Predictive Genetic Testing for Drug-Induced Liver Injury: Considerations of Clinical Utility

被引:37
作者
Alfirevic, A. [1 ]
Pirmohamed, M. [1 ]
机构
[1] Univ Liverpool, Dept Mol & Clin Pharmacol, Liverpool L69 3BX, Merseyside, England
关键词
CAUSALITY ASSESSMENT METHOD; UNITED-STATES; GENOME-WIDE; RISK; HEPATOTOXICITY; SUSCEPTIBILITY; GENOTYPE; JAPANESE; FAILURE; ALLELES;
D O I
10.1038/clpt.2012.107
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Genetic predisposition to drug-induced liver injury may be due to variation in both pharmacokinetic and pharmacodynamic pathways. Recent genome-wide association studies have identified, in the human leukocyte antigen (HLA) alleles, strong genetic factors that predispose to liver injury on exposure to any of several drugs. Although the genetic associations have provided mechanistic insights, none has been developed as a predictive test. Further work in this area, in combination with other "-omics" technologies, is needed to develop tests that are both clinically useful and cost-effective.
引用
收藏
页码:376 / 380
页数:5
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