but new approaches are under study in clinical trials. In the future, pharmacogenomics will allow the development of tailored drugs to treat a wide range of health problems, including cardiovascular disease, Alzheimer disease, cancer, HIV/AIDS, and asthma.

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Ayush A. Singhal's picture

Can you suggest some of the

3

Can you suggest some of the means where by pharmacogenomics will help us in fighting with dug resistance associated with anti virals and anti biotic?

Ayush A. Singhal
RPCP, CHANGA
GUJARAT
http://www.pharmainfo.net/ayushsinghal

Sakshi Agrawal's picture

hello Aparna, nice

3

hello Aparna,
nice presentation...

can you tell me about the clinical trials researches under study in pharmacogenomics in India..

Regards, Sakshi

ABHERI DAS SARMA's picture

Nice presentation

4

How pharmacogenomics help in studying ADR of individual patients?

Dixon Thomas's picture

Dear Aparna Which are the

4

Dear Aparna
Which are the pharmaceutical companies using pharmacogenomics in drug development?

Mr. Dixon Thomas, M. Pharm, M. S., RPh
http://www.pharmainfo.net/pharmacistdixon

aparna vanga's picture

pharmaceutical industries

1.Antya pharmaceutical industry.
2.Jayco chemical industry.
3.Calyx chemicals&pharmaceuticals.
4.Kremoint pharma pvt.Ltd.
5.vinayak industries. etc

Dixon Thomas's picture

Dear Aparna Thank you for

Dear Aparna
Thank you for quick reply. I can see many pharmaceutical players in pharmacogenomics, especially few indian industries too, proud factor. Coul you please mention what is the status of drugs in pharmacogenomics, that they are in pipe line or which phase of drug development or already marketed?

Mr. Dixon Thomas, M. Pharm, M. S., RPh
http://www.pharmainfo.net/pharmacistdixon

aparna vanga's picture

status of drugs in pharmacogenomics

In the process of drug discovery, most drug compounds that act on the target during the early phases fail to emerge as therapeutic agents. This could be due to unexpected failure of efficacy or occurrence of adverse events. Pharmacogenetics involves the study of single gene mutations and their effect on drug response. The term pharmacogenomics is much broader and it involves surveying the entire genome to assess several determinants of drug responses. [1] The current status of pharmacogenomics is restricted to the areas of medical research and epidemiological studies.

Many treatment regimens like that of oral anticoagulants and cancer chemotherapy are now guided by the pharmacogenetic status of the patient, to avoid toxicity as well as treatment failures. [2],[3] The traditional method of trial and error in selecting a drug dose is gradually being replaced by pharmacogenetic methods. Pharmacogenetics, which is being utilised currently in therapeutics, can also be utilised in drug discovery and development.

Dixon Thomas's picture

Thank you Aparna I appreciate

Thank you Aparna
I appreciate your answer. Best wishes for the competetion

Mr. Dixon Thomas, M. Pharm, M. S., RPh
http://www.pharmainfo.net/pharmacistdixon

Khushbu Hasmukh Patel's picture

Wht are the barriers in the

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Wht are the barriers in the pharmacogenomic studies?

K.H.Patel.
My profile link is
http://www.pharmainfo.net/khushbu-hasmukh-patel

Dr R S Prakasham's picture

question

3

Is there any study on pharmacogenomics based impact on cascade gene expression studies?

T.Nithya's picture

desipramine

2

hi
aparna
i have a doubt
can u please explain what are ur conclusions in applying pharmacogenomics on the drug desipramine

aparna vanga's picture

pharmacogenomics

So far no pharmacogenetic/genomic study has been conducted specifically for anxiety disorders. Some of the presented results, however, do pertain to such disorders. For example, pharmacokinetic aspects of antidepressant drug therapy likely also apply to patients with anxiety disorders, and several genetic polymorphisms in the cytochrome P450 (CYP) gene family and drug transporter molecules, such as the multidrug resistance (MDR) gene type 1, have been reported to influence the pharmacokinetics of antidepressant drugs. At this stage of pharmacogenomics research, it is difficult to interpret the relevance of pharmacodynamic—genetic association studies conducted in depressed patients for anxiety disorders. A number of studies have reported an influence of polymorphisms of genes mostly in the serotonergic pathway on the response to antidepressant drugs in patients suffering from depression. In order to know whether they can be extrapolated to patients with anxiety disorders, clinical studies are warranted. Despite all the shortcomings of the currently available pharmacogenetic studies, this field holds great promise for the treatment of anxiety disorders. In the future, psychiatrists may be able to base treatment decisions (i.e., the type and dose of prescribed drug) on more objective parameters than only the diagnostic algorithms used now. This will limit unwanted side effects and adverse drug reactions, and could reduce time to response, resulting in a more individualized pharmacotherapy.

Jithan Aukunuru's picture

toxicogenomics!!

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what is the significance of toxicogenomics?

Dr. T.E.G.K. Murthy's picture

Status in India

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1. Is there any Indian industry conducting pharmacogenomic studies?
2. What are the shortfalls/drawbacks involved in pharmacogenomic studies?
3. How biomarkers are preserved to maintain their integrity and viability?
4. On what basis we can judge that the variations in patient-patient are because of genetic differences as there are other patient related factors which can influence pharmacokinetics?
5. What is the intrinsic and extrinsic criteria in pharmacokinetic studies?

aparna vanga's picture

Drawbacks of pharmacogenomics

2.:Genetic factors are not the only influence on drug response. Environment and lifestyle are also important factors.
:The application of pharmacogenomics requires the existence of rapid, reliable, and inexpensive genetic tests.
:The clinical relevance of genetic variations must be proven.
:Applications are currently limited to a specific number of treatments for a limited number of illnesses.
:Health professionals, including doctors, nurses, genetic counselors, and pharmacists, will need to receive training before pharmacogenomics is integrated into medical practice.

aparna vanga's picture

1.some of the industries in

1.some of the industries in india areconducting the pharmacogenomic studies.
With all of the multitude of challenges facing the pharmaceutical research and development process, the industry is actively exploring the relationships between human genetics and drug responsiveness, susceptibility to disease and disease severity. In Pharmacogenomics and Personalized Medicine, leading experts from the pharmaceutical industry, the scientific community and the government provide guidance for conducting pharmacogenomic research from discovery to the market, while also presenting a realistic perspective on the challenges, practicalities and obstacles in its application. Focusing on DNA data and associated analytical methodologies, with a consideration for complementary RNA-based studies, this volume includes a wide array of vital, cutting-edge research.
Comprehensive and timely, Pharmacogenomics and Personalized Medicine will assist novice and experienced investigators alike in the understanding of the current scientific challenges in applying pharmacogenomics to drug discovery and clinical development.

Recent researches conducted in pharmacogenomics

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your paper is good.all the best.
tell me the recent researches conducted in pharmacogenomics

aparna vanga's picture

Resent researches conducted in pharmacogenomics

As part of the Pharmacogenomics Research Unit, the The Laboratory of Drug Disposition and Pharmacogenetics conducts a wide variety of research including the study of genetic and environmental factors that influence the outcome of treatment with psychoactive drugs in children and adolescents as well as adults. Further, current studies are evaluating the influence of genetic factors on the placental passage of medications used during pregnancy. Current studies are directed at identifying specific drug transporters and assessing genetic factors that may influence the transport of psychostimulant and antipsychotic medications that ultimately modulate clinical effects and outcomes.

Drug-drug interactions, herbal supplement-drug interactions, and the effects of age and disease states on drug and metabolite disposition are also areas of focus. Laboratory methodology employed includes the use of cell culture, genetically altered (transgenic) animal studies, and drug assay development using various methods of analysis to support pharmacokinetic studies of drug disposition (drug absorption, distribution, metabolism and elimination) in both humans and animals.

Pharmacogenetic studies are conducted to characterize the genotype and/or phenotype of individual’s drug transporter proteins (e.g. P-glycoprotein) and drug metabolizing enzymes. Clinical investigations are conducted in healthy human volunteers as well as patients. Present funding is through the NIH National Institute of Child Health and Human Development (NICHD), National Institute on Drug Abuse (NIDA), National Center for Complementary and Alternative Medicine (NCCAM), Office of Dietary Supplements, and the pharmaceutical industry.

Hemangi Purarkar's picture

Preclinical and clinical corelation

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Dear Aparna,
can you tell me that how the preclinical genetic expressions are correlate with the clinical one? are there any parameter that required to correlate this data to each other?

aparna vanga's picture

*In preclinical genetic

*In preclinical genetic expressions we are predicting the toxicity & the mechanism responsible for the toxicity.

*The potential biomakers responsible for the toxicity are determined by using these preclinical genetic expressions. Thus these preclinical genetic expressions are correlate to the clinical one to select the desirable therapy.

raghavendra swamy's picture

Please check out your ppt,

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Please check out your ppt, after pre-clinical gene expression slides nothing is opening

aparna vanga's picture

There are 10 more slides

There are 10 more slides after preclinical studies. They are opening,please check it once
Thank you