Pharmacogenomics Flashcards
genetic trait defined by the DNA sequences
genotype
biologic or measurable expression of the genetic trait that’s dependent upon the level of % of the gene, the accuracy of the measurement method, and the influence of environmental factors
phenotype
pharmacodynamics involve _____ and ______, while pharmacokinetics involve _____ and ______.
receptors; drug targets
enzymes; transporters
pharmacodynamic = usually _______ the drug
substitute
pharmacokinetic = _______ the drug or dose
adjust
catalyzes the N-acetylation of aromatic amine and hydrazine drugs
N-acetyltransferase 2
slow acetylators are predisposed to?
- peripheral neuropathy from isoniazid
- drug induced SLE from procainamide and hydralazine
- urinary bladder cancer from tobacco use
rapid acetylators are predisposed to?
- myelosuppression from amonafide
- colorectal cancer from dietary carcinogens
catalyzes the deactivation of anticancer and and antiinflammatory drugs
Thiopurine-S-Methyltransferase (TPMT)
catalyzes the glucuronidation of bilirubin and xenobiotics
uridine diphosphate glucuronosyltransferase (UGT)
important in the oxidation of a wide variety of drugs
CYP2D6
catalyzes the oxidation of warfarin
CYP2C9
mediate critical sympathetic responses in the cardiovascular, pulmonary, metabolic, and central nervous systems
beta adrenergic receptors