Digging Up the Human Genome: Current Progress in Deciphering Adverse Drug Reactions

Author:

Su Shih-Chi1ORCID,Chung Wen-Hung12,Hung Shuen-Iu3ORCID

Affiliation:

1. Department of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, 199 Tung-Hwa North Road, Taipei 105, Taiwan

2. College of Medicine, Chang Gung University, 259 Wen-Hua First Road, Taoyuan 333, Taiwan

3. Institute of Pharmacology, School of Medicine, Infection and Immunity Research Center, VYM Genome Research Center, National Yang-Ming University, No. 155, Section 2, Linong Street, Taipei 112, Taiwan

Abstract

Adverse drug reactions (ADRs) are a major clinical problem. In addition to their clinical impact on human health, there is an enormous cost associated with ADRs in health care and pharmaceutical industry. Increasing studies revealed that genetic variants can determine the susceptibility of individuals to ADRs. The development of modern genomic technologies has led to a tremendous advancement of improving the drug safety and efficacy and minimizing the ADRs. This review will discuss the pharmacogenomic techniques used to unveil the determinants of ADRs and summarize the current progresses concerning the identification of biomarkers for ADRs, with a focus on genetic variants for genes encoding drug-metabolizing enzymes, drug-transporter proteins, and human leukocyte antigen (HLA). The knowledge gained from these cutting-edge findings will form the basis for better prediction and management for ADRs, ultimately making the medicine personalized.

Funder

National Science Council

Publisher

Hindawi Limited

Subject

General Immunology and Microbiology,General Biochemistry, Genetics and Molecular Biology,General Medicine

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