Abstract | INTRODUCTION: AREAS COVERED: EXPERT OPINION: Pharmacogenetics holds the promise of a personalized medicine with potential to customize treatment that can achieve the best clinical response and avoid toxicity. Several polymorphisms in various genes involved in the metabolism of drugs commonly utilized in the treatment of ocular inflammatory diseases have been described. Most promising is the polymorphism in thiopurinemethyltransferase gene for which a genotype analysis can reveal slow metabolizers of azathioprine and help avoid serious drug toxicity. Although pharmacogenetic studies with specific focus on ocular inflammatory diseases are lacking, knowledge from studies in rheumatologic diseases and transplant medicine can provide a platform for future research. Prospective clinical studies are needed to determine the clinical significance of such polymorphisms and their true effect on drug metabolism and side effects.
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Authors | Breno R Lima, Robert B Nussenblatt, H Nida Sen |
Journal | Expert opinion on drug metabolism & toxicology
(Expert Opin Drug Metab Toxicol)
Vol. 9
Issue 7
Pg. 875-82
(Jul 2013)
ISSN: 1744-7607 [Electronic] England |
PMID | 23521173
(Publication Type: Journal Article, Review)
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Chemical References |
- Adrenal Cortex Hormones
- Alkylating Agents
- Anti-Inflammatory Agents
- Antimetabolites
- Methyltransferases
- thiopurine methyltransferase
- Azathioprine
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Topics |
- Adrenal Cortex Hormones
(administration & dosage, adverse effects)
- Alkylating Agents
(administration & dosage, adverse effects)
- Anti-Inflammatory Agents
(administration & dosage, adverse effects)
- Antimetabolites
(administration & dosage, adverse effects)
- Azathioprine
(administration & dosage, adverse effects)
- Humans
- Inflammation
(drug therapy)
- Methyltransferases
(antagonists & inhibitors, genetics, metabolism)
- Pharmacogenetics
- Polymorphism, Genetic
- Scleritis
(drug therapy, genetics)
- Treatment Outcome
- Uveitis
(drug therapy, genetics)
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