Challenges and opportunities associated with rare-variant pharmacogenomics br

被引:21
|
作者
Zhou, Yitian [1 ,7 ]
Tremmel, Roman [2 ,3 ]
Schaeffeler, Elke [2 ,3 ,4 ]
Schwab, Matthias [2 ,5 ,6 ]
Lauschke, Volker M. [1 ,2 ,3 ]
机构
[1] Karolinska Inst, Dept Physiol & Pharmacol, S-17177 Stockholm, Sweden
[2] Dr Margarete F Bosch Inst Clin Pharmacol, Stuttgart, Germany
[3] Univ Tubingen, Tubingen, Germany
[4] Univ Tubingen, Cluster Excellence iFIT EXC2180 Image Guided & Fun, Tubingen, Germany
[5] Univ Tubingen, Dept Clin Pharmacol, Tubingen, Germany
[6] Univ Tubingen, Dept Biochem & Pharm, Tubingen, Germany
[7] Karolinska Inst, Dept Lab Med, S-17177 Stockholm, Sweden
关键词
METAANALYSIS; VARIABILITY; EXPRESSION; ALLELES; IMPACT; DRUG;
D O I
10.1016/j.tips.2022.07.002
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Recent advances in next-generation sequencing (NGS) have resulted in the identification of tens of thousands of rare pharmacogenetic variations with unknown functional effects. However, although such pharmacogenetic variations have been estimated to account for a considerable amount of the heritable variability in drug response and toxicity, accurate interpretation at the level of the individual patient remains challenging. We discuss emerging strategies and concepts to close this translational gap. We illustrate how massively parallel experimental assays, artificial intelligence (AI), and machine learning can synergize with population-scale biobank projects to facilitate the interpretation of NGS data to individualize clinical decision-making and personalized medicine.
引用
收藏
页码:852 / 865
页数:14
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