pharmacogenetics Flashcards

1
Q

does everyone respond the same way to drugs

A

no

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2
Q

pharmacogenetics

A

study of genetic basis for variation in drug response. looks at single gene interactions with drugs

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3
Q

pharacogenomics

A

whole genome application of pharmacogenetics

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4
Q

genotype

A

inherited genetic information

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5
Q

phenotype

A

expression of genetic information related to morphology, functionality and behavior

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6
Q

single nucleotide polymorphism

A

single base change in DNA coding for gene

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7
Q

aldehyde dehydrogenase rola and insufficient consequese

A

ethanol is metabolized to acetaldehyde , builds up causes flushing, nausea

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8
Q

insertion/deletions (indels)

A

addition/deletion of base in DNA strand in a specific gene

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9
Q

N-acetyltransferase Type 2 (NAT2) does what

A

acetylates isoniazid

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10
Q

what happens when you have low N-acetyltransferase Type 2 (NAT2)

A

acetylators have more isoniazid toxicity

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11
Q

N-acetyltransferase Type 2 (NAT2) is seen in what population and not seen in what population

A

seen in: Inuit and Japanese

not seen in: Scandinavians, Jews, North African whites

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12
Q

pharmacokinetic

A

what body does to drug
biotransformation
trapnsort (kidney, liver)

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13
Q

pharmacodynamic

A

drug receptors and targets

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14
Q

polymorphisms related to an underlying disease can impact response to what

A

unrelated drug therapy

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15
Q

CYP3A5*1 wild type allele is common in what popluations

A

African > caucasaian

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16
Q

drugs metabolized by CYP3A5 will be metabolized faster by which population

A

Africans

17
Q

Warfin pharmacology can be altered in drug process

A

metabolic enzyme

its target

18
Q

what does Warfarin do

A

blood thinner

19
Q

drug effect of 2B6 (CYP polymorphisms)

A

cyclophosphamide failure

20
Q

drug effect of 2C9 (CYP polymorphisms)

A

increased risk of bleeding - warfarin

21
Q

drug effect on GST (phase II enzyme polymorphism)

A
  • increase toxicity of alkylating agents

- decrease response in breast cancer, AML

22
Q

Gilberts Syndrome 1A1 (phase II enzyme polymorphism) drug effect

A
  • increase Irinotecan toxicity

- increase morphine plasma levels

23
Q

transporters of drugs are important where

A

biliary and renal excretion
choroid plexus
influx/efflux of drugs in excretory cells

24
Q

what does P-glycoprotein do

A

takes toxins out of drug

Digoxin

25
Q

Warfarin effects what enzyme/receptor

A

Vitamin K oxidoreductase

26
Q

G6PD gene produce deficiency uses what drug and what response

A

Dapsone

methemoglobinemia