药物代谢组学在药物处置、毒性和精准医疗中的应用。

IF 4.4 3区 医学 Q1 PHARMACOLOGY & PHARMACY
George R Trevor, Yong Jin Lim, Bradley L Urquhart
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引用次数: 0

摘要

精准医疗计划推动了科学家和医疗从业人员在诊断和治疗疾病方面的思维方式发生重大改变。虽然人们早已认识到药物反应是由遗传、环境和疾病因素共同决定的,但技术的进步为精准医疗提供了药物剂量指导,以提高疗效和减少毒性。药物代谢组学旨在评估血浆和/或尿液中的小分子代谢物,以帮助评估预测和/或反映药物疗效和毒性的机制。在这篇小型综述中,我们将概述药物代谢组学的途径和方法。文中讨论了代谢组学技术用于更好地了解药物在重度抑郁症和癌症化疗中的疗效和毒性的相关实例。此外,还综述了代谢组学在药物开发和了解药物代谢、转运和药代动力学方面的作用。药物代谢组学方法有助于了解介导药物处置、药效和毒性的因素。虽然这一领域已经取得了重要进展,但在将这种方法全面应用于临床药物治疗之前,仍有一些挑战必须克服。意义声明 药物代谢组学已成为一种识别代谢物的方法,可用于实施精准药物治疗。这篇综述文章概述了药物代谢组学,包括重要实例的重点介绍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pharmacometabolomics in Drug Disposition, Toxicity, and Precision Medicine.

The precision medicine initiative has driven a substantial change in the way scientists and health care practitioners think about diagnosing and treating disease. While it has long been recognized that drug response is determined by the intersection of genetic, environmental, and disease factors, improvements in technology have afforded precision medicine guided dosing of drugs to improve efficacy and reduce toxicity. Pharmacometabolomics aims to evaluate small molecule metabolites in plasma and/or urine to help evaluate mechanisms that predict and/or reflect drug efficacy and toxicity. In this mini review, we provide an overview of pharmacometabolomic approaches and methodologies. Relevant examples where metabolomic techniques have been used to better understand drug efficacy and toxicity in major depressive disorder and cancer chemotherapy are discussed. In addition, the utility of metabolomics in drug development and understanding drug metabolism, transport, and pharmacokinetics is reviewed. Pharmacometabolomic approaches can help describe factors mediating drug disposition, efficacy, and toxicity. While important advancements in this area have been made, there remain several challenges that must be overcome before this approach can be fully implemented into clinical drug therapy. SIGNIFICANCE STATEMENT: Pharmacometabolomics has emerged as an approach to identify metabolites that allow for implementation of precision medicine approaches to pharmacotherapy. This review article provides an overview of pharmacometabolomics including highlights of important examples.

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来源期刊
CiteScore
6.50
自引率
12.80%
发文量
128
审稿时长
3 months
期刊介绍: An important reference for all pharmacology and toxicology departments, DMD is also a valuable resource for medicinal chemists involved in drug design and biochemists with an interest in drug metabolism, expression of drug metabolizing enzymes, and regulation of drug metabolizing enzyme gene expression. Articles provide experimental results from in vitro and in vivo systems that bring you significant and original information on metabolism and disposition of endogenous and exogenous compounds, including pharmacologic agents and environmental chemicals.
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