quiz 1 Flashcards
Pharmacogenomics is the study of the impact of — on medication response.
genetic polymorphisms
While the discovery of genetic contributions to medication response dates back to the —, interest in clinical pharmacogenomics began in earnest with the sequencing of the human genome in —–
- 1950s
- 2003
The International HapMap Project followed the Human Genome Project and aimed to identify common patterns of heritability, called —-, in the human genome.
haplotypes
AUTOSOME (AUTOSOMAL)—any chromosome other than the
sex chromosomes or the mitochondrial DNA.
genome is the total genetic material contained within the chromosomes of an organism. In humans —— make up the genome, and almost all cells contain an entire copy of the genome
46 chromosomes (23 pairs of chromosomes)
Survey of several genetic variants in different individuals to study if there is an association with traits such as disease susceptibility or how individuals respond to certain drugs.
GENOME-WIDE ASSOCIATION STUDY (GWAS)
Any genetic variation in the DNA sequence is called
Polymorphism/variant- the terms can be used interchangeably.
Humans have two different genomes:
-a nuclear genome (— base pairs)
-a mitochondrial genome (— base pairs)
- ~3.2 billion
- ~16,500
Human genome contains about – to – genes
19,000 to 20,000
– % of the genetic makeup of human beings is the same
– % variation that makes each individual unique
99.9%
0.1%
—- Statement on the Pharmacists Role in Clinical Pharmacogenomics
ASHP Statement
DNA for genotyping can theoretically be obtained from any nucleated cell in the body
Most common sources:
- ?
- ?
Other methods include:
- ?
- ?
-Buccal swabs
-Blood samples to isolate lymphocytes
Other methods include:
-Saliva samples
-Skin biopsies
hereditary genetic variations are called:
germline mutations
Acquired genetic variations are called:
somatic mutations
- they CANNOT be passed to the next generation
The influence of heredity on medication response was demonstrated as early as 1956 with the discovery that an inherited deficiency of glucose6phosphate dehydrogenase (G6PD) was responsible for hemolytic reactions to the —- drug.
antimalarial drug primaquine.
Pharmacogenomic variations have a——-inheritance pattern
germline/hereditary
Most pharmacogenes expressions are —-
co-dominant
Function of both alleles of the gene make up a person’s —–
phenotype
before Human Genome Project, which location was used to locate pharmacogene ?
Cytogenetic location:
-for example chromosome 4
short arm: 4p
long arm: 4q
The Human Genome Project, an international research effort completed in —, determined the ——- for each human chromosome.
- 2003
- sequence of nucleotides
-This sequence information allows researchers to provide a more specific address than the cytogenetic location for many genes.
so cytogenic location is LESS SPECIFIC
A gene’s molecular address pinpoints the:
- location of that gene in terms of nucleotides.
- the gene’s precise position on a chromosome.
- the size of the gene.
Mendel’s work suggested that ——
just two alleles existed for each gene
which testing platform is used for next-generation sequencing
Whole Genome Sequencing (WGS)
which testing platform is used for identifying Single Nucleotide Polymorphism (SNP) and other variation
Variant specific testing
what are the 4 pharmacogenomic resources
- US FDA medication labels.
- CPIC guidelines (clinical pharmacogenetics implementation consortium)
- pharmacogenomics knowledgebase.
- pharmacogene variation consortium