Pharmacogenetics Flashcards
(31 cards)
Precision Medicine
Increased use of less expensive medications that are more effectve
What does CPIC stand for
Clinical Pharmacogenetics Implementation Consortium
Pharmacogenetics
Study of how a single gene affects an individual’s response to medications
Pharmacogenomics
Study of how multiple genes (including haplotypes) affect an individual’s response to medications
Drug efficacy
Amount of drug needed to get desired affect
Drug toxicity
Bad effects
Drug targets
Molecules that the drug will have an impact on
Pharmacokinetics
what the body does to the drug
Pharmacodynamics
How the drug impacts the body
Ranking of metabolism
Poor
Intermediate
Normal
Rapid
Ultrarapid
Rapid and ultrarapid metabolizers
Fast rate of conversion of pro-drug
Fast degradation of substrates
Poor metabolizers
Slow rate of conversion of pro-drug into active drug
Slow rate of detoxification
Prodrug
Drug needs to be activated before it can be used in the body
Ultrametabolizer with prodrug
high levels of active drug that leads to risk of toxicity
Poor metabolizer with prodrug
Low levels of active drug and less effective
Active drug
Enters body in active form
Ultrametabolizer with active drug
low levels of active drug so less effective
Poor metabolizer with active drug
High levels of active drug which leads to risk of toxicity
Cytochrome P450 Enzyme
Responsible for 75-80% of all phase 1 dependent metabolism and 65-70% of the clearance of clinically used drugs
*1 indicates
None of the targeted variants were detected
Genes that encode CYP450 start with
CYP
*alleles represent
haplotypes
Typically there are (few or multiple) haplotypes per *allele
multiple
Activity value
Amount of functionality
From 0-1