Pharmacogenetics Flashcards

1
Q

Precision Medicine

A

Increased use of less expensive medications that are more effectve

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2
Q

What does CPIC stand for

A

Clinical Pharmacogenetics Implementation Consortium

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3
Q

Pharmacogenetics

A

Study of how a single gene affects an individual’s response to medications

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4
Q

Pharmacogenomics

A

Study of how multiple genes (including haplotypes) affect an individual’s response to medications

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5
Q

Drug efficacy

A

Amount of drug needed to get desired affect

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6
Q

Drug toxicity

A

Bad effects

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7
Q

Drug targets

A

Molecules that the drug will have an impact on

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8
Q

Pharmacokinetics

A

what the body does to the drug

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9
Q

Pharmacodynamics

A

How the drug impacts the body

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10
Q

Ranking of metabolism

A

Poor
Intermediate
Normal
Rapid
Ultrarapid

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11
Q

Rapid and ultrarapid metabolizers

A

Fast rate of conversion of pro-drug
Fast degradation of substrates

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12
Q

Poor metabolizers

A

Slow rate of conversion of pro-drug into active drug
Slow rate of detoxification

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13
Q

Prodrug

A

Drug needs to be activated before it can be used in the body

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14
Q

Ultrametabolizer with prodrug

A

high levels of active drug that leads to risk of toxicity

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15
Q

Poor metabolizer with prodrug

A

Low levels of active drug and less effective

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16
Q

Active drug

A

Enters body in active form

17
Q

Ultrametabolizer with active drug

A

low levels of active drug so less effective

18
Q

Poor metabolizer with active drug

A

High levels of active drug which leads to risk of toxicity

19
Q

Cytochrome P450 Enzyme

A

Responsible for 75-80% of all phase 1 dependent metabolism and 65-70% of the clearance of clinically used drugs

20
Q

*1 indicates

A

None of the targeted variants were detected

21
Q

Genes that encode CYP450 start with

A

CYP

22
Q

*alleles represent

A

haplotypes

23
Q

Typically there are (few or multiple) haplotypes per *allele

A

multiple

24
Q

Activity value

A

Amount of functionality
From 0-1

25
Q

CPIC is for what

A

Develops evidence-based guidelines and recommendations
Provides guidance on what clinical changes to make if you have test results

26
Q

Race

A

Socially defined trait typically based on the color of one’s skin and cultural identity

27
Q

Ethnicity

A

Socially defined trait typically based on one’s cultural group

28
Q

Ancestry

A

Geographical origins and can imply a person’s genetic origins

29
Q

GWAS studies

A

Objective, biological way to measure ancestry

30
Q

Admixed ancestry

A

Lineage from different biogeographical groupsW

31
Q

What percentage of prescriptions may be influenced by pharmacogenes

A

18%