Pharmaco Flashcards
Pro drug
requires metabolism to become active for therapeutic affect
Example or prodrugs
Codeine, Clopidogrel
Active drug
already active for therapeutic effect; inactivated by metabolism
example of active drug
warafin
codeine gene
CYP2D6
Clopidogrel gene
CYP2C19
Wafarin gene
CYP2C9
Genes that are phase 1 metabolism (ox-redox rxn)
CYP genes
Somatic tumor specific variants
KRAS, BCR/ABL, EGFR, cKIT, BRAF, ALK
CYP450 catalyze
redox rxns
CYP450 are
predominately in liver
more than 90% of all common drugs are metabolized by enzymes encoded by 6 CYP450 Genes:
CYP1A1, CY1A2, CYP2C9, CYC2C19, CYP2D6, CYP3A4
Types of variants in pharm
SNPs, indels, CNVs
*1
no variant detected
Diplotype CYP2C191/17
Rapid metabolizer, 1 increased function, one normal copy