Lecture 7- pharmacogenetics Flashcards
…. attempts to understand the genetic basis for why some patients respond well to drugs and others dont AND why some suffer adverse side effects and others dont
pharmacogenetics
the … is that part of the DNA sequence of the genetic makeup of a cell, and therefore of an organism or individual, which determines a specific characteristic of that cell/organism
genotype
a… is the composite of an organism’s observable characteristics or traits, such as its morphology, development, biochemical or physiological properties, phenology, behavior and products of behavior
phenotype
… phenotypes result from variations in a single gene
monogenic
…. phenotypes result from variations in multiple genes
polygenic
genotypic variations can produce phenotypic differences in…. or…
pharmacokinetics (drug concentration)
pharmacodynamics (response to drug)
…. variations usually result from differences in drug metabolism and are better understood with many examples
pharmacokinetic
… variations usually result from differences in drug targets or downstream elements and are not as well understood with fewer examples
pharmacodynamic
there are 29 identified mutant alleles of the …. receptor that produce malignant hyperthermia
ryanodine
volatile anesthetics (ether, halothane, sevoflurane, desflurane, isoflurane, enflurane)
and
depolarizing muscle relaxants (succinylcholine)
can be triggers for?
malignant hyperthermia
the symptoms of malignant hyperthermia are all due to …
aberrant calcium release from the S.R.
2 receptors that liberate calcium from the S.R.
IP3
ryanodine
… is a muscle relaxant used for endotracheal intubation and brief operative procedures
succinylcholine
succinylcholine can induce prolonged …in poor metabolizers
apnea
succinylcholine is metabolized by ….
plasma cholinesterase (also known as pseudocholinesterase or butyryl cholinesterase or BuChE)