Pharmacogenomics in Healthcare: Applications, Challenges, and Future Directions with a Focus on Oncology

Karra Geetha, T. Chandana, R. Sakshi, C. S. Chandu, T. Ramarao
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Abstract

Pharmacogenomics, the study of how genetic variations influence drug response, has emerged as a cornerstone of personalized medicine, revolutionizing clinical practice across various medical specialties. This comprehensive review explores the applications, challenges, and prospects of pharmacogenomics in healthcare, with a particular focus on oncology. The integration of pharmacogenomic data into clinical decision-making processes enables healthcare providers to tailor drug therapy to individual patients based on their genetic makeup, thereby optimizing treatment outcomes while minimizing adverse effects. In oncology, pharmacogenomic testing plays a pivotal role in individualizing cancer therapy, predicting chemotherapy response, and selecting targeted therapies based on patients' genetic profiles. However, the widespread implementation of pharmacogenomics faces several challenges, including the need for robust evidence supporting its clinical utility, standardization of testing methodologies, and integration of genetic data into electronic health records. Despite these challenges, ongoing research efforts continue to advance our understanding of the genetic determinants of drug response, paving the way for personalized medicine to become an integral part of routine clinical practice. By addressing these challenges and leveraging technological advancements, pharmacogenomics holds the promise of enhancing patient care, improving treatment outcomes, and ultimately transforming the delivery of healthcare. Key words: Pharmacogenomics, personalized medicine, drug response, oncology, genetic variations, clinical practice
医疗保健中的药物基因组学:以肿瘤学为重点的应用、挑战和未来方向
药物基因组学是一门研究基因变异如何影响药物反应的学科,已成为个性化医疗的基石,彻底改变了各医学专科的临床实践。这篇综合性综述探讨了药物基因组学在医疗保健领域的应用、挑战和前景,尤其侧重于肿瘤学。将药物基因组学数据整合到临床决策过程中,可使医疗服务提供者根据患者的基因构成为其量身定制药物疗法,从而在优化治疗效果的同时将不良反应降至最低。在肿瘤学领域,药物基因组学检测在个体化癌症治疗、预测化疗反应以及根据患者基因图谱选择靶向疗法方面发挥着关键作用。然而,药物基因组学的广泛应用面临着一些挑战,包括需要强有力的证据支持其临床效用、检测方法的标准化以及将基因数据整合到电子健康记录中。尽管存在这些挑战,但目前的研究工作仍在不断推进我们对药物反应基因决定因素的理解,为个性化医疗成为常规临床实践的组成部分铺平了道路。通过应对这些挑战和利用技术进步,药物基因组学有望加强对患者的护理,改善治疗效果,并最终改变医疗服务的提供方式:药物基因组学 个性化医疗 药物反应 肿瘤学 基因变异 临床实践
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